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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Pop 2 of 2) V1.UNDER DISPENSER CONTAINMENT(UDC)MON1711`01UNG 4W-Aa 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 4co sob ❑ 1.CONTINUOUS ELECTRONIC MONITORING D 2.FLOAT AND CHAIN ASSEMBLY C1 3.ELECTRONIC STAND-ALONE 4.NO DISPENSERS 0 99.OTHER PANEL MANUFACTURER: `sMMODEL 490-5.8 LEAK SENSOR MANUFACTURER: MODEL#(S): DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS 11 a.YES 0 b.NO 4q&59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN 0 a.YES 0 b.NO 490-60 FAILURE I DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. El &YES 0 b.NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER- 0 a.YES 0 b.NO 49"2 7—UDC CONSTRUCTION IS OLSINGLE-WALLED 02.DOUBLE-WALLED 49"3490-6ft IF DOUBLE WALLED: UDC INTERSTITIAL SPACE IS MONITORED BY: J31 LIQUID [3 2.PRESSURE Q 3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS 0&YES [3 b.NO 490-64b VU.PRIU01)IC SYS TM TFSMG [3 I. ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49"5- LE61i 2EMUQN QQ1 MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 CCR '2644.1 4911." 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. E9 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-07 VIE "XORDMEMG The following monnoring/maimenance records we kept for this facility: Alarm lop 4go-m [3 Visual Inspection Records 49o4a [3 Tank integrity testing results 49o4sc ❑SIR testing results(and supporting documentation records). 4go-6ad [3 Tank gauging results(and supporting documentation records). 4404& 0 ATG Testing results(and supporting documentation records).~r 0 Corrosion Protection 60-clay,loss 49048s Equipment maintenance and calibration records. 49"A IIL TRAIMIG Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-6% REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)4904% OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required),1%49C 0 CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49o."d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 4904% ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"~r 0 SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49olova 0 OTHER(Spiccify):tom.uft J@ This 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 system annuaily,and within 30 clays of hire.This training will include,but is not limited to.the following: > Operation of the UST system in a manner consistent with the facility's best management practices )o The facility employee's Toile with regard to the monitoring equipment as specified in this UST Monitoring Plan )o- The facility employee's role with regard to spills and overfills as specified in the UST Response Plan > Names ofcontact person(s)for emervencies and monitoring alarms.490-70 X. COMNIMMADI)MONAL INFORMATION Provide additional comments here or indicate how many pages with additional ormation on V"ific monitoring procedures are attached to this plan.490.71 Fill Sump&Generator Room Sensors 2)-794390-208-&en&efi4-0,r 00fASCn . -794-3mo-2.0e® 0-f+U ?Wr1%lft1EMP9!PoA&J XL PERSONNEL RESPONSIBBATIM ir&m4t,44 ft0A**W*&J a14 hm b" by 147177• The USTO%kiierA)peraW is responsible for ensuring that:1)the daily/routine UST monitoring activities and mautenance 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 property. The following per3orgs)are responsible for performing die monitoring and equipment maintenance: NAME Connie Mitchell 4w72 TITLE EM Site MgMer 490-73 NAME AT&T Environment Health&Safety 4w74 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 airy conditions that need follow-up action. XII.OWNEMPERATIOR SICNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge, APPLICANT SIGNATURE 49o-76 DATE: 490-77 June 3,2008 APPLICANT NAME(print): 490-78 t/ APPLICANTTITLE: 490 79 Steven J.Hall Manager,EMS UPCF UST-D(11=007)