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0 0 <br />2008-03-25 17:18 SHELL RETAIL 9253139090 >> P 4/12 <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN (Page 2 of 2) <br />VI, UNDER DI3pE?V&ER CON fAINME�Uj )yIONITORING _- ® — -- <br />0-90.5%a <br />_ __�• <br />1. UDC MONITORING IS PERI:ORMED USING THE FOI.I.OWING METHOD <br />❑ 2. FLOAT AND CHAIN ASSEMBLY ❑ 3 EI.FCTRoNIC STAND-ALONE <br />499-646 <br />l J 1. MNTINUOUS ELECTRONIC MONITORING <br />- <br />❑ a. NO UISPBNSCxS ❑ 99.OTHCR �5pecify)_......-.......-_... ----_...---•----••.--•---•------... - .._. ......_...---.. <br />MODEL H: TLS•3SOR <br />49ws6 <br />•___.__•___�,,.— <br />PANEL MANUFACTURER: Belaudreau -•----......._........ -4.-------••-----------_-_---- <br />-- - 490- 51 MODEL H(S): $BOC <br />RE <br />LCAK SENSOR MANUFACTUR Beaucireau _ —� -- — <br />� ❑ b. NO <br />_ _ a. YF.S <br />—5F TRIGGERS AUt'IBLE AND VISUAL ALARMS <br />4`at.s9 <br />EF - OF A l.t.AK INTO1'HB UI>G ❑ n. YES b NO <br />UDC LEAK ALARM'rRI(j0ERS AUTOMATIC PUMP SIIUTDOWN YES490.61 <br />SYSTEM TRIGGERS AUTOMATIC PUMP SNt1TDUWN. ®a. 0 <br />FAILURE /DISCONNECTION OF UDC MONITORING b. NO _ <br />YES <br />4an 6z <br />` <br />UDC MONITORING STOPST1112- FI.UW OF PRODUCT XI'THC DISPENSER _ --.--• -- - — - — <br />-- •— — <br />aar:o1 <br />L Arne: C0N91'RUt f,ON IS [M I.51NGLC-WAI.I.GD ® 2. DOUBLE -WALLED <br />Ir' DUUIILF WALLED: <br />UDC iNTERS'I'fTIAL•SI>ACli t5 MUN1TpKiiU t�Y:,-O_IrLIQUIu _� 2: f'RF.SSURF_ 3 :VAc:UU <br />• h, NO <br />IID( f RIGGf R5 AU1716LC AND VISUAL ALARMS a• <br />CONTAINMENT OF TtiE <br />A LEAK WITHIN THE SECONDARY.._,._._ <br />- -- —'— '�-- VII. PERIODIC SYSTEM TESTING <br />STATC WATER RESOURCES CONTROL BOA(l1 THAT LN NCE <br />s9&6s <br />.. —. <br />ELD 'B'h:ST1NC: 7I us FACII• T HAS DLL:N NOTINIED BY TE E- <br />QU_.... Z <br />PLRlODIC ELD I5 PERI'ORMr;I) I_V6Rv 36_MUNT..15 AS RT•.ntLD� 23 CCR_ 2644.1 <br />.. •- ---- <br />_ l.li FTE' nD)N MUST lif PERFORMED. - _ <br />.•••-�... �4-.�_ .__........_......-._........ -- ................ ..._....... <br />....• <br />ARE TES110 EVERY 36 MONTHS ..........1.9.0 <br />- <br />4 90-16 <br />-- <br />® 2. SECONDARY t:UNTA INMENT COMPONENT'S <br />----- _..__..---_.-....._ -..,,......_..........._........__..........__._..........__--....._._...... - <br />o .6 <br />9 0 7 <br />W 3. SPILL OtWick.1 J Brae. t r.;, l c" 111.,-- • . <br />— -� - VIII. R�:COR6iFEP I I G _ <br />1'lic followingntonituring/tnaintcmutt� records are kept far Ibis taeilily; <br />® Alarm logs 490.61. ❑ visual Inspection Records 490 -dao ❑ Tank integrity testing results 490-1,116 <br />❑ SIR testing results (mid supporting documentation records). 4m6sd ❑ Tank gauging results (and supporting documentation rccotds). 49"k <br />[] ATG Testing results (and supporting documentation records). 490.697 ❑ Corrosion Ptotectiom 60 -day logs 490.6eµ <br />® r.cIpipment maintenance and calibration records. 