COMPLIANCE INFO_2007-2009 - Laserfiche WebLink

Home Browse Search

UMFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- Pa 1 of 2 491k1 TYPE OF ACTION [31.NEW PLAN [32.CHANGE OF TION PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. 0- 2 (Check one item only)_ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM I. FA ON 1 FACILITY ID#(Agency Use Only) - 3. BUSINESS NAME(Same as FACILITY NAME) BUSINESS SITE ADDRESS g=QA103 CITY Io4. II.EQUIP TESTING AM PRE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detecton4 etc.)mast be performed at the frequency specified by the equipment menuf 'in or annually,whichever is more fiequent,and that such wont be performed by qualified pensotmel. 23 CCR 263 2634 2638 2641 4W3a MONITORING EQUIPMENT IS SERVICED ANNUALLY ❑ 99.OTHER(Specify): a90-3b HLMONITORING LOCAnON3 ❑1.NEW SITE PLOT PLAN/MAP SUHMITFED WITH THIS PLAN. C3 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR 2, 2634 IV.T MO. GIS USING:: FO OD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANN (INTL )SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2532,2634) SECONDARY CONTAINMENT IS: a DRY [3b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 49e-6 PANEL MANUFACTURER: 4W7. MODEL#: L_ 4 LEAK SENSOR MANUFACTURER: 490-9. MODEL#(S: 9 q 3 49-10 70 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR==%E WAS •a Met.(23 CCR§2543) 490-11 PANEL MANUFACTURER: 49ai2 MODEL#: 490-13 IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S):_ 490-16 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYIAIIGHTLY 1:1c.WEEKLY 490-16 ❑ d.MONTHLY ❑ e.OTHER ): 49D 17 PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER(S OD-19 8•P• 6•P- P�Y)� 490.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR 1): 4400 -20 ❑ 4. 45).Y MANUAL TANK GAUGING(MTG)(23 CCR§25TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS a�zm 5.TANK INTEGRITY49@-24 TING(23 CCR§2643.1): 490-23 TEST FREQUENCY: Ra.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490•25 490-26 ❑99.OTHER(Specify): 490.27 V.PIPE MOMOMG IS PERFO USING TIRE FOLLOWING OD(S)(Cbe&all that SPOY) 1.CONTINUOUS MONITORING OF PME/PIPING STIMM AND OTHER SECONDARY CONTAINMENT WrMAUDIBLE AND 49-28 tftAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490.29 PANEL MANUFACTURER: 4W30 49D-31 I MODEL#: LEAK SENSOR MANUFACTURER: 490 32 MODEL S): 49333 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(Le.,TURBINE)SHUTDOWN, Mo.YES ❑b.NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES ❑b.NO 490.35 MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g p L LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED CCR 490-36 MLLD MANUFACTURER(S): 4'M37 MODEL#(s), 4ST P M (_, 490.38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p L LEAK TESTS (23 CCR§2536) 490-39 ELLD MANUFA S) 490+ MODEL#(Sj 490-41 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490.42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. 13a.YES ❑b.NO 440.43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑b.No 490'44 4 PIPE INTEGRITY TESTING 49o.4s TEST 11 a ANNUALLY 0 b.EVERY 3 YEARS Q c.OTHERLSE. 490.46 4947 5.VISUAL PIPE MONITORING. 49" FREQUENCY ❑ a DAILY ❑ b.WEEKLY [3c.MIN.MONTHLY e.EACH TIME SYSTEM OPERATED* 490.49 *ANowedthr!!!!ftMofobwadpwmwagmMffideM=IyggHSCWnLan ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERM,123 CCR§2536(ax3)D. 49050 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CNAMR 6.7 IS CONNECTED TO THE TANK SYSTEM 490-61 ❑ 99.OTHER(Specify) 490-sz 490.53 UPCF UST-D(12/200')1/4