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0
<br /> UNIFIED PROGRAM CONS01ADATED FORM
<br /> UNDERGROUND STORAGE TANK
<br /> MONITORING PLAN-(Pale I of;Z�
<br /> TYPEOFACTION ❑ 1.NEW PLAN Er 1 CHANGE OF iftWORMA11ON 41AW
<br /> PLAN"TYPE E!rl-MONITORING IS IDENTICAL FOR A1.1,USTS AT THIS FACILITY. 49('2.1
<br /> (Checkwie[rent only) C] 2.THIS PLAN COVERS ONI,Yl'i,lt-.F(.)LLOWINClj,%TSYS'I'1''M(S):
<br /> FACILITY In 0(Agrqqv Livr Only.) I. FACILITY INFORMATION
<br /> .1 La
<br /> BUSINESSNAME Sa u.vT'adft(vNaffreorD4A) 3
<br /> M F5 M ®c--$Ck 4S,,
<br /> BUSINESS SITE ADDRESS
<br /> LjLjq
<br /> .11, EQUIPMENT TESTING AND PREVE NTtVE MAINTENANCE
<br /> 'resting.preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak deteciors.cle.)inum be Performed at the frequency specificif
<br /> by tln .qu�ipTentr!tiknufacturrrg'in,tnicti,�1.5,.,OrtI nually,whiclievur is mora.frcquc!jt.SpLcLt work y�qg.b4.perfof In
<br /> ed by 5p!y!i ricdj--jsqnr!gI:123 5cR 132 3L2,163!.3Lft. .7.6441
<br /> _ 9
<br /> MON11-ORINC)L"QuIPMENT IS SERVICED 'A"NNUALLY (yrjII7.R(Specify)*: t_ 4`10'3x'
<br /> 4"-3b.
<br /> Ill. MONITORING LOCATIONS
<br /> 0 I.NEW SITE PLOT PLAN/MAP sunmri-Trn WITH THIS PLAN e2.St-I-Elll,(YI-PI.ANIMAI-PRBVIOI)',[.Ysunm1-rrLL) (23(.C.K92w2,2641j 4W4,
<br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)
<br /> drat aplim
<br /> [Z 1.CONTINUOUS FLECTRONICTANK MONITORING OF ANNULAR(INTERSTI HAL).SPAC14S)OR SECONDARY(_ONTAINNIFINITVAULTS) 490-5
<br /> Wl'['HAt)L)1151,1;AND VISUA1,AI,A[tMS 23 R12C,12,26.1.41
<br /> SECONDARY CON'TAINMEN'T IS: A.DRY C1 b.LIQUID Fxl) El u.PRESSURIZED ❑ d.UNDER VACUUM 490-6.
<br /> PANFI.MANUFAC"I'lURER. V-ajQCk)t-f�0c--C- 4Q0
<br /> .7 MODEL#• 490'I1
<br /> LEAK SENSOR MANVFACTLJRER.Q!?,�� MODni.#(s): S; 490.10
<br /> Ej'2.AIJTOMATIC; ANK usr-nTo MONITOR.';]N('.I.r-.WAI.l.'['ANK 490-11
<br /> IN-usj.(23 C-CH 02643)
<br /> PANFI.MANUFACIURER: 490 17 MODEL,4: 490-13.
<br /> IN-TANK PROBE MAN11FACTURP.R. 490.14 MODEL#(,';): 49U-15.
<br /> LEAK TEST PPEOUENCY: 0 a.CONTINUOUS b.DAlI,Y/NIOIITI..Y E] c.WEEKLY 490-16.
<br /> [:1 d.MONTHLY ❑ c.OTI JUR(Specify): 490-17
<br /> PROGRAMMEL)TESTS: ❑El a.0.1 g.p.h. ❑C3 b-'0 2 C.OTI IFR(Specify): 4
<br /> ...................
<br /> EY-1.MON'I'HLYSIATISTICA],INVENTORY RECONClTJA,n(.)N r73 cc;t 41CO6.11 490-20.
<br /> ..............
<br /> C3 4.Wl-,r..KI,YMANLIAI.*I'ANKGANGING(MTG)12icePo-.-64.%I TESTING PERIOD: 0 a.36HOURS C1 b.61)HOURS
<br /> 49.07.2.
