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UMMW PROGRAM ATED FORM <br /> UNDERGROUND STORA(;E TANK <br /> MO FIG 1n2) <br /> TYPE OF ACTION Q 1.NEW PLAN Q 2 CHANGE OF INFORMATION 490•t <br /> PLAN TYPE I.MONITORING IS IDENTICAL FOR ALta USTa AT THIS FACILITY. 49" <br /> Clxack am Item ani 2.THIS PLAN COVERS ONLY TIIE FOLL() OUST SYSTB <br /> L.FACEUW 94FOMAITON <br /> FA—CILrff JIB—#-(Amwy Me 0*) t <br /> BUSINESS NAME(So=w FACILITY XM#M3" <br /> BUSINESS 111E ADDRESS 4-jL_ .+V a to& C� to4 <br /> T ad W (&s.moI pubsk lies ac.),MW bs porfoMW at ttte hoqmmy <br /> ed by the '' of Iy, ie lrloso nd; wo* n by glatiifmd i. <br /> CSCR 2641 <br /> M0XrWRMZQUIl%WrISSXRVICXD ANNUALLY ❑ 99, (S�rr); 3a <br /> •. -. 49"b <br /> ❑1• M#AP B WITH THIS PLAN L SLX D. (13CCRIM2, <br /> 2634 <br /> .4 . <br /> IV.jrAW <br /> 1. UOIK ELECTROW TANK NKMITGWG OF AL)WACZW OR x CONT N T 490-9 <br /> VAULTS)WITH AUDIBLE AND VISUAL . (23 CCR 2634) <br /> SECONDARY CONT a.DRY ❑ b ❑ C. URF= ❑d.UNDER VACUUM 4 <br /> PANEL MANEIFACTIniER: T Jaz' #: SD ' <br /> LEAK SENSOR MANUFAC'TURIIR 49". MODELZ!j - est 4D 490-10 <br /> 2.A TIC TAW (Alm TO CCR ) 490.1 t <br /> PANELMA 4W]l MOD®.#: ON) <br /> IN-TANK PROBE MANUFA 440-1AMODEL KSk 49013 <br /> LE"TESTFREQUENCY- ❑ A.CQNTWUOUS ❑b.DAII,Y/NI(3IITLY =[3c. LY 49B-16 <br /> NIONTHLd' Y Cl a.armPROGRAMMED <br /> TESTS: ❑ a 0.1 g it. ❑ b.o.2&p.b. ❑ C.aTHER( ): 49a.Es <br /> ❑ 3.n1aNTHLx STAT1`,97ICAL MqVXNTOW 2RCIMCIUATM(O CCR Man19 <br /> ❑ <br /> 4 WMMY MAWAL TANK t2AU (23 CCR#UM TESTING ❑ &36 ❑ b.6o HOURS 498,x1 <br /> s.TANx <br /> GESTEWY: a Y [a b.B1EMIALLY p C ( • r i <br /> ®99.orm <br /> ( k 498.29 <br /> 490xb <br /> V.PIPR MONrrOFX4G i Q 49x27 <br /> 1- G� G8 AFTD <br /> ALA (23 CCR PO4 ASXWM A11bHH.0 AND 499 2t <br /> SECO YC()NT : DRY (Qb LlQtW. a [�! VACUUM 490.29 <br /> A MODEL#: (, ago 3t <br /> LEAK SENSOR <br /> PiPIN4 LSAK W- .33 <br /> AilTO3Y[AT PUMP(1.e„ E3e.YES [3 y9 <br /> -1 b.No 490-34 <br /> FAIL OF THE MONTTORW SYSTEM TRIGGER11 AUTOMATIC PUMP S <br /> CAI,LINR LI ®a.YES [I b.NO 49"SA IS T x I.IIAK D RR CTS OR OpF <br /> MLLD A <br /> Q 3.ZLC LINR ' <br /> 96PA 1.EK <br /> 7=7a—'o7;p-—L <br /> ELLD MANUFA g X %23 CCR <br /> 49oga # <br /> PR mai <br /> eeD IN LINE LEAK TEST: 131. 49&41 <br /> Y o.z gpb, ❑ 2.MINIMUM <br /> ELLD DETECTION OFA PIPING LEAK A S1E.AL 0.10 00-C <br /> BUD FCONN ❑a.YES ❑b.No 490.43 <br /> IICTH3N TRI AI1'I OMATIC <br /> 4, SFQ17'DOWN NO <br /> TEST 4 <br /> 5,V16lUA- a.ANNUALLY b. Y 3 YEARS c <br /> F CY ❑a.DAILY449047 <br /> ® b X ( C• N MIHVTHi v A EACH 77RE pgp 490{4 <br /> ® 6. G MW=Lubuqwx (23 CCR ® 49049 <br /> ?.i11A I! IIEALT$AAFD�,� )m• <br /> R(Specify) OZ' M' 1 67 4Ct? ANK S 490 90 <br /> 490.42 <br /> 490.43 <br /> U9T D(a 1�4 <br />