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0 9 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT"C)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a <br /> 490-54b <br /> ❑ LCONTINUOUS ELECTRONIC MONITORING 1:12.FLOAT AND CHAIN ASSEMBLY El 3.ELECTRONIC STAND-ALONE <br /> 4.NO DISPENSERS El 99.OTHER(Specify): <br /> PANEL MANUFACTURER: a9ass MODEL#: 490-56. <br /> ---------------------------------------------------------------------------------------- <br /> T <br /> LEAK SENSOR MANUFACTURER: j7SF6_�T-1 MODEL#(S): 490-58 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS 0 a.YES F1 b.NO 490-59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWNEl a.YES 0 b.NO 490-60. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 490-61 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ❑ a.YES ❑b.NO 490-62 <br /> 2.UDC CONSTRUCTION IS E]1.SINGLE-WALLED El 2.DOUBLE-WALLED 490-63 <br /> IF DOUBLE WALLED: ---495_T1iT_ <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: [711.LIQUID El 2.PRESSURE [13.VACUUM <br /> — LIQUID--------- ---------------------------------------------------------------------- <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS 0 a.YES 0 b.NO 490-64b <br /> VII.PERIODIC SYSTEM TESTING <br /> El 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. <br /> ------------LEAK DETECTION-(.ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 CCR§2644.1) <br /> ------------------------------------ <br /> ED 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 <br /> SPILL BUCKETS ARE TEWfIdi- ----------------------------------------------------------------------------------490-67_3. _ <br /> VUL-RECORDKEEPING <br /> The following monitoring/maintenance records are kept for this facility: <br /> 10 Alarm logs 490-68a 10 Visual Inspection Records 490-68b ❑Tank integrity testing results 490-68c <br /> El SIR testing results(and supporting documentation records). 490-684 ❑ Tank gauging results(and supporting documentation records). 490-68c <br /> [I ATG Testing results(and supporting documentation records).490-68f ❑ Corrosion Protection 60-day logs 490-68g <br /> Equipment maintenance and calibration records. 490-68h <br /> IX.TRAINING <br /> Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITYo(Check all that apply) <br /> THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b <br /> OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)ago-69c <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"490-69f <br /> El SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-69g <br /> [] OTHER(Specify):m69h,m69i <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 Plan <br /> > The facility employee's role with regard to spills and overfills as specified in the UST Response Plan <br /> > Names of contact person(s)for emergencies and monitoring alarms.490-70 <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 <br /> Fill Tube Shut-Off Valve is the Primary Overfill Protection Device on this system,set to 95%of tank capacity. Overfill Alarm is set to 90%of tank capacity. <br /> Fill Sump, L4 Generator Room and L5 Fire Box Sensors(3)-794380-208. <br /> XI.PE RESPONSIBILITIES <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 responsible for performing the monitoring and equipment maintenance: <br /> NAME Tait Environmental Services 490-72 TITLE AT&T EH&S Authorized Vendor 490-73 <br /> NAME AT&T Environment Health&Safety 490-74 TITLE Call Center 490-75 <br /> The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator ofany <br /> conditions that need follow-up action. <br /> XII.OWNERIOPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the informatioupevided1wPon is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE 490-76 DATE: 490-77 <br /> May 14,2009 <br /> REPUSENTINQ IM 1,Tank er/ or 0 2.Facilitv r ed RMMMMgMe qfer <br /> APPLICANT NAME(print): 490-78 APPLICANT TITLE: 490-79 <br /> Steven J.Hall Manager,EH&S <br /> UPCF UST-D(12/2007) <br />