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WW UNIFIED PROGRAM CONSOLIDATED FORW UNDERGROUND STORAGE TANK MONITORING PLAN- Page I oft) TYPE OF ACTIONI.NEW PLAN ❑ 2.CHANGE OF INFORMATION PLAN TYPE .MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 498z Click one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(y' L FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1 1 1 -1 1 - BUSINESS NAME(Same as FACILITY NAME)L /�"&;e 4111ZAZp�,/ 3 BUSINESS SITE ADDRESS O 8� 2J4eyfl a7iE.2 .b 1m CITY io�.YTo�/ 104 IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive meimmence,and calibration of monitoring equipment(e.g.,sensors,probes.lire leek ddwmts,etc.)must be performed at the frequency specified by the equiptrmnt nu mfacavers'instructions,or annually,whichever is more fiequem,and that such wort must be perfomhed by qualified personnel. 23 CCR§263Z 2634.2638 2641 MONITORING EQUIPMENT IS SERVICED I.ANNUALLY ❑ 99.OTI4ER(Specify): 49634 49636 TIL MONITO G LOCATIONS ❑1.NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN. SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490b IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): l.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL (23 CCR§2634 2634) SECONDARY CONTAINMENT IS: Y a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490'6 PANEL MANUFACTURER: ee - 4 7 MODEL#: 'O 49" LEAK SENSOR MANUFACTURER V i90•' MODEL#(S): U 4°0.10 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490.11 PANEL MANUFACTURER: a9 ' MODEL#: 49613 IN-TANK PROBE MANUFACTURER 49614. MODEL#(S): 490-15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINNIIGHTLY ❑ c WEEKLY `A0.16 ❑ d.MONTHLY ❑ e.OTHER(Specify): 49°17 PROGRAMMED TESTS: ❑ a0.I g.P-h. ❑ b.02 g.ph. ❑ c OTHER(specify): 499-14 490.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR 92606.1): 490.30 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS 49621 490.22 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 4902; TEST FREQUENCY: ❑ s ANNUALLY ❑ b.BIENNIALLY ❑ c OTHER(Specify): 49624 49615 ❑ 99-OTHER (Specify): 490.8 49 27 V,PIPE MONITORING IS PERFORMED USING THE FOLIAWING METHODS)(Check 20 that apply) CONTINUOUS MONITORING OF PIPET PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.28 VISUAL ALARMS. (23 CCR§2636) -/ SECONDARY CONTAINMENT IS:&a.DRY ❑b.LIQUIDFILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 49029 PANEL MANUFACTURER )I 490.'90 1 MODEL#: T1 5cO 49631 LEAK SENSOR MANUFACTURER 190'I2 MODEL#(S): 490.33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. bra YES ❑b.NO 49034 FAILURE/DII ISCONNECON OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. pda YES ❑b NO 4 35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3-0 g pL.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 49636 MLLD MANUFACTURER(S): 490.37 MODEL#(S): 49616 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490x9 ELLD MANUFACTURER(S) c, 49040. MODEL#(S): LL 49041 PROGRAMMED IN LINE LEAK TEST: ❑ 1 MINIMUM MONTHLY 02 g.p.h. [12.MINMJM ANNNUppL 0.1 g.p.h. 490'2 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. CV's yFS 0 NO 490'43 ELLD FAILURE(DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49044 4.PIPE INTEGRITY TESTING 49005 TEST FREQUENCY- a ANNUALLY b.EVERY 3 YE ARS c.OTHERS 49b46490-0I 5.VISUAL PIPE MONITORING. 490.09 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY 0 MIN.MONTHLY R EACH TIME SYSTEM OPERATFD' 49049 •All W rm 6f,nhwiM Nd + a4v tL9C 24tsro ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(0X3)1. 49650 7.NO REGULATED PIPING PER HEALTH AND SAFELY CODE,DIV LSION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 49691 490.52 ❑ 99.urvilm(Speciy) 49 3 UpCF UST-D(12!2007)114