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0 a <br />---• --- • �� . rnrvvun, nl.0 IJ rEKNURMED EVERY 36 MONTHS AS UIRED. 23 CCR 2644.11 <br />® 2. SECONDARY CONTAINMENT <br />M <br />COMPONENTS ARE TESTED EVERY 36 ONTHS. VP . c <br />® 3. SPILL BUCKETS ARE TESTED ANNUALLY. <br />-79-766. <br />490.69. <br />The following movitoring/maint s ar <br />aoce recorde kept for this facility <br />® a. ALARM LOGS Ab. VISUAL INSPECTION RECORDS c. TANK INTEGRITY TESTING RESULTS <br />❑ d. SIR TESTING RESULTS (and supporting documentation <br />a90.6d. <br />records) ❑ e. TANK GAUGING RESULTS and au <br />❑ f. ATG TESTING RESULTS ands ( supporting documentation records) <br />records) <br />La b. E UIPMENT MAINTENANCE AND CALHIRATION RECORDS ❑ g' CORROSION PROTECTION 60-DAY LOGS <br />Persanvel with UST Mounting responsibilities are familisr with all of the following documents relevant to theirjob duties: <br />REFERENCE DOCUMENTS MAINTAINED AT FACILITY <br />490.69. <br />(Check all that apply) <br />® THIS UNDERGROUND STORAGE TANK MONITORING PLAN <br />(Required) <br />® OPERATING MANUALS FOR ELECTRONIC MONITORING <br />490-69b. <br />EQUIPMENT (Required) <br />❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />490b%. <br />❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />490.69n. <br />❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />STATISTICAL INVENTORY RECONCILIATION" <br />49os99r <br />❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING <br />SYSTEMS" <br />❑ OTHER (Specify): <br />490-69g <br />490.69h. <br />This factlity has a 'Designated UST Operator" who has passed the California UST System Operator Exam administered by the International Code Council <br />(ICC). The "Designated UST Operator" will main facility employees in <br />490fi91. <br />490-70, <br />the proper operation and maintenance of the UST systems annually, and within 30 <br />days of hire. This training will include, but is not limited to, the following: <br />> Operation of the UST systems in a manner consistent with the facility's best management <br />practices. <br />> The facility employee's role with regard to the monitoring equipment <br />as specified in this UST Monimring Plan. <br />> The facility employee's role with regard to spills and overfills <br />as specified in the facility's UST Response Plan. <br />➢ Name(s) of contact Person(s) for emergencies and monitoring alarms. <br />Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to th, plan. <br />wo-n. <br />MENEM <br />The UST Owner/Operator is responsible for ensuring diet 1.) the daily/routine UST—mnitoring UST—monitoringactivities and maintenance of UST leak detec , equipment b this lan <br />of U leak <br />occurs• 2_Ll conditions that indicate a saible release are ivvesN sled• and 3.),ul monimrin records are mace 9 pment covered <br />THE FOLLOWING PERSON(S) ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT- <br />�NTENANCE: <br />NAME: _ bel1C�sS BO! L� 49o-n. TITLE: •' ( M�4. <br />4 <br />� —90-93. <br />NAME' 49-79^ TITLE: <br />490.95. <br />The Designated UST Operator sball perform a monthly visual inspection of the facility, provide a report to the owner/operator, and inform the owner/operator of any <br />conditions that need follow-u action. <br />CERTIFICATION: I ce rtify that the information provided herein is true and accurate to the best of my knowledge. <br />APPLICANT SIGNATURE DATE; <br />49on. <br />REFkESENTalG: I. Ta.k Owea/0 for 2. Facili Owns/ mr 3. AwhOrizcd relive olOwna 490.76. <br />APPLICANT NAME (print): 4W78. <br />Am" .5 <br />APPLICANT TITLE: <br />49o-99. <br />6Q'S 8 /4pdYt .. <br />�_�_ www.uaidocs.org <br />