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IED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN - Pae 1 of 2) FT=YPEOFCTION El1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1. PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I.. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1 " BUSINESS N (Same as F ciltty Name or DQA) 3. BUSINESS SITE DRESS 103. CITY 104. loq- e on -`II EQ PMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified b the equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by qualified personnel.[23 CCR§2632,2634,2638,26411 '..---._ ..... ......_..__._................_..._....._............................_......................................................................................._Y_.................._.........._..._....................._.__ _...._.........__..._...._...... 490-3a. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY El99.OTHER(S eci p f�) 490-3b. III. MONITORING LOCATIONS - ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN 0 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634] 490.4. IV. TANK MONITORING IS'PERFORMED USING THE FOLLOWING METHOD(S)` (Check h t a apply) ) ❑ 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,2634] SECONDARY CONTAINMENT S: PRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6, PANEL MANUFACTURER: 490-7. MODEL#: -! { 490-8. 490-9. -.i 490-10. LEAK SENSOR MANUFACTURER: MODEL#(S). ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§2643] 490-11. PANEL MANUFACTURER: 490-12. MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h, ❑ c.OTHERS eci ago-1a. ................._..................__........._........ ... ......... ._._. . _ g p_......................__...._................................_g.:p..........................................._..........................................._....._p............... ago-19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 490-20. ........................................................................................................_..........._.................._..............._._.................................._..._....................................................................._............._.........................._.........._............................_............._..............................._........._.._.................................................................................................................................... ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: F] a.36 HOURS ❑ b.60 HOURS 490-22. 1 ...................._.........._..._......._......_............_...._...........----....................__.............................................................................................................._.._.._................................................__.._............_.._............._.............__................._......................................................................................_...............__............._._......_..._........................_................. ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHERS eci' 49°-2a .....................................................-...................................._..............................__............._....._.........._.........._._..._.._..._............................................................................................................................................................................_�....p........_tY... .........a9o-2s:............. 490-26. ❑ 99.OTHER(Specify): 490-27. (ChV. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) 1hatak l) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [23 ] SECONDARY CONTAINMENT IS: ❑ a.DRY b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. §263636] Q PANEL MANUFACTURER(} �[�Y 490-30. MODEL#: 1 490-31. LEAK SENSOR MANUFACTURER: � �J a9°az. MODEL#(S): - a90-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. a.YES ❑ b.NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-35. .................._.._......................................................................._._.__..........................._........._-.-....................._.._....-......-'---........................._.......................................... .......... .... [�tgy2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS ...............__....._.490-36. PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§ 6 490-37. 490-38. MLLD MANUFACTURER(S): MODEL#(S), ........................................................_._..._._...._.....__......__..............................._............ ..........._.................... .- .............................. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§2636] 490-39 ELLD MANUFACTURER(S): 49040. MODEL#(S): 49041. PROGRAMMED IN LINE LEAK TEST: E] a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 49042. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-43. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49044. .........................._.......................................................................__............................_..._.__._..............-_._._......---..._......._...........-............................................._...__............____.._._..........._._.............._....._..............__..__._......._._......._._......__...__........_................._................._.................................__... ❑ 4.PIPE INTEGRITY TESTING. 490-45. TEST FREQUENCY: ❑ a.ANNUALLY b.EVERY 3 YEARS ❑ c.OTHERS eci 490-as. Q .._�....p........._fi)._.. a9oaz..--- _............_......._ _..._......._..........................................._............._........._._.._.......................__..._._.._.........._._..--- ........_....._............................................_.................._. ❑ 5.VISUAL PIPE MONITORING. 490-49. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TR,1E SYSTEM OPERATED* 490-49. ',Allowed for monitoring of unburied,eTnr y enerator fuel pipin&only per HSC.§25281:5(b�(3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(a)(3)] 490-50. ..................................._._._......................__...._.....................__....................................._............................._............................._.................................................................._.................................................................._..._....................................._..............._................................................................................ ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. --........_........._.._......_................._..._...---.........__..._....._.........._.....-........................................................._..._............___-...._.._.........._.. ---..... .._........_......_...._......_................................................................................... ..........._.....-..............._.. . ❑ 99.OTHER(Specify) 490-53.490 s2 UPCF UST-D(12/2007)-1/4 www.unidocs.org