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07/10/2009 10:34 2098585066 TWO GUYS FOOD PAGE 04/08 <br />UNIFIED PROGRAM CONSOUDATED FORM <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - (PqwLlarP-- <br />TYPE OF ACTION 0 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION <br />-RAN <br />4W! T <br />TYPE� 1. MONITIOMG IS IDENTICAL FOR ALL USTR AT THIS VACILTTY. <br />4WI- <br />Ch Ckon-'".only) 2, THIS PLAN COVERS ONLY TR9 FOLLOWING USTSYSTEWSj- <br />....... ..... :�:!lln n V <br />...... . . . . . . <br />FACTLITY TD # (Agency Use Only)Br- <br />r4TJ,SJNP,SS NAME (Same as FACILITY NAME) <br />3. <br />BTJS.WPSS SITE ADDRESS Uf -1. V -P --, ,, <br />- " , Mr. <br />� Mo�� i i i 1. 1. <br />T'zsling' prevcn6wmaintcneace, and calibration ofrwitoritig eqn4vaent , sen(a.p <br />.,s -ors, pxatm% thm. l=k dalcom, em) most be performed at the frequency <br />specified by the equips ant or mumaIlly, whichever i, more ftqmcrt, and that such work must be performed by qualified per.sonacl. <br />J23 CrR. §2632,263,4, 2638,2641) <br />MONffORING EQUIPMENT IS SERVICED I.- ANNIJALLY [1 99, OTHCR. (Specify); <br />490-317 <br />i:N: <br />W <br />1. NEW SITE PLOT PLANIMAP SUBMITTER WFM THIS PLAN. 2. SITE PLOT PLAN/MAP PREVIOUSLY SU ED, (23 CCR §2612, <br />2634)49o.4 <br />4!x0-3 <br />1. COiWI'IiViiOUS ELIrC'IitONIC TANK MONITORING OF ANNULAR tTNi'E L) 9PACE(S7 OR 9TrCONDARY ('.ONTAINMENT <br />VATIT.T(S) WITHAIMIALE AND VISUAL ALARMS. (M CCR §2632,2634) <br />RECONDARY CONTAINMUNT IS: a DRY 0 b, LIQUID FILLED [I c. PRESSURIZED [3 d. UNDER VACUUM <br />490.6 <br />PANEL MANUFACTURER; t 4 . 90 .. 7." MODIM' #• t- .............. <br />LVA:KSENSOR MANUFACTURER. V tor '46"9. MODEL <br />'9 -10 <br />Ll 2 AT]TOMATIC TAW GAUGING (ATG) SYSTEM USED TO MONIT OR SINGLE WALL TANK(M. (23 CCR §2644) <br />PANEL MANUFACTUREIL490-12. MODEL 0: <br />...... ......... ....... <br />490-13 <br />IN -TANK PP013E MANUPACTUREP- iw.la.MODEL #(S): <br />.. ........ <br />490-15 <br />LEAK TEST PM.UPNCY; D a.CONTINUOUS0 b. DAILYNTOIrTLY 0 c WEEKLY <br />0 d, MONTHLY 0 C' OTHER ('.. <br />§pccif� ; <br />49^17 <br />............ ..... <br />PROGRAMMED TESTS: 0 L [3 0.1 S.Pb. b. 0.2 g.ph. 0 r- OTHER (Specifft <br />4lnl-;H0 <br />4 90. <br />3. MO RTATISMAL INVENTORY RFC CILIATION (23 CCR §2646.1); <br />49FI-M <br />4, VIME MANUAL TANK GAUGING (MTG) (23 CCR. §2045). TESrM PFRTOT.): &.36 HOURS [3 b, C -A HOUR.S <br />"0-21 <br />490-22 <br />.5,TANKTNT19C.ROTTE. TMC,(23CCR §2W.1): <br />4477 <br />M <br />24): <br />TF.ZSTFRF.QURNCY: &ANNUALLY ❑ b.804NFAIXY [3 r-OTHER(SPM* <br />4W25 <br />0 OTEMR (Specify): <br />49Nr- <br />490-27fi <br />A". <br />%MIJUM60"I <br />.0 <br />1 CONTINUOUS MONTrOFUNG OF PIPE! PIPING SUMPS) AND OTMlk SECONDARV CONTAINMVNT WITH ATIDIRTE AND <br />11 -JAL <br />AW -72 <br />ALAWS. (23 CCR M16) _e$jMlP <br />SECONDARY CONTAINMENT IS: Wn-DRY [3b - LIQUID PILLED 0c.PRm-uRTnn Eld-MINDER VACUUM <br />IIQO-29 <br />PANEL MANUFACTURML VF_ QT-._.__.._._._......._- MODEL <br />44?r, <br />LrbAKSENSOR M.ANITFACTUREP-,,, qlq <br />4W,13 <br />.. ......... <br />PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (j,c, TURRTNE) SHUTDOWN. Pd a. YES 0 b. NO <br />4"-34 <br />FATE jJRFJ0J.15C0NNECTTON OF THE MONITORING SYSTEM TRIGGERS AUTOMATTC PTJWP SMrMOWN. C9 a. YF' ; 0 b. NO <br />2. MECHANICAL IMF, VFAK DLIIXTOR (MLY.1)) TKAT ROUTINELY PERFORMS 3.0 pp.b. LEAK MISTS AND Pr -%TRI M- OR SHUTH 0r*F <br />PRODUCT FLOW WRL IS DECTED N.A LEAK K ETCCR §2636 R 7 <br />490-37 <br />mLLDmANuPAcTuRrR(s).- FE-PETV-) R11% MOD;R! <br />LINE LEAK DM-CTOJt (ri.LD) THAT ROUTINELY PERF ORM-tG ppb. LEAK TERTq (!,I CCR q2fi�� . . . . . ........... <br />. M?j_ <br />AMAO. <br />EILLD MANUFACTURER(S) MIL <br />49"l <br />PROGRAMMED IN LM LEAK TEST: [3 1, MPqMJM MONTHLY 0.2 g.ph. ❑ 2 ANNUAL 0.1 g.p.h. <br />49"2 <br />ELLD DETECTION OF A PIPING LFAK TRIGGERS AUTOMATIC PUMP SHIM)OWN. C3a. YES C3 b. NO <br />49D-43 <br />HF.T.,D 1FAUAIRWDISCONNEMON TRjCGrAq AT ITOMATIC PUMP SHUTDOWN. a. W.3 [3 b. No <br />49tt44 <br />4. PRE UMGRTrY TEqM(; 49045 <br />TEST FRF TJT3TdCX C3 a. ANNUALLY & b,.CVERY 3 YEARS Q c. O`rHER. (Specify) 49oW6~ <br />U S. VI.VAL PIPE MONITORIKCL <br />490-49 <br />FREQUENCY 0 r, DAILY El h. WEEKLY MiN, WKm.y & rIA(m Trml!.W=M OMPATM* <br />4W-0 <br />AltawM ftff =m1win of unbmied <br />❑ 6. SUCTION PIPING MEETS EnMMON CRITERIA 123 CCR §AWa)(-T)T- <br />4W50 <br />7. No REGULATED PIPING PM HEALTH AND SAFETY CODE, DIVISION 20, CHAMR 6.715 COMB MCTED TO TRE TANK SYSTEM <br />490 St <br />Specify) <br />MWM <br />49451 <br />UPCF UST -D (32nM7) 1/4 <br />