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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> 1VI€1NI C Pio - I of 2 <br /> TYPE OF AE f1Obt [�I.NEW'PLAI 2 CHANGF OF iNFt} TION ago_i <br /> PLAN TYPE I MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. <br /> r <br /> (Check one item onty) 0 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SY4TFM S� <br /> AM-owl <br /> FACILITY ICI#(Agency UseO dy) 1 I <br /> ey paC(I�C pet rojgUji7 Card lOCk•GhartOr way <br /> BUSINESS NAME'(Santeas FACILITY.NAME <br /> BUSINESS SITE Ai7t3RESS '� ,W4"ar*fty to3 CITY $toGk§olll os <br /> Testing,preventive maintertano and;calititation of ttidillitoring equipment I",,segs,prof,tiro teak detaictors,etc.)^must be performed at the frequency <br /> specified by the equipment" actuadri'instructions,or annually,whichever 1s mere frequent,and that such work must be performed by qualified personnel. <br /> MAN 'INC EQU Pt r-IS `PItCED I,ANNUALLY ® 99.OTHER(Specify) 4 3. <br /> I <br /> NEW SITE t?IOgPLrlNft" Sf3B#IITTEA,4VITiII PLAN. 1.81 VLOT PLANIMAPPREVIOUSLYSUBMITTED (23 CCR§2632, <br /> 1.CONTINV ` IT; 41 ( IALF P } SEC NIIARY GON t AINl4IENT 440-' <br /> VAUI VISV L AI:i1"M,-(23 CCR JW2'U34) <br /> - SI COI ?ARY COtgFA tai T ISa,DRY 0 b.LIQUID FILLED 0 c.PRESSURIZED []-d.UNDER VACUUM 491-6 <br /> PANEL MANUFACTURER: -411-1 MODEL#: 490.9` <br /> -MODEL#(S)_ ago 10 <br /> El 2.AUTQITIC AN 'GIA (A f'iir SY II~M'UKV-TO MONITOR 23 CCR 1264.3) 494[1 <br /> �- PANEL MANOFA 496, MODEL td _ 49013 <br /> _ IN-TANK PREIBE MA�"ILIi ACT4JItER;_ _�__-----A- -- 490.74 MOI3_EL#{3 --•-• -•--aeo 15 <br /> LEAK TEST FREWENCY1. [j s..CONTINUOUS 0 b.DAILY/NIGHTLY 0 c.WEEKLY avo 16 <br /> [ d:'MONTHLY 0 e.OTHERS 4�w <br /> PROGRAMMED TESTS. [ a 0-1&p.h. Q b 0.2&P.h. Q c.OTHER 1 490.19 <br /> fSP�fY): 49919 <br /> [� 3.,Mfl1�tTN�.Y'STA`I`IS"ICl+L'AIa It��NTOR1(RE+CQNGILIATIdN,{23;Ctu1t�264d!.il: d94-2F! <br /> 4.WE Y. :. UAL I INS; ,G)( CCIi§2fi43) TESTIIN€'r PERIOD; Q &36 HOURS ® 6.60 HOURS 490.21 <br /> .. - 490.22. <br /> 4.TANK INTF (g3 � ��): 49043 <br /> TST'FILFQUENCY: n a.A7µtAfLSALLY b.BIENNIALLY Q c.OTHER(Specify): 49424 <br /> 490-29 <br /> [[ :OTA (Specify): 4 26 <br /> ' <br /> - 440-27 <br /> 9 .... <br /> I.'CQNTI4 flftt PIPING AND OTHMUCOMARY CONTMENTWTPII AUDIBLE AND 494349 <br /> VISUAI'AL S (23£ f <br /> SECONDARY CO, !AI I E > DRY Ob LIQUID FILLED ®e.PRESWIHZED ®d LINDER VACUUM 490-29 <br /> PAbf L IAI FA+�TE9 :. <br /> 4990.430, MODEL,#: 44441 <br /> LI?4K SENSOR MAIEEACTtIRR - --- 490 32 MODEL#�54 «• -- -— 494 33 <br /> PIPING LEAKALARM TkId;3CIW AUTOMATIC PUMP(ie.,TURBINE)SHUTDOWN. '0b NO' 440-34 <br /> FAIiURF DISCQNbI 1GpN t?FTH(I'Mt IV- rSY�lt4[ <br /> TRIGGERS MP S' WNaYS �b NOt@d90 3S <br /> 2. <br /> COOK ,' -, T ,z .` TYEtY PE S 0 �f+EATi TESTS iiiK9 REQ ItICCS t3iE SfLL€TSfIFF <br /> 490.36 <br /> ._.,_.—..,-.•�--_-�.—«, _ 490.37 <br /> M116 tefA)+IUFACTI?Ft(ta): MODEL#(S): a . Zw <br /> 4[] 3.EI E�CI!(J1fYI LII LI I[I? ti CT(3 (E 010), THAT' LEAK_TESTS (23 CCR 6) 49034 <br /> EI LD1 MAI1ItJ AGTLtRS 'S; <br /> PROGRAMMED IN LIPIE'LEAK.TFST [] 1.MINIMUM MONTHLY 0-2 g.p.h: 0 2.MINIMUM ANNUAL 0 t g.p.h. <br /> ELLD bETECTION,OF A'PILING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. Q a.YES 0 b.NO 49o-a3 <br /> ELLD£FAIT.tFR.�/I);ISC43fi&hl$I TTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0a.YES Elb.NO 490-44 <br /> 4,, EiII TEO TY- 4s <br /> T ST PRE CY.> <br /> ANNUALLY b.EVEAX 3 YEARS c.OTHER(Specify) 490.4.494,47 <br /> 4049 <br /> FREc uEN Y a, )A1LY: Q lz NffiEKLS( Q G.MIN.MONTI14Y&EACH TIME SYSTEM OPERATED* awl g4 <br /> et.gwu ---- <br /> E 6,"E KI ) i :CC J.. 4 w o' <br /> 7.NO REGULAi PIAN R OVA CH AIV I SA: Y CODE;Iit . IOM 2+ CHAP fE&6,725 CONNECTED TO THE TANK SYSTEM <br /> Q 4$.C;i'iPHER(S!�ify) 490 z <br /> avail � <br /> F <br /> UPCF USF-D(lZt#"-'114 <br />