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UNIFIED PROGRAM CONSOLIDATED FOMW UNDERGROUND STORAGE TANK MONITORING PLA N-(Pae 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN ] 2.CHANGE OF INFORMATION 490-1 PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- I. kACILITY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME) kylxe, . 3. BUSINESS SITE ADDRESS k4S�;- Al. Cla A/ 103. CITY �.® ® 104. H.EQUIPMENTTESTING 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. X23 CCR 2266322634,2638,26411 MONITORING EQUIPMENT IS SERVICED_- 1.ANNUALLY ❑ 99.OTHERS 1 490-30- ( I��)� 490.3b M.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)a90-4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM490-6 ----------- - - ------------ ---- -- _ -----490-7. --------------------------------------------------------------'------496-8- PANEL MANUFACTURER: --{-MODEL#:-----------S® - -- - - -- --- - LEAK SENSOR MANUFACTURER: 490-9. 1MODEL#(S}: ® 490-10 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL#: 490-13 ----------- - -------------------------- ------------------------------------------------------------------------------- ---- IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): ----490-1s --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- LEAK TEST FREQUENCY: E] a.CONTINUOUS ❑ b.DAILY/I�IIGHTLY ❑ c.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): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS El b.60 HOURS 4 22 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: E3a.ANNUALLY Elb.BIENNIALLY [:1c.OTHER490.25 (S i fY)� ago-zs El99.OTHER (Specify): 490-26 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Cheek all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.28 SUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: 50a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 PANEL MANUFACTURER: -- 490.30 MODEL#:Ir/- 490-31 490.32 ------------------ 490.33 _ LEAK SENSOR MANUFACTURER: _a® _ - - -]-MODEL#(S)_ 2 OF - - PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YES ❑b.NO 490-34 FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. M a.YES ❑b.NO 490-35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF -- PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR26§ 36) _ __ -_ 490-36 MLLD MANUFACTURER(S): 490-37 MODEL#(S): L I ?- 90.38 ❑ 3.ELECTRONIC LINE LEAK-DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g,p.h.LEAK TESTS (23 CCR§2636) 490-39 ----- --- ------------- ------- -------------------------------------------------------------------------------------- ELLD MANUFACTURER(S) 40 ! MODEL#(S): 490 41 ------------- ------ -- ----------- - ---------------------------------------------------- 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. ❑a.YES ❑b.NO 490-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49044 ❑ 4.PIPE INTEGRITY TESTING 49045 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 4904649047 ❑ 5.VISUAL PIPE MONITORING. 49048 FREQUENCY El a.DAILY F1 b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490-49 'Allowed for momtming of unburied emergency enemtor fuel in ipiwngonly HSC§25281.5(b)(3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(a)(3)]. 490-50 ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 El99.OTHER(Specify) 490-52 490-53 UPCF UST-D(12/2007)1/4