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UNIFIED PROGRAM CONSOI.,IDA'fED FOXNI UNDERGROUND STORAGE TAtlNK MONITORING PLAN —(Page 2 of 2) check al VI. UNDER DISPENSER CONTAINMENT(UDC)MONITORING hot apply UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) ® L.CON'f[NUOUS ELECTRONIC IVIONiTORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 490•54b LEAK MONITOR NIANUFACTURFR:Veeder Root _ 490-55' MODEL#:TLS-350 490.56. LEAK SENSOR MANUFACTURER:Veeder Root 490-57 MODEL fl(S):0794380-208 490-59. 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 490-6' UDC CONSTRUCTION IS: ® 1.SINGLE WALL ❑ 2.DOUBLE WALL 490-63 IF DOUBLE WALL: 490-641 UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LiQUID ❑ b.PRESSURE ❑ c.VACUUM A LEAK MTI I1N TIIF SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490"641> VII. PERIODIC SYSTEM TESTING ❑ 1.ELI)TESTING: T111S FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD TilAT ENHANCED 490.65 LEAK DETECTION(ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.123CCR;2644.11 ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERT'36 MONTHS. 490-66 ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490.67. VIII, RECORD KEEPING The following trronitoring/maintenance records are kept for this facility: 49o-6s ® a.ALARM LOGS ❑ b.ViSUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY'TESTING RESULTS ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) ❑ is ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS ® h.E UiPMFNT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING ® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: 490-693 REFERENCE DOCUM ENTS MAiNTAINED AT FACILITY❑(Check all that appl)J ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 49o•69b. V) OPERATING MANUALS FOR ELECTRONIC AdONI TORiNG EQUIPMENT(Required) 490-69c. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAV 490-69e ❑ STATE. WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69£ STATISTICAL INVENTORY REC:ONCILiATION" F1 SWRCB PUBLICA'T'ION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-69S, ❑ OTHER(Specify): 490-69h490-69i ® This facility has a"Designated UST Operator'who has passed the California UST System Operator Exam administered by the international Code Council 490-70. ([CC). lite "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. ➢ lire 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. ➢ Nanre(s)of contact person(s)for emergencies and monitoring alarms. X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how nnany pages with additional information on specific monitoring procedures are attached to this plan. 490-71. The overfill prevention Is a flapper valve set to shut off at 95% XI. PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that:1.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered _bythis plan occurs;"2.)all conditions that indicate a possible release are investigated;and 3.j all t7tonitoring records are maintailned properly. THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: Amanda Appelt 490-72. TITLE:Environmental Manager 49073. NAME: Matt Walling 490.74 TITLE:Compliance Technician 490"75. 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 conditions that need follow-tip action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my lutowledge. APPLICANT SIGNATUREDATE: 490.77. - ,r, / L,,zW 5/16/2012 REPRESENTING:0 1.Tank vr of O ma 490.76. APPLICANT NAME(print): 490.75. APPLICANTTITLE: 490.79. Amanda Appelt Environmental Manager UPCF UST-D(12/2007)-3/t nvw+v.un[docs.org