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F UNIFIED PROGRAM CONSOLIDATED FORW UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAIN )MONITORING a�-sas I. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54b ❑ 1.CONTINUOUS ELECTRONIC MONITORING 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS ❑99.OTHER S PANEL MANUFACTURER: a9ass MODEL#: 490-56. -58 LEAK SENSOR MANUFACTURER: 49"1 MODEL#{S): 490 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES b.NO 490.59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a YES .NO 490.60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES 19b.NO 49o-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a.YES ❑b.NO 49x62 2.UDC CONSTRUCTION IS M 1.SINGL&WALLED ❑2.DOUBLE-WALLED 490-63 IF DOUBLE WALLED: 4 a UDC INTERSTITIAL SPACE IS MONITORED BY: 1.LI UID 2.PRESSURE Q3.VACUUM1 A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 49"4b VII.PERIODIC SYSIMM TESTING 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-,63 MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR 2544.1 2.SECONDARY CONTAINMENTCOMPONENTS ARE TESTED EVERY 36 MONTHS. 49066 3.SPILL BUCKETS ARE TESTED ANNUALLY. 49067 VIII.RECO PING The following mpnitaringlqutintenance records are kept for this facility: Alarm lags 490.654 Visual Inspection Room* 49"n Tank integrity resting results 4ww SIR testing results(and supporting documentation records). 490-6sa Q Tank gauging results(and supporting documentation records). 4"-696 ATG Testing results(and supporting documentation records).49a4sr U Corrosion Protection 60-day logs 49asss Equipment nuuntenance and calibration records. 49o-ea IX.TRAINING ®Personnel with UST monitoring responsibilities ane familiar with all of the following docuamts relevant to their job duties. 49a69a REFERENCE DOCUMENTS MAINTAINED AT FACILITY'(Check all do any) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Rquired)49"% OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)ml, CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49o-69d CALIFORNIA UNDERGROUND STORAGE TANK LAW 49a*& STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"49as9r ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"496.699 [� OTHER(Specify):m6w M6% 10 This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). e-`Designated UST Operatoe,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 limited to,the following: ➢ Operation of the UST systems in a manner consistent with the facility's best management practices ➢ The facility employee's roe with regard to the monitoring equipment as specified in this UST Monitoring Plan ➢ The facility employce's role with regard to spills and overfills as specified in the UST Response Plan ➢ Names of contact persons)for emergencies and monitoring alarms.49a70 X. CO /ADDITIONAL TION Provide additional comments here or ind' how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 XL PFJtSOMCL RUPONSIMITM The UST OwnerlOperstor is responsible for wring that:1)the daily/routine UST monitoring activities and maintena ee of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a passible release are investigated,and 3)all monitoring records are maintained properly. The foil "ng persons)are Mible performing the monitoring and equipment trutin e NAME 49x72 TITLE 490-73 NAME 49o-74 TITLE 490-75 The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the ownedoperamr,and inform the owner/opemtor of any conditions that need follow-up action. XILOWNEWOPERATORSIGNATM CE KATION:I caky that infrnmation Mvided herein is true and ac=M to the best of m know[ed . APP IC SIGNATURE 49w6 DATE: 490-77 APPLICANT NAME(print): 490-79 APPLICANT TITLE: 490.79 10 PV Uj UPCF UST-D(12/2007)3/4