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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) V1.UNDER DISPENSER CONTAINMENT(UDC)MONITORING fl� 11 0� MONITORING 490-54a RING IS PERFORMED USING THE FOLLOWING METHOD 140-54b I. "TINUUS ELECTRONIC MONITORING 1:12.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-Al..O !§_�tNSERS ❑99.OTHER pe j. t� 690"55J_ 41ti-It, ------------------------------------------------------------ .��29t. ....... _................... .... ACTURER: ��o. 41408 LEAK SFN�Olk MANUFACTURER: 37 1 MODEL#(S): DETECTI LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS El -YES [:1 b.NO 4%,59 N FA 0 0 UDC LEAKNAOARM TRIGGERS AUTOMATIC PUMP SHUTDOWN YES El b,NO 490-60, FAILURE/DIS� a.YES ❑b.NO 490-61 ,RiIONNEcTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. I, 11 UDC MONITORI STOPS THE FLOW OF PRODUCT AT THE DISPENSER. fOa YES ❑b.NO 490-62 2.UDC.CONSTRUCTI0\lS EILSINGLE-WALLED [12.DOUBLE-WALLED 490-63 IF DOUBLE WALLEN SP XCE MONITORED 13Y� . N —11�L IOU I D Q 2.PRESSURE 0 3 YAC�JqML _R AMT------------...... ---------- .ALARMS [1a.YES Ob,NO '90-'4' A LEAK WITHIN THE SE NDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISU_/_ ;�i VD.PERIODIC SYSTEM TESTING / 0 I. ELD TESTING: THIS FACIL Y HAS BEEN NOTIFIED BY THE STATE WATER RESOURQ5S CONTROL BOARD THAT ENHANCED 490-65, _E PERFORMED. PERIODIC ELD IS PERFORMED EVERY 16 MONTHS AS REQUIRED (23 CCR_�q644.11_......... 2.SECONDARY CONTAINMENT C PONENTS ARE TESTED EVERY 36 MONTHS. 69°66 3.SPILL BUCKETS ARE TESTED AN ALLY. 4()0-67 VIII.RECORDKEEPING/ The following monitoring/maintenance records are k for this facility: Alarm logs 490-68a [:)Visual Inspection Recorak 490-68h ❑Tank integrity testi results 490-68C ' 'c El SIR testing results(and supporting documentation rec'qds). 490-69d C] Tank gauging res is(and supporting documentation records), 4%-68c El ATG Testing results(and supporting documentation reelitrills).490.68f [3 Corrosion Prot tion 60-day lugs 490-685 Equipment maintenance and calibration records. 400-6871 \ IX.T G Personnel with UST monitoring responsibilities are familiar 11 of the folio documents relevant to their job duties, 49040. wiu REFERENCE DOCUMENTS MAINTAINED ATFAC T Check a" a'apply 0 THIS UNDERGROUND STORAGE TANK MONITORING P N(R uired)41)0-69b 'I 0 OPERATING MANUALS FOR ELECTRONIC MONITORING Q MENT(Required)490-690 0 CALIFORNIA UNDERGROUND STORAGE TANK REGULATI S 490-69d 0 CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69 ❑ STATE WATER RESOURCES CONTROL BOARD (SWR P LICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND STATISTICAL INVENTORY RECONCILIATION"49o-69f ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMA CTANKG GING SYSTEMS"400-69r E] OTHER(Specify):M69h.M69i This facility has a"Designated LIST Operator"who has pass 6 the California LIST stem operator Exam administered by the International Code Council(ICC). t e Prot The"Designated UST Operator"will train facility employees' p te proper operation an aintenance of the LIST systems annually,and within 30 days of hire.This training will include,but is not limited to,the following: 0 follow Operation ofthe UST systems in a manner consisten ne ,is manner ith the facility's best managet Practices S practices T ,P s v ;r to The facility employee's role with regard theM. "i ng equipment as specified in this ST Monitoring Plan r The facility employee's role with regard to spills d overfills as specified in the UST Resp rise Plan > Names of contact person(s)for emergencies an following: alarms.440-70 NICOMMENTS/ADDITIONAL MATION Provide additional comments here or indicateho many page with additional information on specific in ing procedures are attached to this plan.490.71 9 90 Fill Sump&Generator Room Sensors(2)-71-208 1� X1.PERSONNEL RESPONSIBILffIES\ The UST Owner/Operator is responsibi i or ensuring that: 1)the daily/routine LIST monitoring activities and mar tenance of UST leak detection equipment covered by - - r this plan occurs,2)all conditions that dieat te a possible release are investigated,and 3)all monitoring records are aintained properly. The following person(s)are respons le for pet-forming the monitoring and equipment maintenance: NAME Connie Mitchell 490-72 TITLE EM Site Manager 490-73 NAME AT&T Environme)(t Health&Safety 490-74 TITLE Call Center 490-71 The Designated Operator sh ,#fI perform a monthly visual inspection of the facility,provide a report to the owner/o ator,and inform the owner/operator of any conditions that need follow Ap action. XH.OWNEMPERATOR SIGNATURE CERTIFICATIO)(:I certify that the information provided herein is true and accurate to the best of my knowlehe. APPLICANTYSIG�AT�IURIF 490-76 DATE: 490-77 June 3,2008 IMgvQncrator 111ft�101�WQ�.21 OU I AgdwpagR r sen tri' of un APPLICA NAME(print): el 490-78 APPLICANT TITLE: 00-79 StevenrHall Manager, EMS U PC F U ST-D(1212007) Z�� IC9