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DOWN <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANKM1 V <br /> MONITORING PLAN-(Pae 1 of 2) <br /> TYPE OF ACTION ❑ 1.NEW PLAN Dd 2.CHANGE OF INFORMATION / 0 7 201 490-1 <br /> PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S.)- OA <br /> QUIN Ca amu <br /> I. FACILITY INFORMATION I TU <br /> FACILITY ID#(Agency Use Only) - - <br /> BUSINESS NAME(Same as FACILITY NAME) �Z- M InV�- 3. <br /> BUSINESS SITE ADDRESS 0\d L t1(j oda 103. CITY ca} `��® Y-\ toa. <br /> II.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> 23 CCR 2632,2634,2638 2641 <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY El99.OTHER eci 490-3a <br /> (S P fy)� 490-36 <br /> III.MONITORING LOCATIONS <br /> ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. .SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)490-4 <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: 11 a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6 <br /> -------------------------------------------------------- ---------------------- -------------- -----490 9----------------------------�-----------------490-8 <br /> PANEL MANUFACTURER: T ,,�^ -b Q Q(� 8N MODEL#: <br /> -- -- - --------- - --- -- �-� --------- '�------ --------�-L S-3 S--®------------------- <br /> LEAK SENSOR MANUFACTURER: U 0,e-d AY ®C)* ...... 1 MODEL#(S): U 490.10 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 <br /> PANEL MANUFACTURER: 490-12. MODEL#: 490-13 <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15 <br /> ------------------ - ---- -- - - -- - - - - ---------------------------------------------- --- -------------------- ---- -- <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 <br /> ❑ d.MONTHLY - [:1p � <br /> e.OTHER(S eci 490-17 <br /> - --- - ------ - -- ----------------------- - ---- =---- - - <br /> - - - --------------------------- <br /> 490-18 <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490.19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> El 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS E] b.60 HOURS <br /> 490-21 <br /> go zz <br /> ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: E] a.ANNUALLY E] b.BIENNIALLY Elc.OTHERS eci 490-24 <br /> ( P fY)� 490-25 <br /> El99.OTHER (Specify): 490-26 <br /> 490-27 <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:Ega.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> 490.30 490-31 <br /> PANEL MANUFACTURER: \J Q p 2Y 04- 1 MODEL#: T�-S s" `- <br /> 490-32 I 490-33 <br /> LEAK SENSOR MANUFACTURER: R (_)� - -_-� <br /> �� ��U--------------------------- -- --! MODEL#S-----2 <br /> ------------------------------------------------------------ <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ;5 a.YES ❑b.NO 490-34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. JET-a.YES ❑b.NO 490-35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> - PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR 490-36 <br /> ------------------------------------------------------------------- <br /> MLLD MANUFACTURER(S): 490-37 MODEL#(S): a(y)L 490-38 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 <br /> ------------------------------------------------------------ -------------------------- ------------------------------------------- <br /> -------ELLD MANUFACTURER(S) -- - - - - - ----- - --- - - - - --490_-40.-�MODEL#(S)_----------------------------------- <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490-42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-43 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-44 <br /> ❑ 4.PIPE INTEGRITY TESTING 490-45 <br /> TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46 490-47 <br /> ❑ 5.VISUAL PIPE MONITORING. 490-48 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49 <br /> *Allowed for monitodng of unburied emergency enerator fuel piping only per HSC§25281.5 6 3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)]. 490-50 <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> ❑ 99.OTHER(Specify) 490-52 <br /> 490-53 <br /> UPCF UST-D(12/2007)1/4 <br />