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Mr. Don Mukai -3- January 23, 2013 7. Per CCR, § 2636(f)(1) the UDC must be equipped with a continuous monitoring system that either activates an audible and visual alarm or stops the flow of product at the dispenser when it detects a leak. The placement of the under dispenser spill control or containment systems shall not interfere with the continuous monitoring system. 8. The CONV-132000 shall not interfere with the capability toconduct any require secondary containment testing of the UDC or the maintenance of leak detecti equipment. 9. Per CCR, § 2636(g)(3)(C), the Underground Storage Tank Program Manager may modify or revoke this approval, at any time, if there is any evidence that CONV-132000 fails to adequately protect the soil and groundwater from, unauthorized releases. 10. Each frame is only considered to be approved as long as it is manufactured installed, retrofitted, operated, and maintained in accordance with Bravo's requirements and the State Water Board's regulations. 1 I.The State Water Board has not reviewed the ability of the CONV-132000 to adequately anchor the dispenser to the surrounding concrete. This approval ir no way relieves the manufacturer or qualified individual from responsibility for ensuring that the dispenser is properly secured in accordance with applicable codes, regulations, and sound engineering practice. 12. This approval is based solely on LIST statutes and regulations and does not take into account other codes that may apply (ie., fire code, building code, etc.). Description of the CONV Retrofit Plate Kit The CONV Retrofit Plate Kit is necessary when existing conduit prevents the CONV_ B2000 from beino installed per the manufacturer's specified installation instructions. The kit is comprised of a pre -abraded fiber reinforced plastic plate, Bravo adhesive - epoxy, the necessary tools to apply the adhesive -epoxy and site specific installation instructions. The kits are specific to the impediment and therefore the fiber reinforced plastic plate provided is sized accordingly. The fiber reinforce plastic plate is modified on site in a manner to cover any portions of the CONV-132000 that had to be removed to accommodate installation, When installed properly, any release within the dispenser would be directed to the UDC without the possibility of the release escaping to the environment due to protrusions through the conversion frame. Review Process of the CONV Retrofit Plate Kit Pursuant to Califomia Code of Regulations (CCR), Title 23, § 2636(g)(3), we have reviewed the application to determine whether the system adequately protects the soil and beneficial uses of groundwater. During the review process the State Water Board received and reviewed the following documents-. Bravo CONV Retrofit Plan: Plan for Con trol o f the C ON V Re tro fit Plate, Installation Manual for a Bra vo C (�T 12 MINRIMM, ENVIRONMENTAL HEALTH DEPARTMENT