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UNIFIED PROGRAM CONSOLIDATED FORNFPF t. UNDERGROUND STORAGE TANK MONITORING PLAN (Pap 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDQ MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-348 a9asae ❑ 1.CONTINUOUS ELECTRONIC MONITORING 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS ❑99.OTHER(Specify): PANEL MANUFACTURER: >f 4 s MODEL#: 490-5e. LEAK SENSOR MANUFACTURER: 49M1 MODEL#(S): 490-38 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES GO.NO 490.59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES Clkb,NO 490.60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES M&NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER Wa.YES ❑b.NO 49"2 L UDC CONSTRUCTION IS 0.SINGLE-WALLED ❑2.DOUBLE-WALLED 4 90-0 IF DOUBLE WALLED: 490.64s UDC INTERSTITIAL SPACE IS MONITORED BY: Q 1.LIQUID Q 2.PRESSURE Q 3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 490-64& VII.PERIODIC SYSITM TESTING 1. ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ESH&MM 45. MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS UIRED. 23 CCR 42644.I ❑2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS: 490.66 -13 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490b7 VIII.RECORDI=PING The following monitoring/Tiftnetiance records are kept for this facility: Ism logs 49"M Visual Inspection Records 490-ObTank integrity results 49&6Qe SIR testing results(and supporting documentation records). 490-M Tank gauging results(and supporting documentation records). 490-6Be ATG Testing results(and supporting records).49mu Corrosion Protection 60-day logs 4" Equipment maintenance and calibration records. 49"M IX TR G ❑Personnel with UST monitoring responsibility are familiar with all of the following documents relevant to their job duties. 4904% REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)4w*% OPERATING MANUALS FOR ELECTRONIC MONITORING EQ (Required)490-69c CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49&694 CALIFORNIA UNDERGROUND STORAGE TANK LAW 49&690 STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"49Qb91 ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-599 ❑ OTHER(Specify):bmw s This facility has a"Designated UST Operator"who has passed the California UST System Operator Exarn administered by the Intemational Code Council(ICC). The"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but is not limier to,the following: • Operation of the UST system in a manner consistent with the facility's best management practices • The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan • The facility employee's role with regard to spills and overfills as specified in the UST Response Plan • Names of contact pexsou(s)for emergencies and monitoring alarms.49&7o X. CONDUMNADDMONALEWORMATION Provide additional comments here or indicate low many pages with'Uditionai' n o specific monitoring procedures are attached to this plan.49D.71 !l lfc '.v c.,� -T ®® t 5 ,4r M.PRIMNNEL RESPONSIBUITLES The UST OwnerlOperator is responsible for ensuring that:I)the daily/routne UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The fdIaTtig person(s)are responsible for performing the monitoring and equipment mmttp erumce: NAME 49&72 TITLE 4W73 NAME 490-74 TITLE 49&75 The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operswr,and inform the owner/operator of any conditions that need follow-up action. XII-OWNER/OPERATOR SIGNATURE CERTM ON:I cestifX that the ation proryided herein is true artd wcmft to the best of Ty knowkpd e. APPLICANT IGNATURE476 DATE: 490-77 Rim JMJLQ12290oash�--,2 ch—do APP CANT NAME(print): 490.711 APPLICANT T E. 49°-79 UPCF UST-D(I2!2407)317