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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 oft) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING I. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54& ❑ 1.CONTINUOUS ELECTRONIC MONITORING 13 2.FLOAT AND CHAIN ASSEMBLY 11 3.ELECTRONIC STAND-ALONE 490-54b ❑4.NO DISPENSERS 0 99.OTHER iS i PANEL MANUFACTURER: -----°90-55 MODEL---- '190-56 -------—----------------------------------------- LEAK SENSOR MANUFACTURER. 490-11 -—-------- ---------- ' MODEL#(j)-. 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL AL"Rs- [I a.YES b.NO49-0-59— UDC LEAK ALARM TRIGGERS AUTOMATIC Pump SHUTDOWN 0 a.YES El b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 a.YES 0 b,NO 49041 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. X a.YES 0 b.NO 490-62 2.UDC CONSTRUCTION IS IN 1.SINGLE-WALLED D 2 DOUBLE-WALLED 49'16_3 IF DOUBLE WALLED: _izWA_ UDC1N.T1-:RSTITIAL SPACE IS MONITORED BY: El 1,LIQUID 0 2.PRESSURE C]3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS 0a.YES 0b,NO 49"-64b VII.PERIODIC SYSTEM TESTING — 0 1. ELD TESTING: THIS FACILITY HAS BEEN NO-TIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65, LEAK DEIEcTiols;(ELD)MUST BE'PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS��QILRED.(L3 CCR jqLA4.11......... ❑2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS 490-6-6- KP_1LE_H1JCIdTS ARE TESTED ANNUALLY. 4.9"T VIII.RECORDICEEPING The following monitoring/maintenance records are kept for this facility: Alarm logs 490.68'1 N Visual Inspection Records 490.6Sb 0'rank integrity testing results 490-68C ❑SIR testing results(and supporting documentation records). 490-69d [I Tank gauging results(and supporting documentation records), 49o-68c 0 ATG Testing results(and supporting documentation records).490-61f 0 Corrosion Protection 60-day logs Omits Equipment maintenance and calibration records. 490-6sh IX.TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490.69. REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) IN THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-69C C3 CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d C3 CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69t ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490.69f C1 SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-693 El OTHER(Specify):m69h,m6gi This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(IC 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 training will include,but is not limited to,the following: > Operation of the UST systems in a manner consistent with the facility's best management practices > The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan > The facility employee's role with regard to spills and overfills as specified in the UST Response Plan > Names of contact person(s)for emergencies and monitoring alarms.490-70 X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pageswithadditional information on specific monitoring procedures are attached to this plan.490.7i Ctmcntk.thcsNstem ovc;1'111 protccoon Is"Niechan1c;Jl Mapper valves aruyet at 9`,,0,the tank C:ipwllp" X1.PERSONNEL RESPONSIBILITIES 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- this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The following person(s)are responsible for performing the monitoring and equipment maintenance. NAME Allen Faass 490-72 TITLE Tank and Pump Maintenace 490-73 NAME Allen Faass 490.74 TITLE 'resting The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the own 490-75 f any conditions that need follow-up action, X11.OWNEWOPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge, JU-PhICANT SIGNATURE 490-76 DATE: 4W7 RLl!9=1a1Nfi�aLTmk Q!NM1XTftMwr 0 2 Faclig APPLICANT NAME(print); 4W79 APPLICANT TITLE, 49049 Allen Faass Compliance UIPCF ugr-l)(12/2007)3/4 L/