<br /> D 5.TANK IN LEURITY TENTING PER 12.;E.t-.R 62643 11 49A.21.
<br /> TFIST FREQUENCY: a.ANNUALLY El 1).BIENNIALLY ❑ c.0'11 If:R �fy 1 490-24
<br /> ......... 49r.25
<br /> 99.01'llFR(Spccjfy). 49D.26
<br /> 490-2'/.
<br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)
<br /> that app&
<br /> 2r .,X)N'IIN,(.,U,MONITORING OF PIPF/PI PING SU MINS)AND(,Yrj mR SECONDARY CON,rAINME,',N'I'WITH AUDIBLE.&VISUAL ALARMS. 4'1O-7R
<br /> 123 c(a
<br /> ShCONDARYCONTAINmEwk,ls-. 0 a.DRY � 0 b.IAQUID FILLED 0 c.vRl:SSuRlzL-D rl d, )ER VACk)tjM 4110-19
<br /> PANEL MAN(JI-A(-MRr-.R: W.'ad-p-Y, 9t,->J, 49030. MODEL#: TI-S lgts1 � 400 31
<br /> LEAK SENSOR MAN IJI:A('ToRr-.R: 490-32, MODEL 148): 2(> R 411
<br /> 0-33
<br /> PIPING I..FAK ALARM TRIGGERS AUTOMATIC mm,(i.c.,n)RIIINE)siul-DOWN. -7 rj 1.16&0- ffl.YFh ❑ b.NO 490-14
<br /> rAIl.URr1DISCONNFM'ION OFTnE,MONITORING SYSTEM TRICvQr-.RS AUTOMATIC PUMP SIIUT0OWN. �..YES I 1 h,NO 490.31
<br /> 2.MECHANICAL LINL"UA 1W6&, f&O (ML AND RESTRICTS OR
<br /> PRODUCT FLOW WI]FN A LEAK IS DETECTED.ID ct"itguafij
<br /> MIJ,0 MANLJI:ACI,'kJRI-'R(S):-.- tj V-n 490-37 MODEL#(S): IR
<br /> ❑ 3.ELEc-rRONI(.'LINE LEAK I)I,1-1'LC-1-OR(ELI.1))'I-IIATIZOU'riNEI.Yi'l-RFORMS3.0g.p,h,LL-AK*1*1'!S'r.15.*1'2 I(-(:Rf26)6] 490-34
<br /> ELLD MAN UFACTURER(S): 400 40. MODEL U(S): 440.41
<br /> PROGRAMMED IN LINE'LFAK TEST: F-1 a MINIMUM MONTHLY 0.2g.p.h. h.MINIMUM ANNUAL 0.1 tp.h. 490,42
<br /> EUD DKITC11ON(.)r-A PIPING LEAKTRIGGERS AUTOMATIC PumP.,5jTtjTDo.WN. 0 a.yl:s 0 b.NO 49".1
<br /> ELLD FAII.IJRIL/1)18('ONNF(7.TION7*Rlri(iERS AUTOMATIC PUMP StluTDOWN. C3 a.Yrs 0b.NO 490-44
<br /> ❑ 4*,I'll'I"E'*INTI*(iRITY*'Tr-,*STINri. 49045
<br /> I'ESTFRI-mr-ENCY: 0/a.ANNUALLY 0 U.I-I'VE'RY 3 YEARS ❑ c.(Yl.')Ir-.R(S= 490.46
<br /> ❑ ..............
<br /> S.VISUA I I PIPE MONITORINO. 400-49
<br /> FREQUENCY: DAILY ❑ 1).wf.'I;Kl,y ❑ a.MIN mowrl-ILY A.EACH TIME.SYS:rt-.m orutAum, 490-410.
<br /> -Alh-drp,
<br /> 0 6.SUC 1710N PIPING;MELTS EXEMPTION CRITERIA.F2.1 I'M 426361ax.))l 490-50.
<br /> ❑ 7.NO REGULATED PIPING PER IIFAI,I'll ANOSAFFTY CODn,DIVISION 20.CHAPTER 6.7 IS CONNEX:i'll-D TI IF TANK sysTim
<br /> ❑ 99.OTI ll'R(Specify)
<br /> VPCF UST-0(12/2007)-114 www,twaidoc,-.urr
<br /> 2 .01 T0LC2L*G02 dOW eO* : Tl 80 G2 J4U
<br />
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