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UNIFIED IMURAM CONSOLIDATED FORM UNDE GROUND STORAGE TANK MONITORING PLAN-(Page 2 of 2 VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING �lelr�tart __- :Font color:Auto ;tkat a UDC MONITORING IS PERFORMED USING THE FOLLOWING METHODIS) Formatted:Font COQ:Auto ❑ 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 49044a. ® 4.NO DISPENSERS ❑ 99.OTHER(Specify) 490-54b. . LEAK MONITOR MANUFACTUTHE-UDC ER 490-55. MODEL#4 490 56. LEAK SENSOR MANUFACTURR. 490-57. MODEL#(S); 490-58. DETECTION OF A LEAK INTO TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.- YES ❑ b.NO 490-59. UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-61' UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ❑ a.YES ❑ b.NO 490.62, ---'---- ---._._.._ ...._........._............ ..... .. ..._._.. . ......_._. ___.---- ----- '.--. ..._.._ ......_..... ..... ...... ...... UDC CONSTRUCTION IS: ❑ 1.SINGLE4WALL ❑ 2.DOUBLE WALL lor:Auto Font tb 490 63. IF DOUBLE_WALL: ago-64a. -- -- ._.... __ __ ------._.__ -_. . . ....... .. .. .._ Formatted:Font colo:Auto UDC INTERSTITIAL SPACE IS MONITORED BY: [,� a.LIQUID ❑ b.PRESSURE ❑ c.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490-646. Formatted:Font cobra Auto VII. PERIODIC SYSTEM TESTING 1.ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. LEAK DETECTION(ELDI MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.[23 CCR i2644.11 ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66. ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67. VIII. RECORD KEEPING The following monitoring/maintenance records are kept for this facility: k90.6_8. --- - :Font cola:Auto ® a.ALARM LOGS ® b.VISUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY TESTING RESULTS C3 d. SIR TESTING RESULTS(and supporting documentation records) E] c.TANK GAUGING RESULTS(and supporting documentation records) C3 f. ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS ® h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: 490-69a. REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) ®THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-69b. ®OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 490-69c. ❑CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d. ❑CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69.. ❑STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69f. STATISTICAL INVENTORY RECONCILIATION' ❑SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-698. 490-69h. ❑ OTHER(Specify)! 490-69i. This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council 490-70. (ICC). 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. 'r The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. r The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. D Name(s)of contact person(s)for emergencies and monitoring alarms. M COMMENTSADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 49041. Mechanical Flapper at nin five ercent capacft XI. 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 mamtamed properly. _ _ .. ___.. .. .. .. .. .. ..... ... _ .. _ ...... ..... THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: Sant Corbin 490-1 TITLE:Chief Engineer 490-73. NAME: Terrell Estes 490-74 TITLE:Assistant Chief Engineer 490-75. The DesignatedaUST Operator shall perform a monthly visual inspection of the facility,provide a report to the ownero/petator,.and,inform the owner/operator of any_. _._.-[Formatted:Font color-,Auto conditions that need follow-upaction. ------ .. XII. OWNER/OPERATOR SIGNATURE Formatted:Font color:Auto CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. Formatted:Font:Times New APPLICANT SIGNATURE DATE: ago-n. Roman Bold 9/10/2010 �-tted:Font:Times New RF.PRF,SF.NTPIG 1.'Cauk Oxmer/ for❑2.Facile Ouver/ for 3.Authorized R tative ofOwnQ 490-76. Roman Bold,Font God' Auto Formatted:Font:Tulles New Roman Bold,Font cow:Auto UPCF UST-D(12/2007),X3/3 www.unidocs.org