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IFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 90-54a 4 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54b 1:1 1.CONTINUOUS ELECTRONIC MONITORING 0 2.FLOAT AND CHAIN ASSEMBLY El 3.ELECTRONIC STAND-ALONE N4.NODISPENSERS 0 99.OTHER(Specify): ---------------------------------------------------- ------------------------------------------------------------------ 490-56. PANEL MANUFACTURER: I MODEL#: ------------------------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------—----------- LEAK SENSOR MANUFACTURER: MODEL#(S): 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS D a.YES 0 b.NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN 0 a.YES El b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 a.YES 0 b.NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. El a.YES El b.NO 490-62 2.UDC CONSTRUCTION IS OLSINGLE-WALLED E12.DOUBLE-WALLED 490-63 ------------- IF DOUBLE WALLED: 490-64a UDC INTERSTITIAL SPACE IS MONITORED BY: [1l.--LIQU---------ID [1 _PRESSURE El 3.VACUUM --- ---— ------- -------------------------------------------------------------- A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS [I a.YES C]b.No 490-64b VII.PERIODIC SYSTEM TESTING 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. R( LEAK DETECTION EL ----------- _. )-MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 CCR§2644.1) ........... 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 --------------------------------------------------------------------------------------------—---------------------------------------------------------------------------------------------------------------------------- 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67 VIII.RECORDKEEPING The following monitoring/maintenance records are kept for this facility: Alarm logs 490-68a [:1 Visual Inspection Records 490-68b ❑Tank integrity testing results 490-68c ❑SIR testing results(and supporting documentation records). 490-68d ❑ Tank gauging results(and supporting documentation records). 490-68e ❑ATG Testing results(and supporting documentation records).490-68f ❑ Corrosion Protection 60-day logs 490-68g Equipment maintenance and calibration records. 490-68h IX IRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a REFERENCE DOCUMENTS MAINTAINED AT FACILITYLI(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49o-69c ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49o-69e ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490-69f n SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-69g [I OTHER(Specify):m69h,m69i —Iff�Thts facility has a"Designated UST Operator who has passed the California UST System Operator Exam administered by the International Code Council(ICC). 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 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 > The 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 UST Response Plan > Names of contact person(s)for emergencies and monitoring alarms.490-70 X CONMNTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 Fill Sump&Generator Room Sensors(2)-794390-208,Audible and Visual alarms are used as Primary overfill protection on this system. A PE", ONSAgspONSIBILITIES, 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 this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The following person(s)are responsible for performing the monitoring and equipment maintenance: NAME Tait Environmental Services 490-72 TITLE AT&T EH&S Authorized Vendor 490-73 NAME AT&T Environment Health&Safety 490.74 TITLE Call Center 490-75 The Designated 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-up action. X11i OWN R�OPEAATO%tl CERTIFICATION:I certify that the iffl5>rmation provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE 490-76 DATE: 490-77 SIGNATURE February 2,2009 MPMSENTIN :0 1.Tank QmmqLQpgi9gr 0 2 Fwifity 0�g709;_rawr El 3.Aujhg&W&qw _ v of Owner APPLICANT NAME(print): 490-78 APPLICANT TITLE: 490-79 Steven J.Hall Manager,EMS UPCT UST-D(12/2007)