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VF UNIFIED PROGRAM CONSOLIDATED FORMW UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDQ MONITORING I. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490.54a .r�, ❑ 1.CONTINUOUS ELECTRONIC MONITORING x`1.2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE aso-sae ❑4.NO DISPENSERS ❑99.OTHER(Specify): PANEL MANUFACTURER: V 49455 MODEL#: 490.56. LEAK SENSOR MANUFACTURER: 490-57 1 MODEL#(S): 490.58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES �R„b.NO 490.59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES b.NO 490.60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES b.NO 490.61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER a.YES ❑b.NO 440.62 2.UDC CONSTRUCTION IS W.SINGLE-WALLED 112.DOUBLE-WALLED 490 IF DOUBLE WALLED: 49044a UDC INTERSTITIAL SPACE IS MONITORED BY: Q 1.LIQUID Q 2.PRESSURE Q 3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 490-64e VII.PERIODIC SYSTEM TEEING. 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49045. E MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR 2644.1 EI-2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 4i6-" SPILL BUCKETS ARE TESTED ANNUALLY. 49047 VIII.R"O"MPING The following monitoring/maintenance records are kept for this facility: _*Alarm logs 49048& ❑Visual Inspection Records 490-ab Q Tank integrity testing results 4go-6sc SIR testing results(and supporting documentation records). 4904sa U Tank gauging results(and supporting documentation records). 490.68e ATG Testing results(and supporting documentation records).49o4ar Corrosion Protection 60-day logs 49o-as M-Equipment maintenance and calibration records. 490-6sh M TRAINING . J!J+ersonneI with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-6% REFERENCE DOCUMENTS MAINTAINED AT FACILTTy(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)49o49b OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)4go-69e CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49049d CALIFORNIA UNDERGROUND STORAGE TANK LAW 490490 STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490.69f SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490494 OTHER(Specify):M6gh,m(m This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). e '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 training will include,but is not limited to,the following: • Operation of the UST systems in a manner consistent with the facility's best management practices • The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan The facility employee's role with regard to spills and overfills as specified in the UST Response Plan A Names of contact person(s)for emergencies and monitoring alarms.490.70 X. COMMENTSJADDITIONAL.INFORMATION Provide additional comments here or indicate how manypa es with additional information on specific monitoring procedures are attached to this plan.490.71 0 M XI PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that:I)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The followin on(s)are responsible forperformingthe monitoring and equipment maintenance: NAME C-1 490-72 TITLE 490-73 NAME 49o-74 TITLE 490.75 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 conditions that need follow-up action. XII.OWNEMPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE 490.76 DATE: 490.77 <<( � APPLICANT NAME(print): 490'78 APPLICANT TITLE: 440'79 UPCF UST-D(12/2007)3/4