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i <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN— a e 2 of 3) <br /> ER-- NI ; (ick atr <br /> thrix t <br /> UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> ® 1 CONTINUOUS ELECTRONIC MONITORING ❑ 2 FLOAT AND CHAIN ASSEMBLY ❑ 3 ELECIRONICSIAND-ALONE 490-54a. <br /> ❑ 4.NO DISPENSERS _ _ _ El 99.OTHER(Specify) 490.546 <br /> LEAK MONITOR MANUFACTURER:Veeder Root 490-55 MODEL#:TLS-350 -49"86 <br /> LEAK SENSOR MANUFAC I URER:Veeder Root 490-57 MODEL#(s):794380-323 490-58 <br /> DETECTION OF A LEAK INTO IHE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ® a YES ❑ b NO 4119 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ® a YES ❑ b NO 490'60 <br /> FAILURE/DISCONNECTION OF UDC MONIIORING SYSTEM TRIGGERS AUIOMAIIC PUMP SHUTDOWN ® a YES ❑ b NO 490.61 <br /> UDC MONITORING S POPS IHE FLOW OF PRODUCI AT THE DISPENSER. ® a.YES ❑ b.NO 49o•6a <br /> UDC CONSTRUCTION IS: ® 1 SINGLE WALL ❑ 2 DOUBLE WALL. 490-63 <br /> IF RUBLE WALL; 490,64x, <br /> UDC INTERSTITIAL SPACE IS MONI IORED BY: ❑ a LIQUID ❑ b PRESSURE ❑ c VACUUM <br /> A LEAK WITHIN IHE SECONDARY CONIAMMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490.646 <br /> A. � <br /> 1 ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.65 <br /> LEAK RETE I N ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR§2644.11 1 <br /> ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490 66 j <br /> ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490.67 <br /> The following monitoring/maintenance records are kept for this facility: 490-68 <br /> ® a ALARM LOGS ❑ b VISUAL INSPECTION RECORDS ❑ c IANKINTEGRITYIESTINGRESULT'S <br /> ❑ d SIR TESTING RESULTS(and supporting documentation records) ❑ e IANK GAUGING RESULTS(and supporting documentation records) <br /> ❑ f ATG TESTING RESULTS(and supporting documentation records) ❑ g CORROSION PROTECT ION 60-DAY LOGS <br /> ® h.E UIPMENI'MAINTE MANCE AND CALIBRATION RECORDS <br /> .`... <br /> ® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: 490.696. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 4W69b <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)* 490.69c <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490.69d. <br /> ❑ CALIFORNIA UNDERGROUND SIORAGE IANK LAW 490-69e <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICAIION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490.691 <br /> SIAIISIICAL INVENTORY RECONCILIATION" <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-69S <br /> ❑ <br /> OTHER(Specify): 49 4900 691 <br /> -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 planner consistent with the facility's best management practices <br /> A 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 USI Response Plan <br /> A Names)of contact person(s)for emergencies and monitoring alarms. - <br /> ttt T ON. IMRM <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 contr acted,licensed pump and tank technicians, <br /> Best Management Practices are maintained in the MS.S.E.Retail Facility Programs Manual(Green Binder). <br /> *Tank Overfill Protection Type: Overfill alarm and ball Root,visual and audible at tank filll�lyy oins and o.erases alarms tri er at 90%. <br /> The UST Owner/Operator is responsible for ensuring that:I)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered <br /> bx thisjlan occurs;2)all conditions that indicate a possible release are investip&ated-,and 3,1111 monitoring records are maintain5qyjo <br /> THE FOL LOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br /> NAME: BP WEST COAST PRODUCTS, LLC 490.72 IIIIE:COMPLIANCE DEPARTMENT 490-73 <br /> The Designated UST Operator shall perform 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-u action. �rr�y��y t� itt �7r <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE ^ DATE: 490.77 <br /> 15- <br /> �\ <br /> REMSENTI ❑1.Tank Owns az 2.F 'Own erat°r 3.A..I..ed R resentative of Owner 490-76. J <br /> Nr. <br /> APPLICANTNAME(print):L._ 490-78 APPLICANT TITLE: 490-79 <br /> JENNIFER M.MARINAS Environmental Compliance Specialist <br /> Arco 02093,Belshire Environmental Services Page 2 of 6 <br />