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tMWIED PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - (Page 2 of 3 <br /> _6 01111, <br /> MONITORING IS PERFORMED USING THE <br /> UDC M FOLLOWING METHOD(S) <br /> ® 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-54a. <br /> ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 490-54b. <br /> .................................................................................._................................................................................................................................................................................................................ ......................... <br /> LEAK MONITOR MANUFACTURER:Veeder Root MODEL#:TLS-350 <br /> 490-55. 490-56. <br /> LEAK SENSOR MANUFACTURER:Veeder Root 490-57. MODEL#(S):794380-323 490-58. <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ® a.YES ❑ b.NO 490-59. <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-60. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-61. <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ® a.YES ❑ b.NO 490-62. <br /> .................................................................................................................................................................................................................................................................................................................................................... <br /> UDC CONSTRUCTION IS: ® 1.SINGLE WALL ❑ 2.DOUBLE WALL 490-63, <br /> IF DOUBLE WALL: 490-64a. <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ c.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490-64b. <br /> 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. <br /> LEAK DETECTION LD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.[23 CCR§2644.11 <br /> ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66. <br /> ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67. <br /> V "CO" PI1 <br /> The following monitoring/maintenance records are kept for this facility: 490-6a. <br /> ® a.ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY TESTING RESULTS <br /> ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) <br /> ❑ f.ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS <br /> ® h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS <br /> I: <br /> JZ Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: 490-69a. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-69b. <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)* 490-69c. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e. <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69f <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> El SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-69 <br /> ❑ OTHER(Specify): 490-696h. <br /> . <br /> 490-691. <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council 490-70. <br /> (ICC). The "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 <br /> days of hire.This training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br /> ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. <br /> ➢ The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. <br /> ➢ Name(s)of contact person(s)for emergencies and monitoring alarms. <br /> S/AII0 ° O N TION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 490-71 <br /> *Monitoring systems manual maintained by contracted,licensed pump and tank technicians. <br /> Best Management Practices are maintained in the H.S.S.E.Retail Facility Programs Manual(Green Binder). <br /> *Tank Overfill Protection Type: Overfill alarm and ball float,visual and audible at tank fill point(s)and operates alarms trigger at 90%. <br /> The UST Owner/Operator 1s responsible for ensuring that: 1. the daily/routine/routine US <br /> Op p g ) y T monitoring activities and maintenance of UST leak detection equipment covered <br /> b this lan occurs;2. all conditions that indicate a ossible release are investigated;,and 3.j all monitoring records are maintained properly. <br /> Y...............P.............................................)....._..................................._.................................._................P............................................................... ......... <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br /> NAME: BRATZO BASAGOITIA <br /> 490-72. TITLE:Environmental Compliance Specialist 490-73. <br /> The Designated UST Operator shall wiform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any <br /> conditions that need follow actio . <br /> is <br /> CERTIFICATION:I certify th t the ion provided he <br /> ' rein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE DATE: 490-77. <br /> 12/10/08 <br /> REPRESENTING:❑I.Tank Owner/Operator 19 2.Facility Own erator❑3.Authorized Representative of Owner 490-76. <br /> APPLICANT NAME(print): 490-78. APPLICANT TITLE: 490-79. <br /> On behalf of IQBAL SING BAINS Franchisee <br /> Arco 02093,Belshire Environmental Services Page 2 of 6 <br />