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' AlffD PROGRAM CONSOLIDATED FOIL
<br /> VF UNDERGROUND STORAGE TANK
<br /> MONITORING PIAN (Page 2 of 2)
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<br /> I. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 49rF_4da
<br /> 490-546
<br /> 0 1.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSSNO Y ❑ 3.ELECTRONIC STAND-ALONE
<br /> ❑ 4.NO DISPENSERS [199.OTHER SJeci£y): ___ __
<br /> PANEL MANUFACTURER:Veeder Root 49MI 11
<br /> i MODEL#:TLS 350 ego-56.
<br /> LEAK SENSOR MANUFACTURER:Veeder hoot 490.59 i MODEL#(S):o 794380-208 490-58
<br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ® a.YES ❑b.NO 49049
<br /> UAC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ® a_YES ❑b.NO 490-60.
<br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑b.NO 4k"-01
<br /> UDC MUNiTORINO S 170PS TIME FLOW OF PRODUCT AT TRE DISPENSER. ® a.YES ❑b.NO 49M2.
<br /> 2.UDC CONSTRUCTION IS ®1.SINGLE-WALLED C32.DOUBLF-WALLED 490-63
<br /> IF D010I3I,E WALLED: 490-64a
<br /> UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ 1.LIQUID ❑2.?Xj: SUM ❑3.VACUUM
<br /> A LEAK WITHIN Tim SECONDARY CONTAINMENT OF Tut+I.MC;TRr('T(WAS AUDIBLE ANA VISUAL ALARMS Fl a.YES n b.NO 490-64b
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<br /> 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATSR RESOURCES CONTROL BOARD THAT EtN&�VSFQ ate•
<br /> LEAK DE"T1rCTI0 MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE2UIRED,23 CCR L2644_i�
<br /> 2.SECONDARY_CONTAINMENT_COMPONENTS ARE_TESTED EVERY 36 MONTHS. 49a 66
<br /> ®3.SPILL BUCKET$ARE TES'T'ED ANNUALLY. � 49o-e7
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<br /> The fttitlowing mvaitvriog/maintenance records are kept for this facility:
<br /> ®Alarm logs 4"; ❑Visual lmpecticn Records 490.68b ❑Tank integrity testing results 490434
<br /> ❑SIR testing results(and supporting documentation records). 490-asci ❑ Tank gauging results(and supporting documentation records). 4w4se
<br /> *ATO Testing results(and supporting documentation records). 8r ❑ Corrosion Protection 60-day logs 490-68s
<br /> ®Equipment maintenance and calibration records. 490.68h
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<br /> ®Personnel with UST monitoring responsibil ities are familiar with all„of the following documents relevant to dteir Job duties. 490-69a
<br /> REFERENCE DOCUMENTS MAINTAINED AT FACILTTYC(Check all that apply)
<br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b
<br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)4ws-fi%
<br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS-go-69d
<br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW Oso-ase
<br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND
<br /> STATISTICAL INVENTORY REC:ONCILlXI ION"49o-e9r
<br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS”49p.64e
<br /> ❑ OTHER(Specify):mob,bM6%
<br /> ®This facility has a"Designated UST Operator”who has passed the California UST System Operator Exam administered by the International Code Council(ICC).
<br /> The"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
<br /> training will include,but is not limited to,the following:
<br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices
<br /> The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Playa
<br /> i The facility employee's role with regard to spills and overfills as specified in the UST Response Plant
<br /> ➢ Names of contact person(s)for emergencies and monitoring alarms.490.90
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<br /> Provide additional vumatents here or irxdicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71
<br /> OPW Drop Tube Set At 95%over fill
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<br /> The UST Owner/Operator is responsible for ensuring that:1)the daily/routine UST-monitoring activities and maintenance of UST leak detection equipment covered by
<br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly.
<br /> The following person(s)are responsit le for performing the monitoring and equipment maintenance:
<br /> NAME Bernie Olson Tank Team INC 49n.77 TITLE Owner
<br /> 4 .73
<br /> NAME y) ( / 440 74 TITLE !T �' }�' d9o.vs
<br /> The Designated Operator shall perform a monthly visual inspection of the facility,proyfdc a report to the er/operator,and inform the owner/operator of any
<br /> conditions that need ftillow-up action.
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<br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge.
<br /> APPLICANT SIGNATURE 49()_76 DATE: 490-77
<br /> L Tank
<br /> APP,�LIgCANT NAME(print): 490.78 APPLICANT TITLE: 49049
<br /> ("LTJ 14A,ILV 1 P
<br /> UPCF UST-D(12/2007)3/4
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