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MnED PROGRAM CONSOLIDATED FOIM UNDERGROUND STORAGE TANK MONITORING PLAN a e 2 of 3) 3 UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) ® 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-548. ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 490-54b. LEAK MONITOR MANUFACTURER:Veeder Root ago-ss. MODEL#:TLS-350 490-56. LEAK SENSOR MANUFACTURER:Veeder Root 490-57. MODEL#(S):794380-323 490-58. 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 ❑ b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-61. UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ® a YES ❑ b.NO 490-62. UDC CONSTRUCTION IS: ® 1.SINGLE WALL El 2.DOUBLE WALL __90-63 IF DOUBLE WALL: 490-64a. UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ c.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490.641. sam,11 WAR= ❑ 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. LEAK DETECTION LD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.[23 CCR§2644.11 ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36.MONTHS. 49°66. ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67. The following monitoring/maintenance records are kept for this facility: 490-6N. ® a.ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ c.TANK MEGRITY TESTING RESULTS ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) ❑ f.ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS ® h.E UIPMENT MAINTENANCE AND CALIBRATION RECORDS REERIMEMEMEmm Personnel with UST monitoring responsibilities are M- Namiliar with all of the following documents relevant to their job duties: 490-69a. REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-69b. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)* 490-69c. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69f. STATISTICAL INVENTORY RECONCILIATION El SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-698. 490-69h E] OTHER(Specify): 490-69i. This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council 490-70. (ICC). The "Designated UST Operator"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 role with regard to the monitoring equipment as specified in this UST Monitoring Plan. ➢ The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. ➢ Name(s)of contact person(s)for emergencies and monitoring alarms. Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 490-71. *Monitoring systems manual maintained by contracted,licensed pump and tank technicians. Best Management Practices are maintained in the H.S.S.E.Retail Facility Programs Manual(Green Binder). *Tank Overfill Protection T e: Overfill alarm and ball float,visual and audible at tank fill oint s and operates alarms trigger at 90%. The UST Owner/Operator is responsible for ensuring that: 1.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered _by this plan occurs;2.)all conditions that indicate a possible release are invest:Ai 3.�all monitorin records are maintained ro erl . THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: BRATZO BASAGOITIA 490-72. TITLE:Environmental CotT1p11a11Ce SpeclallSt 490-73. The Designated UST Operator shall wform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any conditions that need follow-up actiort CERTIFICATION:I certify th t the _ ion provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE DATE: 490-77. 12/10/08 REPREsm4 TiNrr❑1.Tank Owner/Operator®2.Fad Owne erator❑3.Authorized Representative downer 490-76. APPLICANT NAME(print): 490-78. APPLICANT TITLE: 490-79. On behalf of IQBAL SING BAINS Franchisee Arco 02093,Belshire Environmental Services Page 2 of 6