490.66h- <br />_ IX. TRAII�IING . __ <br />® Personnel with UST monitoring responsibilities are familiar with all of the following documents relcvarit to their lob duties. I%A% <br />R).-'FERENCR DOCUMENTS MAINTAINFU AT FACILITY (Check all that apply) <br />TIIIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 490.696 <br />® OPERATING MANUALS IjOR C,LCCTRONIC MONITORING CQUIPMENT(Rcquircd)49o.69r <br />❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 499.69A <br />❑ CALIFORNIA UNDERGROUND STORAGE'rANK LAW 490.691 <br />❑ FrAT13 WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION; "HANDBOOK FOR TANK OWNERS - MANUAL. AND <br />STATISTICAL. INVENTORY RECONCILIATION" 49o.6of <br />❑ SWRCR PUBLICATION: "UNnRRSTANUiNG AUTOMATIC'TANK GAUGING SYSTEMS" 490.696 <br />❑ OTI IFR (Specify): 40-690,, M69i <br />.-M'This facility has�a -Designated UST Operator" who has passed the Call fomia UST System Operator lixam'udministered by the International Code Council (LG('), <br />'Che "Designated UST Operator" will trait facility employees in tho proper operation and maintenance of the UST systems annually, and within 30 days of hire, This <br />training will include, but is not limilod la, dm: following: <br />k Operation 0t'the US'l'systems im a manner consistent with thu facility's lost management practices <br />Y The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan <br />)k The facility employee's role with regard to spills and overfills as specified in the UST Rcxpnnsc Plan <br />Y Names of contact person(x) for cmcrgeni:ics raid monitoring alamts. 490.10 <br />_ X: COMMENTS/ADDITIONAL INFORMAT'lON <br />Provide additional comments ban: or indicate bew many pages with additional information on specific monitoring proocdures fire attached to this plan. mm.71 <br />rill Sump Sensors: Veeder Root 744380-208 <br />Overfill Protection: Drop •Tube Flapper <br />X1, PERSONNEL RESrONSIBILITIES <br />The U.NT Owncr/Operator is responsible for ensuring that: 1) the dailyhoutinc UST monitoring acttvitics and maintenance of UST Irak dctwaiurl cquipincnt covered by <br />this phm occurs, 2) all conditions that indicate a possible rcicase arc investigated, and 3) all monitoring records are maintained property. <br />The following persmt(s) arc responsihle for performing the monitoring and equipment maintenance: <br />NAME Kiln Keo 490.72 TITLE MANAGER 490.73 <br />NAME. 490-74 *rrrix IW75 <br />The Designated OperRmj^nr perforrn u monthly visual ' pe ion of the facility, provide a repurt to the owner/operator, acrd inform rhe owner/operator of any <br />conditions that need fn w- p action. <br />__ XIf OWNER/OPERATOR SIGNATURE --.----... <br />CERT CATIO certify t the intiyrmation ro ded herein is true and accurate to the best of my know lctlgc, <br />APP(.( NT SIGN . URE 00.70 DATE: 4400-7 <br />�YQ March 20. 2008 <br />, ,..a .,....::..., o...�i� _..,...--• ._._._...--..... ......... 490.79 <br />APPLICANT N E (print); �— °'10 78 APPt.ICAN'r TITLL: <br />Aura Sibley for Shcl) Oi US HS&L Compliance Coordinator <br />UPCP TIST-I) 412/2007) tis <br />