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-UMWIE D PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN-(Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING (Checks!) that 1) ;; �QONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) 6{J/1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-54& ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 490-546. _ ..--..._..........._._..._.....-_._...._-..-__._........_._._...................................._.._._.._..__.-......_....._- -- - --- LEAK MONITOR MANUFACTURER: V F_SD£R- Pt&O-r 490-55. MODEL#: TLS-3.517 490-56 LEAK SENSOR MANUFACTURER: J Ft=1ER .- A"" 490-57. MODEL#(S): Zeoq490-51. DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. a.YES ❑ b.NO 490-59. UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ,�.,�YES [Ib.NO 49060. FAILURE/DISCONNECPION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. W a-YES ❑ b.NO 490-61- UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. YES ❑ b.NO 490-62. UDC CONSTRUCTION IS: SINGLE WALL ___ - . ❑ 2.DOUBLE WALL 490.63. IF DOUBLE WALL: 490-64& UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ c.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490646. VII. PERIODIC SYSTEM TESTING ❑ 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.[23 CCR§2644.1] 2 SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66. 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490.67E VIII. RECORD KEEPING The lowing monitoring/mace records are kept for this facility: 49068. a.ALARM LOGS b.VISUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY TESTING RESULTS ❑ SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) [ ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: 490-69& REFWENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) • VS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-69b. RATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 490-69c. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-690- ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 49"9f STATISTICAL INVENTORY RECONCILIATION" ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490.69g. ❑ 9XIER(Specify): 490-691L 49"91. This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council 490-70. (ICC). 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 training will include,but is not limited to,the following: ➢ Operation of the UST systems in a manner consistent with the facility's beat management practices. ➢ The facility employee's rote with regard to the monitoring equipment as specified in this UST Monitoring Plan. ➢ The facility employee's rote with regard to spills and overfills as specified in the facility's UST Response Plan. ➢ Name(s)of contact person(s)for emergencies and monitoring alarms. X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. a 71. C VVA FyLL. PACTC-0TWON s3 ARov OPLL(c 150 V'ALvE E-rdo-gS%c9F-»aK CAP;; LARM XI. PERSONNEL RESPONSIBILITIES 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 apossible release are investigated and 3.)all monitoring records are maintained properly. ......... THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: :YO$£PM 136O.-Fu 490-72. TITLE: COrvfi'RAcre(Z Fb2 CCUKJIyfIISTaD 490-73. NAME: -55F 't3ERum EN 490-74. TITLE: CGarr2Ac r02 t:R CaLn rY l�T.DO ago 7s. The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any conditions that need follow-up action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE DATE: 490.77. REPRESENTING:❑1.Tank OwndOparhrU 2.F - OwnQ/ �)d Reprennubw ofOwoer 490.76. APPLICANT NAME(print): 490-78. APPLICANT TITLE: 490-79, JbS 4 BA�-£y GaAirraAr_Tc)R FM COtLrt�*Y`L(STaO UPCF UST-D(12/2007)-3/4 www.unidoes.org