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02/13'$2007 02:15 #0976 P.003 /003 UNIFIER fROGAAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (!Page t of z) _ VI.UNDER DISPENSER CONTA.INMBNT(UDP MONITORING j-,UOC MONITORING IS PERVORMED USING THE FOLLOWING METHOD 4WSU "O.Xb 1.CONTINUOUS E11.13MONIC€MONITORING Q 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE U 4.NO DISPENSERS 099.OTHER SP'tiF)- �—�-- . ...... _ PANELMANU_CrIXER: MODEL# -- ems,. l,1 �Moas�nlsr — -- �.LP.AK SENSOR MANUFACTURER: I)ST1.CTtON OF A LEAK INTO THE UDC T'RICOEAS AUDIBLE A-vu VF3UAL ALARMS a_YES El b.NO 4W59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ,12"s.YES ®b.NO 600-ft FAQ-URC/DrSCONNECTION OF UDC MONrMRING SYSTEM TRIGGERS Au-17OMATFC PUMP SHUTDOWN. a&.YES Q b.NO 49661 UDC MONFTORING STOPS E FLOW OF PRODUCI'AT THE DISPENSER, Q a YES 0 b.NO 49042 2.CDC CONSTRUCTION IS !NOL&wALt tat) %Z.DOUBLE-WALLED a S W DOURLK WALLEM I}DC INTERSTITIAL SPACE IS MONITORED BY: L€ Uifl__QZPRESSURE_[13.VACUUM __ _ A LEAK WITF4IN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS Q A.YFS CI b.NO Q4"b �,�.^,. V�.PI;I.tIODIC SYSTEM TI�TXIVG I. RLD,TESrIN(;:THIS FACTUTY HAS BEEN NOTIFIED 8Y THE STATE WATER RESOURCES CONTROL BOARD THAT s- LEsAK DEs` S TI MUST BE PERFORMED. PERIOD! ELD IS PERFORMED EVERY 36 MONTHS AS REOUIRfd!],(23 CCR 644.1 2.S9CONDAIRY CONTAIIVMCNT COMPONENTS_ ARE TESTED EVERY 36 MONTHS. 49"6 3.SPILL BUCKETS At—E TESTED ANNUALLY. —_— VUL REGORDKEEPING I following monilpring/srl$mrenance records aN kept for this facility:tff Alarm logs MO 6U �'ViSuel Inspection Recorets 490 e�D snk integrity fKstiep rt Sults 49668c ®SIR testing results(and supporting documentation records). 49048d 'LI Tank gauging results(and supporting documentation records). 49048c ®ATG Testing results(and supporringdocurrixutation rcovrds)•ago w Q Codon Protoc ion 64-day logs 49az% ipmcnt maintenance and calibration mordS. 4904b "l�_ S IX.TRAINING ❑Personnel with UST monitoring responsibilities are 4'mniliarwith all of$t0 following documents relevant to their3ob dudes. mv% REFERENCE DOCUMENTS MAINTAINED AT FACILITY(check all that apply) ❑ THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)4w-m Q OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49014- Q CALIFORNIA UNDERGxOUND STORAGE TANK REGULATIONS 490.698 0 CALIFORNIA UNDERGROUND STORAGE TANK LAW assess [] STATE WATER RESOURCES CONTROL BOARD (SWRCS) PUBLICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND STATISTICAL INVENTORY RECONCILIATION"49o-w ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTCMS"49oft ❑ OTHER(Specify):mw mo This t$Oility has a"Dasignatod UST Opmtor'who has passed the California UST System Operator Exam administered by the international Code Co=il(ICC). The"Desig naW UST Oporeor'will train facility employees in the proper operation and maintenance of the USF systems anmtally.and within 30 days of hire.This training will include,but is not limited to,the following: Y Operation of the UST systems in a manner consistent with the fmlitx's best management practices A The facility employee's role with regard to the monitoring oquipment as specified in this UST Monitoring Plan )o- The facility employee's role with regard to spills and overfills as spocifio3 in the UST Response Plan D Naim of CO'ttact pergon(s)far omergmaiog and rrmitofing alamts.4m7o l X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional infomtaYion on specific monitoring proccdure3 are attached to this plan-4w7t � Imeei, plug", XL PERSONNEL RESPONSIBILITIES The UST nsible for aiming that 1)the dady/routine UST monitoring activities and maintenance of UST leak dctecVon equipment covered by i this plan )alI d indicate a possible release am mvcstigated,and 3)all monitoring records are maintained properly. Tt�Toll n(s)a M e for performing the monitoring and equipment maim f NAME 490.72 TITLE C?v�� 00.73 I NAME 490-74 TITLE 49p 75 To Designated shall perforin a monthly visual inspection of the facility,provide a report to the ownter/opotator;and inform+the owner/operator of any conditions that need follow-up action. XIL OWNER/OPERATOR SIGNATURE ' CERTIFICATION.I certify that the information provided hen:tn is true and accurate to the bwt of my IcrnovvWge. APPLICANTSIGNATURB 49676 DATE: 4W" i fl 1,Trod qmm2em 0,--zW1 t]3 ! APPLICANT NAME(Pratt): 4 7$ APPLICANT TITLE 49°'9 UPCF USI'-D(I2f2W7)3/a