COMPLIANCE INFO_2006 - 2008 - Laserfiche WebLink

Home Browse Search

F ET `�CL 001904 UNIFIED PROGRAM CONSOLIDATED FORM ' UNDERGROUND STORAGE TANKEAVfRC'1NIAE ii F HEALTHMO ITORING PLAN - (Pae I of 2) pr-pAA,�. - TYPE OF ACTION ❑NEW PLAN 22. CHANGE OF INFORMATION 490 -1. PLAN TYPE Mr 1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) 1. BUSINESS NAM Same as Facility Name DBA) 3. TeX_} 1l 3g BUSINESS SITE ADDRESS 03• CITY 104. II. EQUIPMENT TESTING AND PREVENTIVE MAINNTENANCE Testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) must be performed at the frequency specified by the equipment manufacturers' instructions or annually, whichever is ore frequent, Such work_ must be performed by qualified personnel. [23 CCR gz63z z63a, 2638, 2641E MONITORING EQUIPMENT IS SERVICED l ANNUALLY 490-3a. Q ❑ 99. OTHER (Specify): 490-3b. III. MONITOR G LOCATIONS ❑ 1 NEW S'TE PLOT PLAN/MAP ST 1BMITTRD WITH THIS PIAN 2. SITE PLOT PLAN/MAP PREVIOUSLY S[JBMITTED [23 CCR §2632, 2634] 490.4, IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(cheek all (S ) that apply) 1 CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) 490.5. WITH AUDIBLE AND VISUAL ALARMS. [23 CCR §2632,26341 - - SECONDARY CONTAINMENT IS: ❑ a. DRY 19 b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-6. PANEL MANUFACTURER: v t t ctw - Qoot 490-7' MODEL #: 'TL S - 3TO 490.8' LEAK SENSOR MANUFACTURER: � �, " 490.9. t 4 #(S): �I 9 4'13 �©- j03w-10. _MODEL Q 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK($). [23 CCR §26431 490.11. PANEL MANUFACTURER: 490-12. MODEL #: 490-13. IN -TANK PROBE MANUFACTURER: 490-14.MODEL #(S): 490-15. LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490.16. ❑ d. MONTHLY ❑ e. OTHER (Specify): 490-17. __ PROGRAMMED TESTS: [I a. 0.1 h. El b. 0.2 El c. OTHERS ct 490-19. --•��----- g.p.h. -'�-. 490.19.__.._ . MONTHLY STATISTICAL INVENTORY RECONCILIATION [23 CCR §2646.1] 490.20. b. 60 HOURS 490.21. ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) [23 CCR §26451 TESTING PERIOD: ❑ a. 36 HOURS [I49 0.22 ❑ 5. TANK INTEGRITY TESTING PER 123 CCR §2643.11 490-23. "ER BIENNIALLY ❑ c. ER S eci 490.24. _ TEST FREQUENCY: ❑ a ANNUALLY ❑ CM - - - - _ --^ _�-�- _. _ - .-� F fY) 490-255 ❑ 99. OTHER (Specify):490.26. 490.27. - V. PIPE MONITORING IS PERFORMED USING THE I+OLLOWING METHOD(S) ""I'll 1 CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) ANDTHER SECONDARY CONTAINMENT WITH AUDIBLE &VISUAL ALARMS. 490.28. [" CCR SECONDARY CONTAINMENT IS: ❑ a. DRY F b. LI UID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-29. §26361 Q " / PANEL MANUFACTURER: V K. �� u- p} 490.30• MODEL #: T O 490.31. p� LEAK SENSOR MANUFACTURER: V. 4 AA" 6--t 490.32. MODEL #(S): 490-33' PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN./ a YES ❑ b. NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM j_YSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a. YES ❑ b. NO 490.35. 2. MECHANICAL LINE LEAK DE•1'ECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-3e. PRODUCT FLOW WHEN A LEAK IS DETE D. [23 CCR 2636] MLLD M_ANUFACTURER(S): E �� Va OQf I tSS 49x37. MODEL #(S): M L� ,11�ZpOp 490-39. ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 CCR§2636] 490.39' ELLD MANUFACTURER(S): 490.40. MODEL #(S): 49x41. PROGRAMMED IN LINE LEAK TEST- ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. 490-42. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES ❑ b. NO 49043. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490.44. ❑ 4. PIPE INTEGRITY TESTING. 490-41. TEST FREQUENCY: ❑ a ANNUALLY ❑ b. EVERY 3 YEARS 0_c, OTHER (Specify) . - --__..--- - --- -...490.47._...-. - - ❑ 5. VISUAL PIPE MONITORING. 490.48. FREQUENCY: ❑ a DAILY ❑ b. WEEKLY ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED' 490-49. •Allowedformonirori_np,orunburied emergency,generator fuelppiny aJYPer HSC.�25281.� --- ❑ 6. SUCTION PIPING ME, ETS EXEMPTION CRITERIA. [23 CCR §2636(4)(3)] ago -so. ❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490,51. __-.._.._.. _ ...._..._.,.__....._....___.........___..........._..........__..... ---.,._..__.._.-_..._.........._..._....-._......__...._._..__...,..__...-._.......__._....._..__..__......._._..-_......... ❑ 99. OTHER (Specify) 43. ago - s33. UPCF UST -D (12/2007) -1/4 www.unidoes.org