COMPLIANCE INFO_2012-2018 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN _ a e 2 of 2 ;(Che:gcka1)V'I. UNDER DISPENSER CONTAINMENT (UDC) MONITORING UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) El1. CONTINUOUS ELECTRONIC MONITORING Ef 2. FLOAT AND CHAIN ASSEMBLY Q 3, ELECTRONIC STAND-ALONE 490546 ❑ 4 NO DISPENSERS ❑ 99.OTHE Specify) 490.54b. - - 490-56. 49oss MODEL LEAK MON[TOR MANUFACTURER 49o-sa. 4905, MODEL JIM: LEAK SENSOR MANUFACTURER - DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a. YES Cg -b. NO 49a s9 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN P A[ a. YES g b. NO d90-0 FAILURFID[SCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 61f -a. YES 51 b, NO 49041 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. 1Z a YES ❑ b. NO -490a3 490-61.- UDC CONSTRUCTION [S St 1. SINGLE WALL ❑ 2. DOUBLE WALL a90raL IF DOUBLE WALL: UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a. LIQUID ❑ b. PRESSURE ❑ c. VACUUM TRIGGERS AUDIBLE AND VISUAL ALARMS. ©e. YES ❑ b. NO 490'e4b. A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC VII.. PERIODIC SYSTEM TESTING I. ELD TESTING: THIS FACILITY I4AS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED daLD MUST BE PERFORMED. PERIODIC ELD 1S PERFORMED EVERY 36 MONT 4S AS REQUIRED. 23 cca 1x44.11 a9rws ® 2. SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 4906,- ® 3. SPILL BUCKETS ARE TESTED ANNUALLY. VIII. RECORD KEEPING 49rtbs. The following monitoringIrmintenattce records aro kept for this facility, ® a. ALARM LOGS ❑ b VISUAL INSPECTION RECORDS ❑ c. TANK INTEGRITY TESTING RESULTS documentation records) ❑ d SFR TESTING RESULTS (and supporting documentation records) ❑ e. TANK GAUGINGRESULTS(andsupporAY ting P [3f ATG TESTING RESULTS (and supporting documentation records) Q g. OE CTION h. EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their ph duties: 49aa9e REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Checkatl that applyj 49049b ® THIS UNDERGROUND STORAGE TANK MONITORING PIAN (Required) 49049G ($� OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 4 ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS ❑49ab9n CALIFORNIA UNDERGROUND STORAGE TANK LAW ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION- "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-W STATISTICAL INVENTORY RECONCILIATION" 40"91 ❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490.695 ❑ OTHER (Specify): This facility has a "Designated UST who hes the California UST System Operator Exam administered by the tnumetionai Code Council � passed 4904%. x90fi0 (ICC). The "Designated UST Operator" will train facility ctnploytes in the proper operation and maintenance of the UST systems annually, and within 30 days of hire. This training wilt 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 equipmem, as specified in this UST Monitoring Plan. > The facility employee's role with mgt to spills and overfills as specified in ft fbQlitY`s UST Response Pian. * Narne(s) of contact person(s) for emergencies and monitoring alarms. X. COMMEN`t'S/ADDITIONAL INFORMATION Provide additional oorrttrrems here or indicate how many with additional information on specific monitcuing procedures ate attached t0 this plan. a9oa1 95`x/0 oto • Vat„e Sh,,,,4 b�K-tem.... SP.tt t3�� XI. PERSONNEL RESPONSIBILITIES The UST OwnerlOperator is rospeptsible for ensuring that: 1.) the dailytrottiine UST monitoring activities and maintenance of UST leak detection equipment are maintained property, covered by this plan occurs-).) all conditions that indicate apossible release ares investigated, and 3. all monitori records THE FOLLOWING PERSON(S) ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME �t,� ("t_ Lu�2 490,1, TITLE: �%rcR rti�aGn� /CFa 490-73 NAME' 49074 TME. 49045. The Designated UST Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator. and infirm the ownedoperator oPnny conditions that need follow -ug action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION: I cern that the information rovided betrein is tragi and accurate to the best of my knowledge, 490.77 APPLICANT SIGNATURE DATE: REPItFSFNirF3(a. 1. TaricOtt>te* 2 F O 3. M�9ronmd woro+ner 494-76. aria -79. 49tF,a APPLICANT NAME(print): APPLt ANT TITLE - � � � `(` 1-rD �E UPCF IiST--D (1 212007) - V4 www.unklocLortl