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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- Pae I of 2) TYPE OF ACTION ' Q.NEW PLAN 2.CHANGE OF INFORMATION 490.1 PLAN TYPE ❑ I.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. ( 490.2 (Check one item only) A 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) C�►�,�i f `��lfr�C' e I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) I I I - I I - 1 BUSINESS NAME(Same as FACILITY NAME) �Ijnt Inc 3. BUSINESS SITE ADDRESS (� FjUnk �.-� 103'CC�Clf CITY �� 104. H.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR 2632 2634,2638 2641 MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY C] 99.OTHER(Specify): 44y900.;b III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN., SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 4�5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: aa.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 49" PANEL MANUFACTURER: 49D x' MODEL#: 4908 LEAK SENSOR MANUFACTURER: 4909' MODEL#(S): 49010 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKISI.(23 CCR§2643) 490.11 PANEL MANUFACTURER: 490.12' MODEL#: 49013 IN-TANK PROBE MANUFACTURER: 490-14' MODEL#(S): 49015 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ a WEEKLY 490.16 ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 490.18 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 49019 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.20 C] 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: F_] a.36 HOURS ❑ b.60 HOURS 4990.22 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490.23 490-24 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25 490.26 ❑ 99.OTHER(Specify): 490.27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 49028 `VIS AL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 0.90 z9 X. PANEL MANUFACTURER 490;0 MODEL#: 490-31 LEAK SENSOR MANUFACTURER: 49032 1 MODEL#(S): 49033 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. �R a.YES ❑b.NO 490"34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 21�1 YES ❑b.NO 49035 2.MECHANICAL LINE LEAK DETECTOR(MILD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 263 490.36 MLLD MANUFACTURER(S): 490.37 MODEL#(S): 49038 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 49039 ELLD MANUFACTURERS) 4900' MODEL#(S): ( 49041 PROGRAMMED IN LINE LEAK TEST: 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. Aa.YES ❑b.NO 49043 ELLD FAILUREMISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES ❑b.NO 49044 4.PIPE INTEGRITY TESTING 49o4s TEST FRE UENCY Q a.ANNUALLY C1 b.EVERY 3 YEARS 0 c.OTHER S eci 490.46 49047 5.VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049 •Allowed for moni"ag of unbuded emagency genenuor fuel piping only per HSC§Z5281.5(b3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490-50 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 ❑ 99.OTHER(Specify) 4 s2 UPCF UST-D(1212007)1/4 4