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AND& a FIED PROGRAM CONSOLIDATED FORM1W UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a490-54b El 1.CONTINUOUS ELECTRONIC MONITORING El 2.FLOAT AND CHAIN ASSEMBLY El 3.ELECTRONIC STAND-ALONE 4.NO DISPENSERS El 99.OTHER(Specify): - - PANEL MANUFACTURER: 4 .§3 1 MODEL#: 490-56. W6.gT LEAK SENSOR MANUFACTURER: i MODEL#(S): 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS El a.YES 0 b.NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN 0 a.YES El b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 a.YES El b.NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. El a.YES El b.NO 490-62 2.UDC CONSTRUCTION IS EILSINGLE-WALLED E:12.DOUBLE-WALLED 490-63 IF DOUBLE WALLED: --_____UDC INTERSTITIAL SPACE IS MONITORED BY: E1_1_._LIOUID---[1-2-.-PRESSURE [13.VACUUM ____________________________________________________________ --------------------------------------- A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS Ela.YES E1b.N0 490-64b 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_ ZI_CCR_jZ .1) 0 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 --- T.---------SPILL----B_U_CKETS ARE TESTED ANNUALLY. ----------------------------------------------------------------------------------490-67 VIII.RECORDKEEPING The following monitoring/maintenance records are kept for this facility: 0 Alarm 109S 490-68a Z Visual Inspection Records 490-68b [I Tank integrity testing results 490-68C El SIR testing results(and supporting documentation records). 490-68d El Tank gauging results(and supporting documentation records). 49o-68c ❑ATG Testing results(and supporting documentation records).490.68f [] Corrosion Protection 60-day 109S 490-689 Equipment maintenance and calibration records. 490-68h LK TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a REFERENCE DOCUMENTS MAINTAINED AT FACILITYu(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-6% ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490-69f 0 SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-69g [I OTHER(Specify):M69h,M69i This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(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 best management practices > The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan > The facility employee's role with regard to spills and overfills as specified in the UST Response Plan > Names of contact person(s)for emergencies and monitoring alarms.490-70 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.490-71 Fill Tube Shut-Off Valve is the Primary Overfill Protection Device on this system,set to 95%of tank capacity. Overfill Alarm is set to 90%of tank capacity. L3 Vent Sump&14 Transition Sump Sensors(2)—794380-208;L5 Inside Piping Tray Sensor—794390420 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 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: NAME Tait Environmental Services 490-72 TITLE AT&T Authorized Vendor 490-73 NAME AT&T Environment Health&Safety 490-74 TITLE Call Center 490-75 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 conditions that need follow-up action. XH.OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify that the informationd .ppof ed herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE 490-76 DATE: 490-77 May 14,2009 REPRESENTING:®1.Tank QMMer/Q=ator El I 2.FKfl1jV9mm2�or%Q tAu �' &MLQ�vnffesentatw fs-Q— — APPLICANT NAME(print): 490-78 APPLICANT TITLE: 490-79 Steven Hall Manager,EMS UPCF UST-D(12/2007)3/4