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UNDERGROUND STORAGE TANK <br /> &ONITORING PLAN - (Page 2 olp <br /> VI. UNDER DISPENSER CONTAINMENT(UDC) MONITORING (Check all <br /> that a ) <br /> UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING ® 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-540-. <br /> ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 490-54b. <br /> _.......- ......... <br /> LEAK MONITOR MANUFACTURER: 490-55. MODEL <br /> LEAK SENSOR MANUFACTURER:Bravo 490-57. MODEL#(S):B-2000 490.58, <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ® b.NO 490.59. <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ® b.NO 490-60. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ® b.NO 490-6I. <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ® a.YES E3 b.NO 490-62 <br /> 1.SINGLE WALL ❑ 22.DOUBLE WALL <br /> UDC CONSTRUCTION IS: __....._...._._.................49o-63- <br /> ® <br /> IF DOUBLE WALL: 490-64a. <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ c.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490-1146. <br /> VII. PERIODIC SYSTEM TESTING <br /> ❑ 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,123 CCR§2644.11 <br /> ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-611 <br /> ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67 <br /> VIII. RECORD KEEPING <br /> The following monitoring/maintenance records are kept for this facility: 490-68. <br /> ® a.ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY TESTING RESULTS <br /> ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) <br /> ❑ f.ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS <br /> ® h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS <br /> IX. TRAINING <br /> ® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their-job duties: 490fi9a. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITYI;(Check all that apply) <br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-69b. <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 490-69e. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e. <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69f <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-69S. <br /> ❑ OTHER(Specify): 490-69h. <br /> 490-69i <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council 490.70 <br /> (ICC). The "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 <br /> days of hire.This 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 facility's UST Response Plan. <br /> Name(s)of contact person(s)for emergencies and monitoring alarms. <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 /> Drop tube with mechanical flapper set at 95%. <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 <br /> by this plan occurs;2.)all conditions that indicate a possible release are investigated;and 3.)all monitoring records are maintained properly. <br /> ........_..._.�. .__....... <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br /> NAME: Yesenia Penaflor 490.72. TITLE:Manager 490-73- <br /> NAME: Steve Coulter 490-74. TITLE:Environmental Compliance Administrafry 490-75. <br /> The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform theowner er of any <br /> conditions that need follow-up action. <br /> XII. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION: I certify that the infor atio pro in is true and accurate to the best of my knowledge. f <br /> APPLICANT SIGNATURE DATE: 490-77. <br /> 2/26/2013 <br /> REPRESENTING:®I.Tank 0-mr/O rator O 2.Facilit er rator[3'3.Au a rmntative ofowner 490-76. <br /> UPCF UST-D(12/2007)-4/7 www.unidocs.org <br />