COMPLIANCE INFO_2007-2015 - Laserfiche WebLink

Home Browse Search

NIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54490-546 9 1.CONTINUOUS ELECTRONIC MONITORING El 2.FLOAT AND CHAIN ASSEMBLY El 3.ELECTRONIC STAND-ALONE E] 4.NO DISPENSERS E]99.OTHER(Specify): PANEL MANUFACTURER: 4ae0&,7_ :;�;6:51 MODEL#: 490-56. -------------------------- -TL-5 LEAK SENSOR MANUFACTURER: J a (Z-0'.)r 490-51 MODEL#(S): 'Zl)br 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a.YES El 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. in a.YES E-1 b.NO 49061 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. .YES El b.NO 49062 2.UDC CONSTRUCTION IS 01.SINGLE-WALLED El 2.DOUBLE-WALLED 490:63 IF DOUBLE WALLED: 490-648 UDC INTERSTITIAL SPAC EIS MONITORED BY: [-]-I.-LIQUID El 2.PRESSURE A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES E]b.No 490-641 VII.PERIODIC SYSTEM TESTING El 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65, ---------LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS--- CCR-§2644.1)-----—------ 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS, 490-66 [!�3.SPIMRTE_"TSARF TESTED ANNUALLY. --------------------------------- 490-67 VIII.RECORDKEEPING The following monitoring/maintenance records are kept for this facility: PU Alarm logs 490-68a []Visual Inspection Records 490-68b El Tank integrity testing results 490-68c El SIR testing results(and supporting documentation records). 490-68d E] Tank gauging results(and supporting documentation records). 490-68e F_]ATG Testing results(and supporting documentation records).490-68f [] Corrosion Protection 60-day logs 490-68g El Equipment maintenance and calibration records. 490-68h 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 490-69e El STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490-69f ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-69g E] OTHER(Specify):M69h,M69i 1A This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(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 > 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.49o-70 X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 /f- q,I- '� t,4 2,�,TA--5 5,c--T- /P7 C) 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 maintained properly. The following person(s)are responsible for perfqrming the monitoring and equipment maintenance: NAME _rP I V_J 490-72 TITLE C)UJ 4 t� 490-73 NAME 490-74 TITLE 490-75 The Designated Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator, and inform the owner/operator of any conditions that need follow-up action. XII.OWNERIOPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE 490-76 DATE: ryry 490-77 Authwized Revresentafive of O"er REPRESENUN1 G C1 ,Tank Q_"er/ r Omator 9,� J7 APPLICANT NAME(print) 490-78 APPLICANT TIL : 490-79 -THI 4 C) UPCF UST-D(12/2007)3/4