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UNIFIED PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- I of 2) <br /> TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1 <br /> PLAN TYPE I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEMS) <br /> I. FACHIWE4FORMATION <br /> FACILITY ID#(Agency Use Only) _ _ 1 <br /> BUSINESS NAME(Saute as FACILITY NAME)77N\ �'1� 3 <br /> BUSINESS SITE ADDRESS ® 103. CITY a rt 104, <br /> U.EQUIPMENT TESTING AND PREVENTIVE AMENTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be perfomred at the frequency <br /> specified by the equiptnent lufachuers'instructions,or annually,whichever is more frequent and that such work must be performed by qualified personnel. <br /> 23 CCR§2632,2634,2638,2641 <br /> 490.3a <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY [199.OTHER(Specify): 490.3b <br /> IW MONITORMG WCATION$ <br /> ❑L NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634 <br /> IV.TANK MONITORING IS PERFORMD USINGTM FOLWWWG METHOD(S): <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(EVE )SPACE(S)OR SECONDARY CONTAINMENT 490-5 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 4906 <br /> PANEL MANUFACTURER: r C2 490'7 MODEL#: 49&8 <br /> LEAK SENSOR MANUFACTURER: 49". MODEL#(S): asoao <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR (23 CCR§2643) 4�11 <br /> PANEL MANUFACTURER: 490-IZ MODEL#: 490-13 <br /> IN-TANK PROBE MANUFACTURER: 490.14. MODEL#(S): 490.15 <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 <br /> PROGRAMMED TESTS: ❑ a.0.1 g p.h. ❑ b.0.2 g p.h. ❑ c.OTHER(Specify): 490.19 <br /> 490.19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(Mm)(23 CCR§2643). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21 <br /> 490-22 <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 49D-24 <br /> 490.23 <br /> ❑ <br /> 99.OTHER (Specify): 490.26 <br /> 490.27 <br /> V.PIPE MONMIMG IS PERFORM"USING TM FOLWMIKG METHOD(S)(Check all that apply) <br /> Ej 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28- <br /> (VISUAL AL (23 CCR <br /> SECONDARY CONTAINMENT IS:da.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490.29 <br /> PANEL MANUFACTURER 0-w 30 MODEL#: r 490-31 <br /> LEAK SENSOR MANUFACTURER 12 MODEL#(S): ® 49D-13 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. Ara.YES ❑b.NO 490-34 <br /> FAILUREMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. jXh.YES ❑b.NO 490-35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.pJL LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR ROO 436 <br /> MLLD MANUFACTURER(S): VMF 490-37 MODEL AS): 2 M600 <br /> 490-38 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p.6.LEAK TESTS (23 CCR§2636) 490-39 <br /> ELLD MANUFACTURER(S) 490-40' MODEL#(S): 490.41 <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490.42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑b.NO 490.43 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49044 <br /> 4.PEPE INTEGRITY TESTING 49o-45 <br /> TEST FRE UENCYQ a.ANNUALLY b.EVERY 3 YEARS Q c.OTHERS i 490.4649047 <br /> 5.VISUAL PIPE MONITORING. 49048 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED® 490,49 <br /> 'Allowed for momianng of oabaied analmey generator f d pieig only HSC 25281. 3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490-50 <br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPT7R 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> [30-90.52 99.OTHER(Specify) 490-53 <br /> UPCF UST-D(12/2007)1/4 <br />