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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGETANK MONITORINGPLAN (Page2of2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UDC JIONITORING IS PERFORJIED USING THE FOLLOWING JIETHOD °90.54 ® 1.CONTINUOUS ELECTRONIC MONITORING [:]2.FLOAT AND CHAIN ASSEMBLY [33.ELECTRONIC STAND-ALONE 90.64b 0 4_NO DISPENSERS099.OTHER(Specify): PANEL MANUFACTURER:Veeder-Rcpt °9066 MODEL B:TL$-350 °Wis LEAK SENSOR MANUFACTURER:Vader-Root N0.99 MODEL q(S):794380208 J9p'66 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS (0 a YES ❑b.NO 490.39 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN M a.YES ❑It.NO i9O6o. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑b.NO 496'6] UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ® a.YES ❑b.NO _ 49o.a2 2.UDC CONSTRUCTION IS RL SINGLEAVALLED ❑2.DOUBLE-WALLED 49e6I IF DOUBLE WALLED: T9o.64i UDC INTERSTITIAL SPACE IS MONITORED BY_ L LIQUID ❑2_ VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO '1906'6 VH.PERIODIC SYSTEM TESTING 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49065. ___ EAK DET LD MUST BF.PERFORMED_PERIODIC ELD IS PERFORMED EVERY36 MONTHS AS REQUIRED.(,23 CCR ft2644_lj ®2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. .-_—__-_._..-.__ -_-________—__--._.__—___._____-.._. ___._....__—__-_�..._—_.-._�______.______ ®3.SPILL BUCKETS ARE TESTED ANNUALLY. 49ae7 VHI.RECOROKEEPING The following monitoring/maintemanee records are kept for this facility: ®Alarm logs 49ass. ❑Visual Inspection Records 49 b ®'rank integrity testing results 49 ®SIR testing results(and supporting documentation records). 49 W ® Tank gauging results(and supporting documentation records). 49v . ®ATG Testing results(and supporting documentation records).49 r ❑ Corrosion Protection 60-day logs 49aeaa ®Equipment maintenance and calibration records. 490bab 1X.TRAINING ®Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties. 49oa9s REFERENCE DOCUMENTS MAINTAINED KI'FACILITY(Check all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490696 ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) ® CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490694 ® CALIFORNIA UNDERGROUND STORAGE TANK LAW 490696 ® STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"49069r ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49 , ❑ OTHER(Specify):mih,.mm 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 D The facilityemployees role with regard to spills and overfills as specified in the UST Response Plan D Names ofcontact person(s)for emergencies mid monitoring alarms.4 7o X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional Information on specific monitoring procedures arc attached to this plan.49 711 ere 7 T A Ic �f(D( XI. PERS i EL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that:1)the daily/routine UST monitoring activities and maintenance of UST Ink detection equipment covered by this plan occurs,2)all conditions dint indicate a possible release arc investigated,and 3)all monitoring records are maintained properly. The following person(s)are responsible for perforating the monitoring and equipment maintenance: NAME Gilbert Silva 49 7z TITLE Contact 49x71 NAME Gilbert Silva 49x74 TITLE Contact 4W73 The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operaWr,and inform the ownedopemtor of any conditions that need follow-tip action. XH,OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify,Lha tion provided herein is True and accurate to the best of my knowledge. APPLICANT SIGN 49x76 DATE: 49x77 12.22-2009 APPLICANT NAME(print): 490.�a APPLICANT TITLE: 49a->9 Gilbert Silva Contact UPCF UST-D(12/1007)3/4