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f. UNIFIED PROGRAM CONSOLIDATE UNDERGROUNDSTORAGETANK MONITORING PLAN-(Page 2 of 2 UNDER DISPENSER CONTAINMENT(UDQ MONITORING.._.. «o° uror h l UDC MONITORING IS PERFORMED USING THE FOLLOWING METHODS) ❑ 1.CONTINUOUS ELECTRONIC MONROR No ® 2 FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 4Wsr' ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) LEAK MONITOR MANUFACTURER: +sass. MODEL C �56 .LEAK SENSOR MANUFACTURER 49as]' MODEL/(S): - 'rsa58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ® b.NO 4sa5° UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. - ® LYES ❑ b.NO Oso sc FAII,UREIDISCONNECfION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® s::YES :❑ b:NO 4'"' - UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER ® a.YES ❑ b.NO UDC CONSTRUCTION IS: ® 1.SINGLE WALL ❑ 2 DOUBLE WALL ' IF DOUBLE WALL: 4sasu UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ' ❑ a VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a:YES ❑ b.NO 4saa"- VII. PERIODIC SYSTEM TESTING Li 1.ETA TESTING:.THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED � ` D MUST BE PERFORMED. PERIODIC EIA IS PERFORMED EVERY 36 MONTHS AS REQUIRED.rp not j2w.ij ® 2 SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 4 7. VIII. RECORD KEEPING The following monitoring/maimenma records are kept for this facility. '. - 49ass ® s:ALARM LOGS ;�;�.. ® b.VISUAL INSPECTION RECORDS ® c.TANK IN'T'EGRITY TESTING RESULTS ` ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) --:•�, ❑ E ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 6o-DAY LOGS h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS IX" TRAINING —' Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: racer.. REFERENCE DOCUMENTS MAINTAINED AT FACILrry(Check ail rdar apply) .a. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 4so , ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) ® CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 4sacsd. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW ❑ STATE. WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND renes( STATISTICAL INVENTORY RECONCILIATION" - ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 49x6 , 4_'. .0 OTHER(Specify): :.. 4906%: This facility has a"Designated UST Operator'who bas passed the California UST System Operator Exam administered by the International Code Council 4W76 -.. (ICC), The"Designated UST Operator'will train facility employees in the proper operation and maintenance of the UST systema annually,and within 30 ' - Jaya of him Ibis training will include,but is not limited to,the following: > :Operxdm 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 Pian. > 'The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plsa ': > Name(s)of contact person(s)for emergencies and mmitormg elam:s. 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. M. PERSONNEL RESPONSIBILITIES 1by The UST Owner/Opcator is responsible for ensuring that: 1.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered tttia plan occurs:2. all conditions that indicate a Dossible release aro investigated;and 3. all monitoring records are maintained { THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME:- . a:.'; " . 4soa. :71IIE:.. -:... 4sa7 NAME:_ . . . 4s 74- ITIEi The Designated UST 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: WNERIOPERATOR SIGNATURE CERTMCAT ION:I eertia information rov ed herein is true and acevnte to the best of m knowledge, .APPI;ICANT SIGNATURE :. .. DATE:12 W -1 2 J.Autl:or@cd MO.m AYPI.ICANTNApM�aB � ):�•, Q res APPLICANTTITLE' 4varv. ./ I 'WWW.iuidoea. rg .qtr