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7� <br />r_7 <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN (Page 2 of 2) <br />VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING <br />1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a <br />490-54b <br />El 1. CONTINUOUS ELECTRONIC MONITORING El 2. FLOAT AND CHAIN ASSEMBLY El 3. ELECTRONIC STAND-ALONE <br />4. NO DISPENSERS 0 99. OTHER (Specify): <br />PANEL MANUFACTURER: 1 MODEL #: 490-56. <br />---------------------------------------------------------------------------------------------------------- <br />LEAK SENSOR MANUFACTURER: MODEL #(S): 490-58 <br />DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS El a. YES [3 b. NO 490-59 <br />UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN El a. YES 0 b. NO 490-60. <br />FAILURE / DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. El a. YES 0 b. NO 490-61 <br />UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. El a. YES El b. NO 490-62 <br />2. UDC CONSTRUCTION IS E] 1. SINGLE -WALLED E-12.DOUBLE-WALLED 490-63 <br />IF DOUBLE WALLED: <br />UDC INTERSTITIAL SPACE IS MONITORED BY: El 1. LIQUID [12. PRESSURE E] 3. VACUUM <br />---------- — --------- <br />----- ----------------------------------------------------------------- <br />A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS [I a. YES [] b. No 490-64b <br />VII. PERIODIC SYSTEM TESTING <br />0 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. (23 CCR §2644.1) <br />------------------------ ------ ------- <br />2. SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 <br />--- 9_ - ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br />j - <br />SPILL BUCKETS ARE TESTED ANNUALLY. 490-67 <br />VIII. RECORDKEEPING <br />The following monitoring/maintenance records are kept for this facility: <br />0 Alarm logs 490-68. 0 Visual Inspection Records 490-68b ❑ Tank integrity testing results 490-68c <br />El SIR testing results (and supporting documentation records). 490-68d ❑ Tank gauging results (and supporting documentation records). 490-68e <br />❑ ATG Testing results (and supporting documentation records). 490-68f ❑ Corrosion Protection 60 -day logs 490-68g <br />Equipment maintenance and calibration records. 490-68h <br />IX TRAINING <br />Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a <br />REFERENCE DOCUMENTS MAINTAINED AT FACILITYE (Check all that apply) <br />THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 490-69b <br />OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 490-69c <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 <br />STATISTICAL INVENTORY RECONCILIATION" 490-69f <br />❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-69g <br />❑ OTHER (Specify): M69h, M69i <br />10 This facility has a "Designated UST Operator" who has passed the California UST System Operator Exam administered by the International Code Council (ICC). <br />The "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 <br />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 UST Response Plan <br />> Names of contact person(s) for emergencies and monitoring alarms. 490-70 <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 />Overfill Shut -Off Valve is the Primary Overfill Protection Devise on this system., Set to 95% of tank capacity. Overfill alarm set to 90% of tank capacity. North <br />Sum /Tank Gauge Sensor - 794390-208. Piping Trench Sensor — 794380-420. <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 by <br />this plan occurs, 2) all conditions that indicate a possible release are investigated, and 3) all monitoring records are maintained properly. <br />The following person(s) are responsible for performing the monitoring and equipment maintenance: <br />NAME Tait Environmental Services 490-72 TITLE EH&S Authorized Vendor 490-73 <br />NAME AT&T Environment Health & Safety 490-74 TITLE Call Center 490-75 <br />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 <br />conditions that need follow-up action. <br />XH. OWNER/OPERATOR. SIGNATURE <br />CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. <br />APPLICANT SIGNATURE 490-76 <br />DATE: 490-77 <br />�M41hrfi=1d <br />April 30, 2009 <br />REPRESENTING: EM 1. Tank Qw.WO. �.Facilgy�e�ragtrQ . RomimigLyt0f er Own <br />APPLICANT NAME (print): 490-78 <br />APPLICANT TITLE: 490-79 <br />Steven J. Hall <br />Manager, EH&S <br />UPCF UST -D (12/2007) <br />