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r -- WinED PROGRAM WNSOLIDATED FO UNDERGROUND STORAGE TANK MO NG PIAN (PW 2®t2) VI.UMER DISPENSER CONTAINMENT(UDC) -„Oa.___�_ _._ 40 I. JIDC MONITORING iL5 PERFORMED USING THE FOLLOWING'METHOD mxi.s4b ❑ 1,CONTINUOUS BLEC" ONIC MONITORING 2 FLOAT AND CHAIN ASSEMBLY ❑ 3,13.1, C`MONIC STAND-ALONE ❑4.NO DISPENSERS DW,OTHER g§2E Y): PANEL MANUFACTURER; ieA1f L� sxr is MOD>;[#: 4so so LCAK S_ENSORMANUFACPURER: '��` a — C. au r) �o.s7 I MODEL f!(sj: Q DETECTION OF A LEAK INTO THIS 1JDC TRIGGERS AUDIBLE AND VISUAL ALARMS _ ~._ C� a.YES 6d b.NO UDI;LEAK ALARM TTt(WMtS AUTOMATIC PUMP SHurDOWN ❑'a•YES A b.NO . FAILURE/]DISCONNECTION OF Uf.X MIONITORM SYSTEM TRIG(MRS AUTOMATIC.PUMP SHUTDOWN. ❑'a YES 11 b.NO 4-4- UDC MONITORINGS STOPS THE FLOW OF PRODUCT AT THE. DISPENSER, 09 a.YES ❑b.NO osuua 2.UUCCONSPRIICTIONES ❑1,SINGLE-WALLED 2TOUBI.E WALLY? _._..__.. IF DOIISLE WALLED _ 4�a4a UDC INTERSTITIAL SPACE IS MONITORED BY: ❑I.LIQUID_®2.PRBSSURL'..Q 3..YACVUM A LEAK WITHIN THE SECONDARY CONTAINMENT Or^ThE UDC:I.R(WERS AUDIBLE AND VISUAL ALARMS ❑a.YE5 ❑b.NO '0'046 VII.PERIODIC SYSTEM ING 13 1.ELD T' :TI11S FACILITY HAS BEMN N0971--11.0 BY'IHr STA-17E WATER RESOURCES CONTROL BOARD THAT Ei`I,fiANCED LEAK DFO'. EM OEM_W C BE PERFORMI)._PERIODIC FIND IS PF.RFORIMF.A EVERY 36 MONTHS AS REOUIRED.(23 GGR 2544.1) -- ❑I SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS �T3.SPBLL lk ARE TESTED ANNUALLY. VIII.RECORD PING The following monirtorhWAnnintenanoe remxla am kept for this facility; ❑Alam kqp 49a m. ❑Visual It M RoCordS 400-oft ❑Tank integrity testing results 49o-tu Q SIR testing resubb(aril supporting documentation rawrds), 4wm ❑ Tank gattging results(and supporting documentSdon records). ass-t� C]ATC,Testing results(alai suppoding dommcotshm records).400•68f ❑ Cotvosion Protection 60-dsy hogs 490668 ❑FAnipmont ntalRtcmucc and calibration rem. 49ma IX.TRAINING ❑Personnel with UST mwiWW,mespombilifies are familiar with all of-the following documents relevant to their job dames. 49 REFERENCE DOCUMENTS MATNTAM-D AT FAC:II JTY(Chi&all that av0y) [THIS UNDE,RGROUNO STORAUX TANK MONITORING PLAN(Required)Oso-aft PERATTIy MANUALS FOR ELEcTRONiC MONITORINj,EQUIPMENT(Requu d)494Vk [j CALIFORNIA UNDIMOROUND STORAGE TANK REGULATIONS 49049t ❑ CALIFORNIA UNDERGROUND STORAGE TANK I,AW 4 STATE WATER RIS- OURCES CONTROL BOARD(SWRCB) PUBLICAJON: "HANDBOOK. FOR TANK O - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"44nw Q.SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK.GAUGING SYSTEMS"49o-rgr 11 OTHER(Specify):t w)k wi This facility has a"Designated ifST OI>':rator"who ltas passed the California UST System Operator Exam adounistored by the Inter ('..i s C'=wmcil(lee). Tie"Designated UST r"will train facility employees in the proper operation and naieue mwe oI'the UST systems annually,and within.W days of hire.This training will include,but k not limited to,the following: > Operation of the UST System in a manses cowisftnt with the facility's best management practices )- The facility a~s Me with n*ard to the monitoring equipment as specified in this UST Monitoring Plat > The f'aeility employee's role witls rcpard to$oIIs and overfills as specified in the-USTRespufteplan > Nunes ofcaftet PersorW for emergencies and matitoring alarms.490-7o X. COMMENTSADDIMIONALDWORMATION _ Provide additional here or indicate how marry pages with additional information on specific monitoring P am attachetl _to this plan.4W71 C1VtR t`a� Pt2Cdts. Mode Is/.�aJevweo �4vr gyro Flan V*Jve XL PERSONNEL RESPONSIBILMES 'lite US'T Owner/Operator is responsible for ensuring Owl:1)tho daily/routine UST monitoring activities and maintenance of UST leak detection equipment covemd by this plait ocean's,2)all condition that indicate a possible ttdease are inve stigatcd,and 3)all amnituring records etc ma*Mned property. The following s)ate responsible forImo'. • t looritorv,S and cquipttrent maintgnterp t NAME lcazm iJ 4w72T ITLt: ® tnI t1ek 490.73 NAME M G i 4'ra. . 74 TITLE 490as The Designated Opcatttor shall perform a monthly visual iosptWun of rho facility,provide a repxm to the owner/operants,and inform ft owner/operstm of any conditions that rel follow-up action X1I.O N ' _ PERA'I'OR SIGNATURE CERTIFICATION:I certify that the inflxrrfation ptovbo$h"n TS Mte and acwtate to the best of to knowloigc. APPLICANT SIGNATURE j— 49076 DATE 490-771 APPLICANT NAME(print): 490"'9 APPLICANT TITLE: MO." n �� UPc:1s USr-D(12aW7)3/4 28 WdTZ:SO 60OZ zz -Ulef 'ON XUd WONA