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LINNIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONrrO G PLAN—(Pag 2 of 2) <br /> :... ............•.....:. :...:: :. ...,.......... :.•...:...:•:.. <br /> DIF S :,CONT TQ G..': : ::`:; r4karr. <br /> leT .......•.....:::...._+ ::...:.......:....: .... .... <br /> .. ... .. . rhar' )' <br /> we MONITORING IS PERFORMED USING THE FOLLOW ING METHOD(S) <br /> 1.CONTINUOUS EI.F4-TRON1C MONTfORiNG ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490.54 <br /> 4 .._... 99.OTHER. S i ) _Ggo.3s:........M.. O.: . �._....... .490-540 <br /> .NO.UESSEERS D...E.L.._s_:_ 490-56 <br /> LEAK MNtAGIUR:V er- t <br /> LEAK SENSOR MANUFAC."TURER:V er-B.00t W047 MODEL{E(S):Liaut�Sengor series 7 490.59. <br /> DETECTION OF A 1.F.AK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. a.Yt+S ❑ b.NO 490"9 <br /> UDC LEAD ALARM TRIGGERS AUTOMATIC PUMPS WN. a YES ❑ b.NO 494-[ <br /> rAILURIJDES CTION OF IIUC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHE.TDOWN. ® a.YES ❑ b.NO 494-61. <br /> UDC MONITORING STOPS THE FLOW QF PRODUCT AT THR DISPENSER _ OIL yES [3b.NO 4904a <br /> UDC CONSTRUUNON'IS: 1.SINGLE WALL ❑ 2.DOUBLE WALL 4NZ. <br /> fi DOUBLE WAid:: 4'44-64a <br /> ! IX INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURF. ❑ c.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE U(7G'I'RIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a YES ❑ b.NO ¢ <br /> I.ELD TESTING: THIS FACILITY ETAS BEEN NOTIFIBB BY TUE.STATE WATER RUSOURCES CONTROL BOARD THAT F.NHANCI D 490163 <br /> LEAK OF.TE ON(ELD)MUST RF PF'RFORMED. PERIODIC E'Ll)IS PERFORMED EVERY 36 MONTHS AS EtEQUME-D.rz3 ccR$z644.Ii <br /> ❑ 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVk.RY 361MONTIIS. 40.66. <br /> ® 3.SPILL SUCKPTS ARE TESTED ANNUALI,M. 4D�' <br /> KEE-P <br /> g <br /> The followtn muni :.::.:....... .....,....:ds a ...:...t far:this: : <br /> tnringlartairhtenattce records are kept far this facility: . . . ,... 494.60-. <br /> a ALARM LOGS ❑ b.VISUAL INSPECTION RECORI"1S ❑ c.TANK INTBGRFI'Y TFSTING RESULTS <br /> ❑ d.SIR TI.s*nNG RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) <br /> ❑ f.ATG TESTING RE.SUI;r$(and supporting documcnualom records) ❑ g.CORROSION PROTECTION 60 DAY LOGS <br /> (� b.EQIJIPMENT MAINTENANCE AND CALIBRATION RECORDS <br /> Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their jab duties: 49WA <br /> REFERENUH DOCUMENTS MAINTAINFD A'I'FACILITYu(Check ad that apply) <br /> ® nJIS UNDERGROUND S'T'ORAGE TANK MONITORING PLAN(Required) 4 <br /> ® UPERATING MANUALS FOR,FI.>°=110NIC MONITORING PQU (Required) 490-69c. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 4W4 <br /> ❑ CAI,II:ORNIA UNDERGROUND S'T'ORAGE TANK LAW 49LLye' <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "IiANDBOOK FOR TANK OWNERS MANUAL AND 4%1,69r <br /> STATISTICAL INVENTORY RECONCILIATION' <br /> ❑ SWRCB PLIRLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYS 440 1' <br /> ® This facility has—a"Designated UST who has passed the California UST System Operatar Exam administered by the International Code(;o uncil 470 <br /> (1CC). The "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 <br /> days of hire.This training will include,but is not limited to,the following: <br /> i Operation of the t IS'f systems in a manner consistent.with the facility's best management Practices. <br /> ➢ '17he facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. <br /> Y The facility employee's rale with regard to spilLs and overfills as specified in the facility's UST Response Plan. <br /> Y Name(s)of oontact (s)for emergencies and monitoring alarms. <br /> INFORMAT <br /> Provide additional comm e11 nts.here or indicate how many pages with additional information on specific monitoring procedure;are attached to this plan. 4`n41 <br /> • UST TUR1stNE.e RILL SUMP MONITORING! PANEL MANUrACr(IRER: Veeder Aeri MODE 1.TI 5 50 <br /> LIiAK.SENSOR MANUFACTURER Ventle:r.Roat MODEL#(S);lJouid Unsorggdcs2LA <br /> • AUTOMATIC TANK GAUGINCr(ATG)SYSTEM USED TO MONITOR DOUBLE WALL.TAN K(S) <br /> PANEL MANIUFACTURER; yenrer--Root MODEL#: 11-3,050 050 IN-TANK PROBE MANUFAC'rUIZER Veeder-Root MODEL#; MAC'II <br /> • OVERFiLI,PREVENTIONNIETHOD:FILATURE SHUTOFF VALVE QPW 7190 <br /> EVR ISD Software Instalbe <br /> :.:..:: :.::.::':::::.::.:::::':::i'•:::':.::'.: -ERSON <br /> The UST Owner! castor is responsible ' :•� �•: • ..''•'E�;• SPQ � .. <br /> OP p for ensuring that:1.)the dailyhoutmO UST monitoring'activities and maintenance of UST Icak detection equipment oovercd <br /> by this•plan occurs;2,)all.conditions that indicate a possible release are investigated;and 3,).4!monitoring remords arc maintained erly. <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR pl-,ppoRMING THE MONI'1'OkING AND LQUUMENT MAINTENANCE: <br /> NAME: 490-70-. TITLE:Manager.Donna Wallis 4`'c-72 <br /> NAME: 4 -74. TITLE: 475 <br /> The Designated UST Operator shall perform a monthly visual inspection of the facility,Provide a report to the owner/operator,and inform the owncr/operator of any <br /> conditions that need follow-up action. <br /> .... ..:..... .:.•.. .,•.......:.......... WE777- <br /> T•itJ •SI�NAT• ....:. :;:::.. . <br /> CERTMCATION:I certify that the information provided herein is true and aeeurate to the best of my knowledge. <br /> APPLICANT SIGNATURE DATE: 440-77. <br /> t:ttgfiNrlldG:l�1.1` 0 r4r❑�.PociliryoemalO�r.1or p�A,ulaixeaaerew�lativeoPO�vner 4 -76. '1-19-2`012 <br /> APPLICANT NAME,(print): 479 APPLICANT TITLE: a9o-7a' <br /> Chevron Products CoJ Jim Hartman Chevron Retafl HES Permit Desk <br /> (Aff-7 DxN This Form has , evietr nein: APPmVed roved wle� a ihn rA P1`tavai❑ <br /> hear Agency Signature:• •. ) <br /> T00[21 AXVdKOO SlDaaOIld 90HASH3 0999ZV99Z6 XVd 1;C:5T ZTDZ/6TrtO <br />