COMPLIANCE INFO_2003-2011 - Laserfiche WebLink

Home Browse Search

p.8 Am RIFIED PROGRAM CONSOLIDATED FORMW UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONT NT(UDC)MONITORING 490-543 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490.54b L.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT.AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑ 4.NO DISPENSERS ❑99.OTHER(.Specify). - ----------- - - -- - -- - ------------ PANEL MANUFACTURER: if - ' ---_-._-r-�__--� _ - _�MODEL#: � -- ---- _--- - - --- - --- ---------- O L.#(S) --- LEAK SENSOR MANUFACTURER: ��^ P�- - car `s S MODEL/I(S): �" 490.59 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS W a.YES ❑b.NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ,® a.YES ❑b.NO age 6° FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. f'a.YES ❑b.NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a.YES ❑b.NO 49x62 2.UDC CONSTRUCTION IS 1.SINGLE-WALLED ❑2.DOUBLE-WALLED 490-63 490.64. IF DOUBLE WALLED: —UDC INTERSTITIAL SPACE IS MONITORED BY: -M l._LIQUID 2_PRESSURE ❑3_VACUUM _ - _ __-_�___-____ _--._ A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL TARMS ❑a.YES ❑b.NO 490-1,4b VII.]PERIODIC SYSTEM TESTING 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANC1iD 490-65. -t P K DETECTION(EL.D)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTH AS REQUIREq-(23 CCR_2644.1Z____--_ 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. � 493-66 3.SPILL BUCKETS ARE TESTED A\NL"ALLY. 49x'6' VIII.RECORDKEEPIlVG- The following rnonitoring/maintenancc records are kept for this facility: Alarm logs Oso-6sa (�Visual Inspection RecorrL 49o•6sb ❑Tank integrity testing results 490-Gsc SlR testing results(and supporting doeumen.tion records). age-bad ❑ Tank gauging results(and supporting documentation records). 49acse ❑ATG Testing re Its(and supporting docum'niation records).490-W ❑ Corrosion Protection 60-day logs 490-68g Equipment maintenance and calibration recd s. 49msn IX.TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-693 REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) 19 THIS UNDERGROUND STORAGE T. NK MONITORING PLAN(Required)490-69b OPERATING MANUALS FOR ELEC-('RONIC MONITORING EQUIPMENT(Required)490-69c in CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.690 ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: -HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION'49C-69-- 0 90-69°❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-699 [] OTHER(Specify):M69te,M69: This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). he"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 trainingNsill include,but is not limited to,the fo lowing: D Operation of the UST systems in a manni r consistent with the facility's best management practices Y The facility employee's role with regard o the monitoring equipment as specified in this UST Monitoring Plan ➢ The facility employee's role with regard o spills and overfills as specified in the UST Response Plan Names of contact person(s)for emergencies and monitoring alarms.490-70 XL CO : NTS/ADDITIONAL 04FORIVIATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures arc attached to this plan.49o-7t XI.PERSONNEL RESPONSIBII-ITIES 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 this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The following person(s)are responsible for performing the monitoring and equipment maintenance: Of NAME ;r^ 490-m TITLE r 4'0 0- 490-74 TITLE i^ 49045 NAME t� The Designated Operator shall peffonn-a monthly visual inspection of the facility, provide a ftoWto the owner/operator, and inform the owner/operator of any conditions that need follow-up action. Mi.OWNER/OPERATOR SIGNATURE CERTIFICATION:I certit,that the information provided herein is true and accurate to the lest of my knowledge. APPLICANT SIGNATURFi 490-76 DATE: `9v-77 !/ x,/17/,49 ,i v 0. A ri 12MARELf T „ 490-79 490-78 APPLICANT TITLE: APPLICANT NAME(print)' Z 4 ' UPCF UST-D(12'2007)3/4