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ONWIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGE TANK MONITORING PLAN- (Par 2 of 2) VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING thaj g(Check all W .X2 UrX.MONITORING IS PERI'ORMED USING THL FOLLOWING ME-I'llon(S) 2"l.CON-11NIJOUS ELECTRONIC MONITORING E] 2.FLOAT ANI)CHAIN ASSEMBLY ❑ 3.FLECTRONICSTANr)-ALONE 490-34o. ❑ 4.NO DISPENSLIRS E3 99.tyninlk(Spccify) LEAK MONITOR MAN tjrAcru RI-'R: V15-&1WP- (2c'S®Y 49035. MOI)ri.... T l,-& -3.S C� a9n sr, -&yl'CFv- 490-57 LEAK SENSOR MANUFACTURER: MODEL 148)--7'1%k 10irll' Z1-1-3"15 DETECTION OFA LEAK INT0'I'HEtjDc'rRlGGFRS AUDIBLE AND VISUAL ALARM.;. 2"a.YES 0 K NO (AWLEAK AI,ARMTju(;GFRS AU FOMATICI'Umi,smurrx)"N [Za-YF,% D It.NO 41041. FAILLIRIUDISCONNE(717ION OF JJDC MONI'llORING SYSTFM*1 RIGGERS AU't*OMA'11('PI.IMP SHUTDOWN. Wa.YI--.S El .No 4' UDC MONITORING FLOW Or.PRODtJC*I'A'I'TIIE DI,9PL,*N8FR. 0 U.YES Vb.No 49"2 UDC CONSTRUCIION IS; 1,SIN(',I.r,WALL 0 2.r)ouHu:WAI.L 41M-63. JLj2=3j,j-uWAI,I,: 490-64a UDC IN`I'ERSTITIAI.SPACE IS MONITORED BY: B'111 LIQUID 0 h,PRESSURE n VACUUM A LEAK WITIIIN THE SECONDARY CONTAINMENT OFTHFUDC TRIGGERS AUDIBLE AND VISUAL ALARMS. W, YES 0 1%No 4ql)-611, VII. PERIODIC SYSTEM TESTING 0 1.ELD TESTINC:11415 FACILITY IIAS SEEN NOTIFIED BY 'mr..STATE WATER RESOURCES CONTROL BOARI)THAT li'NHANCI-1) 4"-65. .14 1 (F.'I.W MIJS*I'I1I"PrRr-ORMbD. FE,RIODIC ELD IS PERFOKMED EVERY 36 momrm AS RFQ1J1KbD.121 F&!264°.1j 2,SECONDARY coNTAINMr-N'I'COMI?ONrNTS ARETOSTED FV1-"RY 36 MONTIIS. 400-66. 3.SPILL BUCKETS ARE TESTED ANN1,1ALLY. 4vu a7 VIII. RECORDKEEPING The Rillowing monitoring/maintenance records are kept for this thcjlity: a.ALARM 1,(X.% [I b.VISIJAI,INSPI%'C*IIONIZI',.CQRDS 0 c.TANK IN'I'lj(iRITY'I'FS*IIN(;RESULTS ❑ d.SIR TESTING RI SULTS(and supporting documentation records) Q c.-rANK GlAt IGIN(.t R17-SULTS(and supporting documentation r",urdsi C1 f.ATO*I-I:S'[lN(.o RESULTS(and Supposing documentation records) 0 S.CORROSION PRO*I'LC'IION 60-DAY LOGS h.FQUIPMENTMAINTPNANCE AND CALIRRA-60N nZolims IX. TRAINING Personnelwith(IST monitoring vesImnsibililies are familiar with all offlic following document,;relevant to thvirjub duties: 490-69a. REFFRENCEDOCUME.NTS MAINTAINIX)AT FACILITY(C'.7heek all 11jal apply) ® THIS()NDEW)ROUND s'ropwm.TANK MONITORIN(j PLAN(Required) 49o.6vb OPERA'rING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 49069x. U CALIFORNIA UNDERGROUND STORAGE TANK Rl--(jLll,A'I'IONS 4%)-OU C] CALIFORNIA UNDERGROUND STORAGE TANK LAW 4W.69U. Ej STATE WATVR K4SOURCE'S CONTROL BOARD (SWRCH) PUBLICATION: "HANDBOOK FOR 'TANK OWNERS MANIJAI. AND STATISTICAL INVENTORY KECONCILIATIC.)N" El SWRCB PUBLICATION:"UNDE'Rs'l-ANDING AUTOMATIC TANK GAUCIING SYSTEMS" 49"%- LJ 0'1`1IFR(Specify): 400-6% 40-69i. J@ This facility has a':5�-igmtcd USTOperalor"who has passed the California UST System Operator Exam administered by the lilturnationa)Code Council 490.70. ([CC). '11%, -Designated us'r Operator'will train facility employees in the proper operation and maintenance orthe UST systems annually,and within 30 days of hirc.'I'his training will include,bid is,not limited to,the following: > Operi.16031 of U5Tsystems in a u1jinnurcurtsistent with the Witity'S best management practices. > 'Ille facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Platt. The facility employee's role with regard to spills and overfills as specified in the facility's tjs,r Rcsponse Plan Namels)of ontact lient"i(s)for emergencies and monitoring alarms. X. COMMENTS/ADDITIONAL INFORMATION Provide ad2dtonal ce,tio I It 490-71 .Tens here or indicate how inatly FhVcs with adds information Oil spCific M( -t0T1ngPT0CC%h1res are attached to this plan 4. -t oc>Lj or-tz- ju %J,4 55; :T XI. PERSONNEL RESPONSIBILITIES The UST Owncr/Oi;erator is responsible for ensuring that: 1.)the daily/rotaine UST monitoring activities and wintenanco ul'UST leak detection equipment covered LhisRL- indicate a possible relea-w are invcstigp nq?Jall.manitorin f-cofd i 3 tat ma.pLamccipIpperly.... THE FOLLOWING PERSON(S)ARE.RESPONSIBLE POR PERFORMING'111EMONITORING AND EQUIPMENT MAINTENANCIt": NAME: a I,-- CRIS. 4W'72 r0%-IV 4110 NAME: 490-7.% The Designated UsT opuritur shall rilbrin a monthly visicill insptction of the facility,provi(lc a report to ffic owner/operutnT,and inform the owner/operator of any conditions that need follow-up action. X11. OWNER/OPERATOR SIGNATURE CWFIFICATION:I certify that the information proviod herein fistrue and accurate to the best ofirny knowledge. APPLICANT SIGNATURE: L)A'n-.: 490-T1 o'K REPRFSHMING 0 1.Tank 0wae g3AAhori�!S�i�toiwavrownei 490-,i6. APPIACANT NAME(print): 490,711 APPLICANTTITLE: 490-79 1JPCF UST-D(12/24107).3/4 www.unidues.org E 'dOL62L.*602 dew L'D* I I T 80 132 JCIU