Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
11/13/2009 09:36 209887340 KAREN ARNAIZ PAGE 06109 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND S'TORAGE'TAW <br /> MONITORING PLAN (Page 3 of 2) <br /> VL UNaER DISPENSER CONTA�1'f MOORING <br /> 4so.s4a <br /> 1. UDC MONrr(m lG IS PRRFORMED USiNG THE FOLLOWING METHOD 49WA <br /> ❑ 1,CONrpWOUS ELECTRONIC MONITORING Ok2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> Q 4.NO DISPENSERS 1399-OTHM(SENTY1, 441156. <br /> PANEL MANUFACTURER ° k.10DEL A: -- <br /> 490a7 IrIOD13, 494ei <br /> LEAK SENSOR mANUFACCURER: V 490.99 <br /> DE fECTION OF A LEAK INTO THE UAC TRIGQBRS AUDIBLE AND VISUAL ALARMS ❑ a YkrS b.NO <br /> UDC LEAK ALARM TRIOGERS AUTOMATIC PUMP SHUTDOWN © a YES b.NO 49660. <br /> FAILURE/DISCONNECTION OF UAC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES b.NO 490b1 <br /> UAC MONf I'OMG STOPS TIM FLOW OF PROAUCT AT THE DISPENSER. a.1CB5 b.NO 49%,9 <br /> 4roa3 <br /> L UDC CONSTRUCTION i31.SINGIJ&WALLED Q 2.DOUBLE-WALLED <br /> a9od4: <br /> IF DOUBi.E WALUX). <br /> UDC IdT6RST117AL SPACES MONITORED BY: 1,LIQUID 2.PRESSURE 3.VACUUM 49B."b <br /> A LEAK WITIAN THE SECONDARY CONTAINMENT OF TUB UDC TRIGGERS,AtMMLE AND VISUAL ALARMS i]a.YES Q b.NO <br /> VII.rRW()bIC'Syft, i TEffWG . . <br /> 1.Ei.D iE317NG-THIS FACILITY HAS SEEN NOTIFIED BY TBE STATE WATER RESOURLtS CONTROL BOARD THAT <br /> MUST BE PERFORMED. pt; ODIC ELD LT PERFORMED EVERY 36 MONTHS AS MUIRED. 23 CCR 644.1 <br /> 4W,6 <br /> 2_SECONDARY CONA'Ar4MENT COMPONLNTS ARE TESTI T EVERY 36 MONTM <br /> 3.SPILL.BUCEI-M ARE TESTED AMWALLY. 49 <br /> VIII:RE+UO)IiDTPI1�iG <br /> The following raonitoning!=Vatug <br /> trleords aze kept far this fhCility: <br /> Alarm lop ago 69■ gpection Records M-0b Tsmk mtegttY testng r%Wts 4904k <br /> SIR testing rwattri(anddocumentation records). A966ea Tank gaugmg results(mid suppoRtttg doctmtenashan[+eC01d9). 4WM <br /> ATG Testing results(and supporting documentation records).49040 Cotronon Protection 60-day log 4*108 <br /> Egmpn M roaadeneoca mrd CWlbnMn recordS. 49o-6at <br /> IX.TRAi MC .. <br /> persotaW with UST tnouawring responsibilities are familisrwfth all ofthe iblk wing doamma relevant to their job duties. 490.6% <br /> ItENCE DOCUMENTS MAINTAINED AT FACH Y(Check all that apply) <br /> THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Requited)4wm <br /> OpnATING MANUALS FOR ELECTRONIC MONII'ORM EQUIPMENT(Regatre049e.a9c <br /> CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS A9o4 W <br /> CALIFORNIA UNDERGROUND STORAGE TANK LAW 4%4% <br /> STATE WATER RESOURCES CONTROL. BOARD (SWRCB) PUBLICATION- "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"ego-696 <br /> SWRC O PUBLICATION:"UNDERSTANDING AUTOMATiC TANK GAUGING SYSTEMS"4m6gs <br /> OTHER(Specify):1"Im r." <br /> This facility hes a-Desigizated UST Operas 'Who has passed the Catitbmia UST Symm Operator 17tatn administered by the Inter-banal Code Council(1C4 <br /> The"DOWMd UST Operator"will train;facility employeas in the proper operation Md Maintenance of the UST systems annually,and within 30 day9 of hire.This <br /> uaining will include,bur is not limited to,the following: <br /> )o- Operation of tba UST systems in a manner coamsaeut with the faalitY's best m1R009=911t I <br /> > The fare*employee's role with regard to the moatto Ing egwp n mt as spedfled in this UST Irlooimrft Pim► <br /> A The ftaft tity employee's role with regard to splis and ovetfills as Rped6ed in circ UST Response Plan <br /> > Names of coma pe rwn(s)fot emergencies and manhonng ala0ms.44470 <br /> X:• CQ TSZAbDT OIYAL 00.61WATIOPI <br /> Prv„i4e additioaai oomma"here or indicate how many pager with additional mfornration on specific mordtrring proaedru'e!:wa attached m this plan.49&71 <br /> XL PERSOMgM RESMWffl BIIdTM. <br /> The UST Owrv/Opereaor©responsible for enuring tlmt 1)the dailyhoatine UST monitoring activities and rmaintepanas of UST leak detection equipment covered by <br /> this plan occtus,2)an conditions than indite a possible release are investigated,and 3)all mmnitoting t+ocords tare mined PmPerly. <br /> The fbuowing pasar(s)aro responsible for performing the moaitodds and equipment maitea - <br /> NAW 496w7Z TITLE 44b-73 <br /> NAM 490-74 TTTIZ 490..75 <br /> Tine Operator shill pMurtn a momdbr visaal 105pec600 of the Paality,Provide a report m the ownedopetatae,and inform an owner/operatar of any <br /> imditioos Ihtt treed fotbw-iq a�tiaa <br /> XII.OWNER/enRATOR SIGNATUM <br /> CEKI'II'ICATION:I certify that the W%n lion pmvided herein is true and acctaaie to the bast of my knowledge. <br /> APPLICANT SIGNATURE 49476 DATE: 440.77 <br /> j-,1-1 944 <br /> ' I 'V l <br /> APPLICANT NAME(Priest). °MAPPLICANC TITLE: 49049 <br /> UPCF UST-1D(I V2 7)314 A P P rmb4 N a I `� / <br />