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UNIFIED PROGRAM CONSOLIDATED FOJW UNDERGROUND STORAGE TAMC MONITORING PLAN (Page 2 of 2) VL UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UDC MONITORING IS PERFORMED USING TRE FOJADWING METHOD a90' [ 4sasw ❑ I.CONTINUOUS ELECTRONIC MONITORING 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑d.NO DISPENSERS ❑99.OTHER S - ): PANEL MANUFACTURER: Q 4sm55 MODEL#: 4vas5 LEAK SENSOR MANUFACTURER, 49 MODEL AS): 490'56 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES fff,/.NO 4so.sv UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a YES lyoul.NO 4— FAILURE/ 9o{i0 FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. �❑ YES pj b.NO 49 1 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER LW a.YES ❑b.NO 4"4iz 2.UDC CONSTRUCTION IS .SINGLE-WALL® ❑2 DOUBLE-WALLED 69043 IF DOUBLE WALLED: 4sas4e UDC INTERSTITIAL SPACE IS MONITORED BY: I.LIQUID L3 2.PRESSURE 3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a YES ❑b.NO 49a b VII.PERIODIC SYSTEM TESTING Ll 1. ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED Acis'. MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. CCR 2644.1 CONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 40 SPILL BUCKETS ARE TESTED ANNUALLY. 4sob7 VIII.RECORDKEEPING The fg9gkowing monnoring/maimennue records are kept far this facility: IjKlarm logs 4sosaa ❑Visual Inspection Records 4vo.ass ❑Tank integrity testing results 4so.ssc �U SIR testing results(and supporting documentation records). 4so.sed ❑ Tank gauging results(and supporting documentation records). 4� ,,❑,r..,,ATG Testing results(and supporting documentation records).4soaan ❑ Comrsion Protection 60-day togs a4.-64QC//uipment maintenance and calibration records. 45 M IIL TRAINING ersormet with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties. 49069a REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) VS UNDERGROUND STORAGE TANK MONITORING PIAN(Required)49at9b OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Requhed)4vobve ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 4m ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 4sa.bse ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"4m-ssr ❑ S WRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"4w.6% OTINER(Specify):M49R Mont is 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 vain 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 D The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan The facility employee's role with regard to spills and overfills as specified in the UST Response Plan Names of contactperson(s)for emergencies and monitoring alarms.4v 70 X COMMEDPIS(ADDITIONAL INFORMATION Provide additional comments a or into how malnyy pages with additional informti/on on spec.if1ic monitoring procedures a /�rt7gfhis Ian.Asan T,l�"e U�tr 7 �/7ealn j, u? Jobe VJI Ik Y) L'�NtCi J140'1 �6 / XL PERSONNEL RESPONSLBIL TIES The UST Owner/Operaaor is responsible for ensuring that 1)the daily/mutme UST monitoring activities and maintenance of UST leak detection equipment coveted by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained property. The folio (s)�rgta�omib for orming the memitoringand equipment martnaancc NAME U / L /D//t// 4un TITLE X 4so-re NAME a/ /L J — TITLE y-/, 4075 The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owrKc/open stor,and inform the owner/operator of arty conditions that need follow-up action. XII.OWNERlOPERATOR SIGNATURE CERTIFICATION:I certify that the information provided hnein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE 490,75 DATE: 4v 71 CC D I Ta� Ou ttttlxrt ❑ A �n>sd R q f Ocm /{ /f G APPLICANT NAME(print): J90•79 APPLICANTTITLE: 39�i9 UPCF UST-D(122007)314