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IWLWWMD PROGRAM CONSOLIDATED FOAW <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-544 <br /> 490-54b <br /> 1.CONTINUOUS ELECTRONIC MONITORING Fl 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> ❑4.NO DISPENSERS C199.OTHER(Specify): <br /> PANEL MANUFACTURER: a P t 490 55 MODEL#: 2-01, 490-56. <br /> LEAK SENSOR MANUFACTURER: ago 57MODEL#(S): 490-58 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS E] a.YES C1 b.NO 490-59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ­E] a.YES 0 b.NO 490-60. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. _E1 a.YES [I b.NO 490-61 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. -"El a.YES [:]b.NO 490-62 <br /> 2.UDC CONSTRUCTION IS"-E]1.SINGLE-WALLED [3 2.DOUBLE-WALLED 490-63 <br /> IF DOUBLE WALLED:LED: 490-64a <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: F1 I.LIQUID [12.PRESSURE 0 3.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS [I a.YES [1 b.NO 490-64b <br /> V11.PERIODIC SYSTEM TESTING <br /> El 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. <br /> — LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 CCR§2644.1) .......... <br /> 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 <br /> 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67 <br /> VIII.RECORDKEEPING <br /> The following monitoring/maintenance records are kept for this facility: <br /> Alarm logs 49o-688 F-1 Visual Inspection Records 490-68b El Tank integrity testing results 490-68c <br /> SIR testing results(and supporting documentation records). 49o-68d ❑ Tank gauging results(and supporting documentation records). 49o-68e <br /> ❑ATG Testing results(and supporting documentation records).49o-68f ❑ Corrosion Protection 60-day logs 49o-68g <br /> Equipment maintenance and calibration records. 490-68h <br /> IX.TRAINING <br /> Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)49o-69b <br /> OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-69e <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49o-69d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"490-69e <br /> ❑ SWRCB:PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49o-69g <br /> ❑ OTHER(Specify):N%gk m69i <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This <br /> training will include,but is not limited to,the following: <br /> • Operation of the UST systems in a manner consistent with the facility's best management practices <br /> • The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan <br /> • The facility employee's role with regard to spills and overfills as specified in the UST Response Plan <br /> • Names of contact person(s)for emergencies and monitoring alarms.490-70 <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 <br /> -rA ak o vee Row A-c re e"E CA-M A"C.,L( -06 4. S&%V t, 04 4*T" a'.P ro 9r0/® <br /> XI.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that: 1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. <br /> The following person(s)are responsible for performing the monitoring and equipment maintenance <br /> .NAME Z-apkex d5ie 70 490-72 TITLE 490-73 <br /> NAME $rsFC- AZEMEoo 490-74 TITLE 490-75 <br /> The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator, and inform the owner/operator of any <br /> conditions that need follow-up action. <br /> XII.OWNER/OPERATOR SIGNATURE <br /> CER'T'IFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> AP LIZC 1ATUFzfi 490-76 DATE: 490-77 <br /> 7® ( ?L <br /> REPRES2 D-cility 3.Authorized Reffmeo&Uye ofQ�= <br /> APPLICANT NAME(print): 490-78 APPLICANT TITLE: 490-79 <br /> 12,F9-r.4 C> C__ <br /> UPCF UST-D(12/2007)314 <br />