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From 11/03/2008 15,46 #164 P.028/033 <br /> INIVI EID PROGRAM CONSOLIDATED FOR <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 496-541 <br /> L CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 498.546 <br /> ❑4.NO DISPENSERS ❑99.OTHER S cci ) <br /> PANEL MANUFACTURER: a/ 496-Ss --_"- ____�_..____ ..�_.�� <br /> --P ---_-_-_._•._.__----- -. 3F °_ -- �5 _ --- MODEL tl TL S 496-56 <br /> LEAK SENSOR MANUFACTURER: -..._.._.__---__._____ _-_ �_ _ <br /> 49057 s MODEL H($); 490 Sa <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a.YES ❑b.NO 490.59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN <br /> 1$'a.YES ❑b.NO 09050 <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 3 ' a.YES ❑b.NO 49061 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. X a.YES O b.NO <br /> 496.6z <br /> 2.UDC CONSTRUCTION IS Ell SINGLE-WALLED X2.DOUBLE-WALLED 496-63 <br /> 1F DOUBLE WALLED: 4*;fl 6ri <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: (�1 LIQUID �2�PRE55URE3_VACUUM -� ____._.___•._. ._.._..___________ <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL,ALARMS XA.YES ❑b.NO______<9o� <br /> VII.PERIODIC SYSTEM TESTING <br /> 1. ELD TESTING:THIS )•ACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.0 <br /> LEAK DETECTION. ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MdN?FIS AS REQUIRED.(23 CCR J2644.� <br /> 2,SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS 490-06 <br /> 3.SPILL BUCKETS AREE TESTED ANNUALLY <br /> g9p•6T <br /> VIII.RECORDICEEPING <br /> The following monitoring/maintenance records are kept forthis facility: <br /> %Alarm logs 496.688 El Visual Inspection Records 496•bsb Tank integrity testing results 490-639 <br /> ❑SIR testing results(and supporting documentation records). 490 68d Tank gauging results(and supporting documentation records). 490-68e <br /> Q ATG Testing results(and supporting documentation records).490-60 Q Corrosion Protection 60-day logs 49"8g <br /> NEquipmem maintenance and calibration records. 49o•6sh <br /> IX.TRAINING <br /> Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490.69. <br /> 'REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b <br /> OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49"% <br /> CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490.69d <br /> CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.699 <br /> STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"49o-69r <br /> 0 SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS'490-ft <br /> ❑ OTHER(Specify):M69h,mw <br /> JS This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated UST Operator"wilt train facility employees in the proper operation and maintenance of the UST systems annually.and within 30 days of hire.This <br /> training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices <br /> The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan <br /> D The facility employee's role with regard to spills and overfills as specified in the UST Response Plan <br /> ➢ Names of contact persons)for emergencies and monitoring alarms.490.76 <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 <br /> XI.PERSONNEL.RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that: t)the daily/routine UST monitoring activities and maintenance of UST Ieak detection equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records at maintained properly <br /> The following person(s)are responsible for performing the monitoring and equipment maintenance <br /> NAME 490.72 TITLE 490.73 <br /> NAME 490-74 TITLE 490.75 <br /> The Designated Operator shall perform a monthly visual inspection of the facility, provide a report 1.the owner/operator, and inform the owner/operator of any <br /> conditions that need follow-up action. <br /> XII.OWNERIOPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLI :SIGNATURE 490-76 DATE: 490.77 <br /> RREMESENTINO O 1 Tink QM9r Qyg3 or 9t Win owns/Operator Cl 3 Authorized Reuresmwive 0 Dwner <br /> APPLICANT NAME(print);d490.78 ;APKPCAN17T TITLE. 45).79 <br /> +73.73 r.nen•n n�r�nn•r.�u <br />