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MEMO UNIFIED PROGRAM CONSOUDATED FORM UNDERGROUNDSTORAGETANK MONITORING P - e 2 of 2 VI.UNDM DISP NS CONTAINMENT MONITORING O G add rhBt 1DC MONITORING IS pEAMRMj6 USING THE FOLLOWING MET S) 490-341. I.CONTINUOUS ELECTRONIC MONffORING Q 2.FLOAT AND CHAIN ASSEMBLY Q 3.ELECTRONIC STAND-ALONE 490.54b. Q 4.NO DISPENSERS 99 R Ai ......--- 49tM36. 1"-55 MODEL C LEAK MONITOR MANUFACTURER:xu&—r-aw tW57. MOML P(S):f iae•li�nutr 490.59 LEAK SENSOR Ot MANUFACTURER:VO490 s4. Ute DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL MS. a.YES ® b.NO TRIGGERS AUTOMATIC PUMP SHUTDOWN. CMa YES ® b.NO 4 ° LEAK.ALARM 4t FAILURE/DISCONNECTION OF UDC MONITORING;SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. e.YES ❑ b.NO UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a YES_C� b.NO 4s�2. I.SINGLE WALL ® 2.DOUBLE WALL sv 490 48. UDC CONSTRUCTION IS: . IF UB WALL: UDC INTERSTITIAL SPACE IS MONITORED BY: Q a.LIQUID [] b.PRESSURE a c.VACUUM 4 bAa. A LEAK IN THE SECONDARY CONTAINMENT OF TETE UDC TRIGGERSAUDIBLE AND VISUAL . Q a YES Q b.NO PERIODIC SYSTEM TESTING 1.ELD TOWING:THIS FACILITY HAS SEEN NOTIFIED 8Y THE STATE WA RESOURCES CONTROL BOARD TEIAT I NEIANCED 45 ES ELD MUST BE PE DIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR§2644•I 490-66 2.SE ARY CONTAIN ENTS ARE TESTED Y 3b S. 467 3.SPILL BUCKETS TESTED ANNUALLY. 490-69 The Tal g tai are fm this facility: a. LOGS [� b.VISUAL RVS N c.TAMC(NTEGRTTY TEST[xG RESULTS ❑ d.SIR TESTING RESULTS(and ng tion �) Q g•TAMC GAUGING RECTIONSULTS(and do to records) Q f.ATG}TESTINGS RESULTS( CORROSION PROTECTION AY LOGS JS h.E UIPENT MAINTENANCE AND CALIBRATION RECORDS TRAINING with UST matitormi;responsibiIII47S are ftWiar with ail of therelevant 10 their job duties: 49040%. RE CE DOCUMENTS MAINTAINED AT FACILITY::(Check add Aw OPPY 490-M THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-69c N§OpMATING MANUALS FOR ELECTRONIC MONITORING EWIPMENT(Required) aid Q CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490.69%. Q CALIFORNIA UNDERGRouNo STORAGE TANK LAW Q STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION -HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" a SWRCB PU8LK ATION:"UND TANDING AUTOMATIC TANK GAUGING S YSTEMS4ho-�o- This Wilily has a` UST 'who hasp the Calift•rrlia UST 5Operator Exam administered by the In ' al Code Council (ICC). The " i UST 'will train facility emp Ht d•e ita•and maintmwce of the UST systcm annually,and witl~in 30 days of hireThis training wiN include,b•n is not limfted to,the foTlo;virtg: Operatitm of the UST in a c•snsistea•c w the facility's ma• U practices- The fasality t "s role with re w fire monhorir�equ' in the UST Monitoring Plan. A The facility oyee's rep,�d to spills and Its specified in the f 'lily's UST Response Plan. Name(s)of Gott s)for crowsmies and monitoring alarms. Xs COMMENTSIADDITIONAL Provide additional comments here or indicate how many wilt addMORAI hffimnafiffl an specific ntonitwing procedures arc atteaed to this plan. 490-11 • UST TURBINE&FILL SUMP M G: PANEL MANUFACTURER:AdwA99L MODEL LEAK SENSOR F MODEL#(S)Ida9d• 1••°"•F sam . m AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR DOUBLE WALL T S) PANEL MANUFACTURER: t A: IN TANK PROBE MANUFACTURERYJUIMQ a' s OVERFILL PRE :FILL TUBE SHUT OFF VALVE QI'W 6I-SORT a EYR ISD Software l . PERSONNEL RESPONSISHATIES The UST is respowNc for ensuring that: 1.)the dailyhoutino UST monitoringactivities and maintenance of UST leak detection equipment covered b this tart 2)all«x•didOtts that indieate a possible release are in 3.)all monilorial records are maintained pMriy. _-- ---_----.._. THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND UIPMENT MA CE: NAME490-72.492. TITLE-Matt ' 440-?3 NAME: 474 TITLE: t na r. i , 1. AT 490-75 The Des4aated UST Operator shall perform a monthly visual inspection of the 6cility,provide a to the ownafoperator,and inform the tress or Of any conditions that need fdllmw�W action. XII. U OP TUR (G'NA►T ZERTIFICA'TION:I certify that the information Provided herein is true and accurate to the bast of m knowledge. 1PPL7 SIGNATURE DATE: a�r'. 2 F s. �� AW76 Ol/Z 010 1.T APPLICANT N (print): APPLICANT TITLE: ®9u Chevron Products Co./JIM HARMAN Chevron Retail HES Permit Desk — 04-7—aMW ire a aad Appmedig Apprundr Cr ttioaa0 n Sisnetum:, poi'