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UNIFIZ13 PF=RAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-(Pmw 2 n(2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING flu d OPP IN) UDC MONITORING IS PERK)RMED USING'114E FOLLOWING METHOD(S) 1,CONTINUOUS ELECTRONIC MONITORING 0 2.FLOAT AND CHAIN ASSEMBLY Q 3.ELL-CrRONIC STAND-ALONE 4M-54& 4,NO DISPENSERS ❑ TL27 LEAK MONITOR MANUFACTURER:Ye er-Roo MODEL T LS.40 iiiii I'll, 490-M. LEAK SENSOR MANUFACTURER:Veeder-Root 490-17- MODEL f($): DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. a.YES L] b.NO 490.59. UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES [3 b,NO 40-- FAI IUREfDISCONNECMON OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 2.YES 0 b.NO 4041, UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a.YES 0 b,NO 49642, UDC CONSTRUCTION IS: f81 1,SINGLE WALL 2.DOUBLE WALL 490-0. IF DOUBLE HA": 490-64L UDC INTERSTITIAL SPACE IS MONITORED BY; LIQUID 0 b-PRESSURE p c.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. a,YES 0 b.NO 490'00, VII. PERIODIC SYSTEM TESTING 1.ELD TESTING- THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT EHHANM 490-65. AICD N MUST BE,PERFORM Ii. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS MQUIRED.123 ccR wt4.n 490-66. 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 3.SPILL BUCKETS ARE TFSTFD ANNUALLY. VIII. RECORD KEEPING 'rim following monitoring/maintenance records am kept for this facility: §§ &ALARM LOGS 0 b.VISUAL TNSPFCTION RECORDS E3 c.TANK.INTEGRITY TESTING RESULTS E] (L SIR TESTING RESULTS(and supporting documentation records) ❑ a.TANK GAUGING RESULTS(and supporting documentation records) [] f ATO TESTING RESULTS(and supporting documentation records) ❑ e:.CORROSION PROTECTION 60-DAY LOGS h.g2UIPMENTMAIN'tUNANCH AND CALIBRATION RECORDS IX TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their Job duties: 4904%. REFERENCE DOCUMENTS MAINTAINED NJ-FACILITY(Check aU OW apply) l@ THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-M 0 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 4904%. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490444, ❑ CALIFORNIA UNDSKOROUND STORAGE TANK LAW 490490 ❑ STATE WATER RE-SOURCES CONTROL BOARD (SWRCB) PUBLICATION, "HANDBOOK FOR TANK OWNERS - MANUAL AND 490.(K STATISTICAL INVENTORY RECONCILIATION" El SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" W-69s. -0-Tt-bi5 facility has a"DesipudW UST Operator"who has passed the California UST Syston OpovtorExam administered by the international Code Council 490-70. (ICC), The -Designated UST Operate will train&cility employees in the proper operation and mairdwence of Ow UST system annually,and within 30 dan. of him,This training will incluAr,but is not limier to,the following: )o Operation of the UST systems in a mannar consistent with the facility's best managanent practices. • The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. • The lbeility employee's role with regard to spills and ovafills as specified in the Facility's USTPcsporm Plan. )1- Nama(s)of contact person(s)for anaSmolas and monitoring alarins. X COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring prooedtffm are attached to this plan. 490-71. • 11KI-11111BINK&FILL HUMP MONITORING: PANEL MANUFAC-MR11-1t: Ve4der4w mopm.n&w LEAK SENSOR MANUFACTURER--YAgiff.-A21i MODEL#(S):1jaidd Seww Splig 79438tl-200- • AIJ'ft)MATICTANY GAUCIM(Alrt)qyq7rpmtj$FDToMONITOR mijni,R WALL TANKS) PANEL MANUFACIUM! YMjg&ftM MODEL N; n.461aIN-TANK PROV11 MANUFACTUREFYSaftrjMODEL 0:bj4fiA OvuRFiLL PREV13NTION MMMD;FILL rulsr SHUT OFF VALVE=61-ALU 0 2Q N1. PERSONNIEL RESPONSIBILITIES The UST Owner to is responsible for ensuring do: 1.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by La.1 an 02!�#tiow that 4 pmiblt rolowe We!t� Iwi � invcAii;2!xA and 3.)all monitoring records are maintained THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: 490-72. 490-73. NAME: 490,74. TITLE:Asst Manager 490-75. The Designated UST Operator shall perform a monthly vim[11n;;;tMon of Lha facility,provide a report to the ownufteraw,and inibm ft ownedoperidor of any oun4itions that need Mllo=M action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION:I cwdfy that the Information provided herein is true and accurate to the but of my knowledge. APPLICANT SIGNATURE qxjmq)x9V779nz. DATE?: 490-77. REPRESENTM,.13 1,Tok ZrDr U 3.AWWdvad ftpm.6wdOwnw- 490-76, 01113/2009 APPLICANT NAME(print): 490-78. APPLICANT I=: 490.79. Chevron Products CoJ FRED MARTINEZ Chevron Retaff HIES Permit Desk MO-9--dy) "is Perm hft bma rwvkved ands Appy o ApprbvW whb Cdhi.= VWW-WE1 LTO M Vx11DV 0(l2IV11219 ZC90 ZZS 9Z6 XVa CV:ZT 6009/ZZ/ZO