BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORINGPLAN (Page2of2) _ VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1 1. 1 DCMONITORING IS PERFORMED USING T(IE FOLLOWING METHOD AMl-Nb ❑ I.CONTINUOUS ELECTRONIC MONITORIN`s'rX`4w32.FLOATAND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE -Qq-NO DISPENSERS 099.OTHER-(SPeaif _.____.._.._____ _ _ ._..__......_-... ._._—._.___.__..__._. ._. . PA LI— ' s° MANUFACTURER: axe"s` MODEL#: 4w1 LF AK SENSOR_MAN_UFA_C URER: avo-sr j MODEL#(S): 491158 DF.T'F.0 NON OF A LEAK IN 10 114E UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES ❑It.NO PDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES ❑b.NO 4xw0 FAILURE/DISCONNF,CTION Of UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. d❑ n.YES ❑b.NO ~,I UDC MONITORING$I OPS THE FL OW OF PRODUCT AT THE DISPENSER. yK a.YFS ❑b.NO 4v041 2.UD(.CONSI'RIICTION IS SINGLE-WALI.ED ❑2.DOABLE-WALLED i41'a3 IF DOOBLF.WALLED: smrd' UDC INTERSTITIAL SPACE IS MONITORED BY'. Q 1.LIQUID_(„�2_PRESSORE.. 3,VACUUM ,____-___-_-___-_ --._____ ALE KWI'THIN THE SECONDARY C'ONTAINMFNTOF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑n.YES ❑b N0 '4xwwb VII.PERIODIC SYSTEM TESTING ❑ I. ELD TESTING: THIS FACILITY IIAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CON'TROI BOARD'I'HAT ENHANCED LP.AK DPTF 'T7 N I''-:I MUST BE PERFORMED_PERIODIC ELD IS-PERFORMED EVERY 36 MONTHS AS REQUIRED,-{23 CCR t26ga_I)-„_.___ WISE(ONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS 400-x' . __--.._. _..-___. __..__ ...___----. _ -.._--___ _____.._— ..___�.__ _.____.. ... ..... STILI.BUCKETS ARE TESTED ANNUALLY. ?'xFn'r Vill.RECORDKEEPING The following monitoring/maintenunce records arc kept for this facility: Alarm Ings .rmiaa $Visual Inspection Records 4WAh ❑Tank Integrity testing results 4%l;sc ❑SIR testing results(and supportingdocumentation records). oaa(,m ❑ Tank gauging results(and supporting documentation records). +w.tilfe ❑ATG Testing results(and supporting documentation records).4%i4,ir ❑ Corrosion Protection 60-day logs 4w sag ❑Equipment maintenance and calibration records. JxifiXh IX.TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties rnurm REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) .ZTHIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)~,t, ZOPERAI'ING MANUALS FOIL ELECTRONIC'MONITORING F,QUIPMENT(Requimd)a•xi-em CALIFORNIA UNDERGROUND STORAGE TANK REGULA PIONS t xum CALIFORNIA UNDERGROUND STORAGE TANK LAW Jw.(rm XSFATF, WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND STATISTICAL INVENTORY RECONCILIATION'a'mtnr S W RCB PUBLIC'A'I]ON:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS”4%k,% ❑ OTHER(Specify):twbab.merit )Iais facility has a"Designated USI'OpentuaC who has passed the California UST System Operator Sxam administered by die International Code Council(ICC). The"Dcyignmed USI'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: r Operation ofthe US"I'systems Ina manner consistent with the facility's best management practices I he facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan e The facility employee's role with regard to spills and overfills as specified in the UST Response Plan Names of eumact persbn(s)for emergencies and monitoring alarms.490an X. COMMENTS/ADDITIONAL INFORMATION _ Proride addrtmnal comments here or indicate how many pages with additional information on specific monitoring procedures areattached to this Plan.41)(1-71 XI.PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring thin: l)the daily/routine USI'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. I lie tollo.m tee. nn(sl,are resno�r�y/tale .rorfo in he nmonitoring and equipment maintenance NAME o am �N Sa. Qlc--� xxws TITLE; +•A-73 NAME 41-74 TITLE axla° 'I he Designated Operator shall perform 1 mon ly isual inspeclign yf the facility, provide a roport the owner/operator,and infirm the owner/operator of any conditions that need follow-up action.IL I `.rr ll _ XII WNER/OPERATORSIGNATURE CEWFIF .ATION:1 rti hat the infatiqyi he m d accurate to the best ofmy knowledge IC� NT SIGN A' F I:[. T n60yaatr -n .4 ih nail �enaiir'a •r v ��0� A PPLIC'ANT NA14;(Print. a1j4rx APPLICANT TITLE. xx�" I'PCF US -D(12/2007)3/4