BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGETANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 49asa4 L UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 49 54b ❑ 1.CONTINUOUS ELECTRONIC MONITORING [12.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 4.NO DISPENSERS E199.OTHER(Specify): 490.56. PANEL MANUFACTURER: 490-58 MODEL H: -- -- 490-61 MODEL#(S): 490-59 LEAK SENSOR MANUFACTURER: 490.59 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES ❑b.NO 490-60 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN [I a.YES ❑b.NO FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 49031 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ❑ e.YES ❑b.NO 490-63 490-6] 2.UDC CONSTRUCTION IS [3l.SINGLE-WALLED ❑2.DOUBLE-WALLED 4903M IF DOUBLE WALLED: _UDC INTERSTITIAL SPACE IS MONITOREDBY: I LIQUID ❑2.PRESSURE E[3.VACUUM 4444 A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO VII.PERIODIC SYSTEM TESTING 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.65. EAK DETECTION ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED (23 CCR§2644.q 490-66 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 3.SPH.L BUCKETS ARE TESTED ANNUALLY. 890-61 VIII.RECORDKEEPING The following monitoring/maintenance records are kept for this facility: Ixa�1 Alarm logs 490-68a ❑Visual Inspection Records 490.6eb ❑Tank integrity testing results 490-6k �J SIR testing results(and supporting documentation records). Ova.w ❑ Tank gauging results(and supporting documentation records). 49a3sc ❑ATG Testing results(and supporting documentation records).490481' ❑ Corrosion Protection 60-day logs 490489 uipmeat maintenance and calibration records. 49038h IX.TRAINING ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 49039. REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)4903% CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49o39a CALIFORNIA UNDERGROUND STORAGE TANK LAW 4903% STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490-69f ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"4so-699 ❑ OTHER(Specify):M69h,M691 This facility has a"Designated UST Operator'who has passed the California UST System Operator Exam administered by the International Code Council(ICC). e"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 facility employee's role with regard to spills and overfills as specified in the UST Response Plan D Names of contact person(s)for emergencies and monitoring alarms.490-70 X. COMMENTS/ADDITIONAL INFORMATION Provide a ditional comments he or indicate how many pages with additional information on specific mon'Von procedures are attached m this plan.490-71 A - ✓er P� Jtr1-E�o.1 , /eP r S ire se{ a 9 %7 0 41 v u a of XI.PERSONNEL RESPONSIBILITIES t/ ��de The UST Owner/Operator is responsible for ensuring that:1)the daily/routine UST 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. The follo person(s)are respons le for erforming the monitoring and equipment mains ante: NAME ", TITLE 41i�.�t0T S Dr-'l S P 490-rs NAME 49074 TITLE 490-05 The Designated 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. XII.OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. APPLICANT NATURE / 49076 DATE: 490.11 aLPRES TING: LTenk Ownerl0 cmtor Z,FocilitOwnedO moor 3 h riu Re dive of Owner °90.79 APPLICANT TITLE: VISO(-APPLIC TNAME(print): i Z ✓`d�t0 Sy or-E S44p,!* 19$ � � UPCF UST-D(12/2007)314 (b J I/ �I J