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PROCRAM CONSOLEDATED FO WE UNDERGROUND STORAGE TANK MONUOMG PLAN — (Pace 2 of VL U"Elk DISPENSER Q UDC ZNITORIN0 15 PERFORMED USING THE FOLLOWING METHOD(S) a--1CONTINUOUS ELECTRONIC MONITORING 0 2, FLOAT AND CHAIN ASSEMBTy L3 3. ELECTRONIC STAND-ALONE 4. NO DISPENSERS 099. OTMK 'S ify) 4"-SAb. LEAK MONITOR MANUFACTURER; J01 tw 15 0 ;?s 490-5.' 5. MODEL 0: AMSC?, LEAK SENSOR MANUFACTURER: 4W57. MODEL #(S); 4M.58. DETECTION OF A LEAK INTO IME UW TRIGGERS AUDIBLE AND VISUAL ALARMS. YES [J b. No M-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN, IJ IL YES 0 b. NO '90-60- FAILURIVOTSCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 a. YES EJ b. No OMI, VDC MONITORING STOPS THE FLOW OF PRODUCT AT TM DISPENSER. ❑ a, YES [3 b. NO 490-c- UDC CONSTRUCTION IS: ❑ 1, SINGLE WALL DOUBLE WALL 4", IF 2MME WALL: UDC INTERSTITIAL SPACE is MONITORED BY: LIQUID PRESSURE ❑ c. VACUUM M-W. A LEAK WTTMN THE SECONDARY CONTAINMENT OF THE LTDC TRIGGERS AUDIBLE AND VISUAL ALARMS,.g p. YES ❑ h, NO OM4. VII. TtRIODIC SYMM TEST' G'. ❑ I. ELD TESTING: T141S FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. [ON L=— (RD EAK 2L MUST BE PERFORMED, PERIODIC ELO IS PERFORMED EVERY 36 MONTHS AS MOUIRED. ps ccRaw.ii ... _I 2. SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS, 490-0. 3, SPILL BUCKETS ARE TESTED ANNUALLY, 4W,7, M.'RECORD KEEPING' —Zwords The following rnonito,,W—micnrance sic kept for this facility: 49MI. L ALARM LOGS Ll b, VISUAL INSPECTION RECORDS C3 c. TAMC INTEGRITY TESTING RESULTS ❑ d. SIR TESTING RESULTS (and supporting documentation records) ❑ c. TANK GAUGING RESULTS (and supporting documentation records) ❑ rATG TESTING RESULTS (AM supporting documentation Tccords) ❑ g. CORROSION PROTECTION 60-DAY LOGS h. EQ I!ILMENT MAINTENANCE AND CALIBRATION RECORDS IX TgAY14MG Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: REFERENCE DOCUMENTS MAINTAINED AT FACIIJTY (Check all that apply) 0 TFUS UNDERGROUND STORAGE TANK moNrromd PLAN (Required) 49M9b. 0 OPERATING MANUALS FOR ELECTRONIC moNrroRTNG EQUIPMENT (Required) 490.0c, OCALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-60d, 11 CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-M. [3 STATE WATER RESOURCES CONTROL BOARD (SWRC13) PUBLICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND 490-64x. STATISTICAL INVENTORY RECONCILIATION- ❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-M& OOTHER (Specify): 4"-Oh. This facility has a "Designated UST Operator" who has passed the California UST System Operator Exam administered by the International Code Council 49M9i. 49.0-70. (FCC). The "Designatcd UST Operator" will train facility employees in the proW operation and maintenance of the UST systems annually, and within 30 days of hire, This training will include, but is not limited to, the following: > Operation of the UST systems in a manner consistent with the facility's hest management practices, > The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan, )0- The facility employee's rolcv*b regard to spills and overfills as specified in the facility's UST Response Plan. > Name($) of contact person(s) for emergencies and monitoring alarms. -COM MZNTS/ADDff10XALEW0RM• Arn0N-. Provide additional comments here or indicate how many Pages with additional information on specific monitoring procedures are attached to this plan, 46F7-1 M. SONML 'PEP RE The UO Owner/Operator is responsible for ensuring thtt 1,) the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered b.this plan nccuo.%1) all conditions that indicate ssible relesse arc invt!qpLcd and 3,,) all monitoring records are maintained-pro�eri +. - THE FOLLOW PE LSON(S) RESPON318LE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE; NAME: 49o,72. TITLE: 4M73, NAME:14 440.74, TITL13: 4-A4011 7 IZA,*K- 400-75. The Designated UST Operator shalt 'performt a monthly visual inspection of the fadlit)4 provide a report to the owner/operator, and inform the owner/operatDr of any conditions that need follow ov action. XU PERATOR. . OWNER/0 S11UNA-Ir M.- CERTIFIEXT'lom I cerft that the infot matloln rovided herein is true and 20cmte to the best of Ty knowlet —ge.-- APPLICANT SIGNATURE DATE: 49.", Cl 1, TA"k 2-w-m-T—x)9!MW— 0-2. —Pndlltv 0 NAME (print): 4.78. APPLICANT TITLE; 4'9'79. tJrete U5T-V(TZ/M7)-3N www-unidbesorg