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0 <br /> Feb 21 11 10s24s Elite IV Contactors 1209460342 P• 1 <br /> UNIFiEO PItOGRAdI CONSOLIDATED FORM <br /> UNDERG"UND SWRAGB TANK <br /> MONITORMG PLAN ~240) <br /> VL IU-NMR DISPgdt13ER CONTAD�iMENT MOR17 1RL�iG ansa <br /> 1. UDC alWff*RING IS PERFORMED USING THE FOLLOWING NETIiOD <br /> ❑ 1.CONTDAMUS ELECTRONIC MMITORiNG *2 FLOATAND CKAIN ASS WELY 0 3. -)WC STAND-ALONE <br /> 4-NO DtSP>7'l5Fi5OTHERif <br /> PANEL ~UFAC iURER: —_- <br /> +W , <br /> LEAK38WOR MANUFACTURER- a Y Q R NO <br /> oerWTION OF A LEAK LNTO THE UDC TRIGOBRS XU—MLE AND VISUAL AL.ARM3 a a Y6S Q h a>�a <br /> UDC LEAK ALARM TRLGGERS AUTOMATIC PUMP SHW OWN r <br /> NO <br /> FAILURE/D{BCONimscrm OE UDC MONTMRiNG SYSTE=M TRJ(1OERS AU FOMATiC PUMA skuT UWN. ❑a.vm Q h SIO <br /> UDC MOMTfORING STOPS THE FLOW OF PRODUCT AT THE WPENSER. L3 a YES Q N.NO awl <br /> 2.LDCCONSTRUCnQM 15 Uri.siMoL.E'wALLev ❑2.D0mLE wALLeD a,a� <br /> It DOUBLE WALLeDt <br /> L,'DC INTERS[171AL SPACt3 IS MONITOREA BY: ❑i.1,IQUID ❑ PRESSM E33.VACUUM r» <br /> A LEAK WfTKX TM SIXONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISI A -ALAMS ❑a.YFS ❑b.NO <br /> va PBRIODTC SYsTm TEsru+tG <br /> 1. EIA TKSTING:TM FACLLiTY HAS Nt7TIE7FA BY THE STATE WA-FER 6 `n TLIKC N <br /> I4T BE PGRFORMED. PMODIC FLD M P_ERFORMrLD F VERY 36 I�w yrs:►s TREO.f.►��t:R a a.t) <br /> 2 S7 COKDA1tVCOff7'AIWNFIYT COMMMEMARE I T'LRD EVMY36611MI FiS� <br /> 8I1CKMARE TESTBD AI►NLiALLY. - aroaa <br /> VDI.Rgt'psm1cmFING _The laftwint mime mm*arc Dept this fhd : <br /> Apra Lop a+aor VisAal laspatIt s RoaoMs aaeiar ❑teat ittlepity blots tssuhs aymr d ntnent+tinn t,carda) ataar. <br /> SlRtestdbtasd QTdicpetie�rcattlts(ardauppertin6 <br /> ATG Taring recces toad saPOaosta teoord:l aaoaw U Cetrfoaimn praamtiwt 6L1 day IDLs+x►N <br /> 6tpupmea nohow=cad a99tmoa neeotds 4040 <br /> � IIG TBAL-`ilNc _ <br /> Ptasoand waM uss atsnitarial reaporta,ttfiitia�ee famitiiar wHt dt of dal falla.was dxuroerae rclavaoi m the ir: t Maio cart®. <br /> FERkICE DOCUb15MS MAI[ltAiNED AT FACILtIYtChai:ati thotappy) <br /> THIS F-=GROiMD 51 ORA08 TANK MONTI ORI1t1fI PLAN(Rogtthnd)+ee m► <br /> OPERATING MANUALS FOA E1.EGTRON,C htONt1'ORtNlO P.t2UIPMF.t�rl'tRergm,rod)areae <br /> CALIFOIL'VIA t,NDERfiROUN])SIDRAGETANK RE(iT11AtgNSanr�t <br /> CALIFORNIA 111A�ERGROUND J"[>,RAGL•TANK LAW arp4es <br /> [] STATE WATER RE40URCFS COMROL BOARD tSWRCB)P,IBLICATiO!t "t;ANDB00K L'7t TANK OVA'NERS - btANUA4 AND <br /> STATISTICAL INVENTORY asoarx <br /> ❑3WKS P()BLICATKINI:'UNOFRSTANMO AUTOMATIC TANK GAUGING SYSTF.MW+at-ts <br /> IQ OTHM(speaij)him thew: <br /> Re3ity a'Daitnaled L Operator"tUto bm the m UST*a t- l3cam tvlm is bg dm tataaauemt C (ICC) <br /> Dns4pocd UST Oporum"will Irmo fatuity anployaa ad*props optaatloa and at�taamoe or the UST ams armwlly,and widtip 30days of hlue.This <br /> uumift VAR include,be is cot li akw to.lira fdlemilmg- <br /> Operatlatt of die UST sysaerra in a rtwrater ar�wt sMh ter bality's tt�et? peae6am <br /> L: The&aW asaployae's mic ride mord to#w omilor ftaWyrntm!w apta:tfted c rids UST MoMW ft Pa <br /> i The Lbt Wcffployeds roc w uh mpW io oft cad svraf IB M ap W601 iw the UST Rclim s Rea <br /> D Noma of eeaoet ptaussta)tar enetaeneies and moatkntrts <br /> X COWffiUNTS/ADDfrMXXAL.WTORMATTt2 <br /> Provide aeWdaael aommmp harm how many pagts welt additional oa serAet�pir »dwm urc oro/e�hed ro 00 pian.+va» <br /> r` m C 6 <br /> ' l l (t <br /> Tin UST O%jWjOpsstor is sespa»ibk for cmai%tiwrl)tht;ddlyhmtiec t.'ST aaaon t activities cad msinmt rue of UST leak dcu,nioaequilXn at msvaed by <br /> thw plea geana.2)as aotWWams fiat wAoicaw s posWk nkase are hmmktaed-Mad 3)&U nw&kwmg remolds ar:a iMsiKW ytmperly. <br /> 11th folatm ret pufanviat the mmwatrir g and egA':---mte aw*» <br /> NAME amm TITLE iw'r �uWs <br /> NAME t� a�w 'E <br /> The De4mttod Operator&ball p"Ib m a mmft%t"bupeaios of lte facility,provide o rapmrt to the rrperamr,sed Wjurm theowmer/operator of say <br /> cund uclus teal scrod ro6ttw'4 calms. <br /> )m OWNOL OPERATOR SIGNATURE <br /> CER7TFICATION:(aero the' ba bad hadn is due and atew%e to the bat of n) utow aw r <br /> APPI.t ay<►n �� <br /> cX119k2.0 !� <br /> JWAUMM <br /> APPLICANT NAME(Fist)' wets APPLICANT 717 E + a <br /> UPCR UST-D(iVM7)3r4 <br /> T'd :W083 ti9T:TT TT02--T2-834 <br />