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/ jab Alk Mr UNIFIED PROGRAM CONSOLIDATED FOOMW UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VL UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 49054e 990.54b 1.CONTINUOUS ELECTRONIC MONITORING 112.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 4.NO DISPENSERS 1199.OTHER 5 i ): PANEL MANUFACTURER: 49 11 MODEL#: 49x56. LEAK SENSOR MANUFACTURER f ( 490-57 MODEL#(S): 4vo38 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS .YES [3b.NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN fa. .YES 13b.NO 49 FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. YES [Ib.NO 49 i UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER YES ❑b.NO 49063 2.UDC CONSTRUCTION IS f3 1.SINGLE-WALLED 112.DOUBLE-WALLED 49063 IF DOUBLE WALLED: 490644 UDC INTERSTITIAL SPACE IS MONITORED BY: 0 1.LIQUID 0 2.PRESSURE 3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 49064b VII.PERIODIC SYSTEM TESTING I, ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 'gobs. LE MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR 2644.1 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49066 3.SPILL BUCKETS ARE TESTED ANNUALLY. 49067 VIII.RECORDKEEPING The following monimring/maintenance records are kept for this facility: Alarm lags 49 h ❑Visual Inspection Records 49 b ❑Tank integrity testing results 4906& SIR testing results(and supporting documentation records). 49 d ❑ Tank gauging results(and supporting documentation records). 4906,e ATG Testing results(and supporting documentation records).49asaf ❑ Corrosion Protection 60-day logs 49 iig %Xquipment maintenance and calibration records. 49ob,h DL TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties. 490695 REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490.696 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490.690 CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49069d CALIFORNIA UNDERGROUND STORAGE TANK LAW 490695 STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"4sossr ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49069, ❑ OTHER(Specify):m69h m6si 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: 30 Operation of the UST systems in a mourner 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 • The facility employce's role with regard to spills and overfills w specified in the UST Response Plan ➢ Names of contact person(s)for emergencies and monitoring alarms.49070 X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures aro attached to this plan.49x71 n-CP % � �J4_ �� t'SI11�V -` M.PERSONNEL RESPONSIBELYMS The UST Owner/Operator is responsible for ensuring that:1)the daily/routirre UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release am investigated,and 3)all monitoring records are maintained properly. The followingon(s)are responsible for riming the monitoring and equipment rommengpce: NAME 490x3 TITLE C C g;� 49073 NAME ! 49x74 TITLE 490-75 The Designated Operator shall perform a ly vis inspection of the facility, provide a report to the owner/operator, and inform the owner/operator of any conditions that need follow-up action. XII.OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify that provided herein is true and accurate to the best of my knowledge. APPLIC 490-76 DATE: 49x77 Ta � 2 F dlv r/ r i x ]. �7 APPLICANT NAME(print): 0 - 490.79 APPLICAT TIME: 49079 T. / �. r✓ ,JT : G UPCF UST-D(12/2007)3/4