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UNIFIED PROGRAM CONS <br /> OLIDATED UNDERGROUND STORAGE TANK ORM <br /> TYPE OF ACTION ❑I.NE W PLAN , MONITORING PLAN-(Pa e I oft) <br /> PLAN TYPE CHANGf:OF INFORMATION <br /> g I.MONITORING IS IDENTICAL FOR ALL UST's qT THfS FACILITY. <br /> (Check one item onl 1 + +w� <br /> ❑ _.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( <br /> FACILITY ID M(Agenev Use Onby [• FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME) <br /> BUSINESS SITE ADDRESS ' •" t <br /> u 6 ms Lay D7 <br /> ✓ CITY <br /> Testin H.EQUIPMENT TESTING "w <br /> 6.Preventive maintenance,and or- --11 of corotonn AND PREVENTIVE MAIN'T'ENANCE <br /> specified by 0K equipment manufacturers'instructions,or annual luipment le.g.,sensors,Probes,line leak <br /> 23 CCR 2632 2634 2638 2641) .Whichever is more 'and and that such III rework must)be must be <br /> perfom+ed at the frequency <br /> MONITORING EQUIPMENT IS SERVICED Derf°rmed by quahhed personnel. <br /> L[yl.ANNUALLY ❑ 99.pTHER(SpeciCy): <br /> 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS <br /> gGE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (2J CCR§2672, +w"+ <br /> 2631 w.J LOCATIONS waa <br /> IV I <br /> L CONTINUOUS EL CERROYI MONK MONITOR NPERFORMED <br /> OF ryp�R(I(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT +wrs <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (SJ CCR§2632,26.34) THE FOLLOWING METHODS) <br /> SECONDARYCONTAINMENT IS' <br /> PANEL MANUFACTURER. L,— a.DRV �.LIQUID FILLED ❑ c.PRESSURIZED <br /> n —= Q d.UNDER VACUUM _ Jwv, <br /> LEAK SENSOR MANUFACTURER: Vpe-•mac.! — +tet MODEL q <br /> 2.AUTOMATIC TANK GAUGING(ATCI SYSTEM L'SED TO, +"`�' -.Z.I-tl T niud <br /> PANEL MANUFACTU MONITOR SINGLE WAI I i MODEL g(S -----" -- �N�I <br /> ------ E RER- �sr_(23 CCR 52643) <br /> __ -- IN•TANKPROBEMANUFACTURER' -------- + Jw`tl <br /> _ __..--___ MODEL If rw}u <br /> LEAK TEST FREQl1ENCY +w"'+ _-__.— ---- <br /> ❑ a.CONTINUOUS �-------.-MDL WS): <br /> ❑ b.DAILYINIGHTLY --------- , <br /> -- __O ad.MONTHLY ❑ c.WEEKLY '_45iT n <br /> PROGRAMMED TESTS ❑ a 01 --'------------ e.OTHER IS t(y): <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATTION(2J CCR 2 � + It <br /> ❑ c.OTHER(Specify): <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING MTC +m-'e <br /> § 646.11: +wr.nr <br /> 5.TANK INTEGRITY TESTING(23 CCR 52643.1��CCR 52645). Jww2a <br /> TESTING PERIOD: ❑ a 36 HOURS <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.60 HOURS +wti21 <br /> ❑ 6.BIENNIALLY ❑ c. <br /> ❑ OTHER(SPedfyl: +w1¢2 <br /> 99.OTHER (Specify). +w.2s <br /> +wc2J <br /> JWA2S <br /> V.PIPE MONITORING IS PERFORMED USING THE FO <br /> 4-Al-26 <br /> NTA S- MONITORING OF PIPE!PIPING SUMP(S)AND OTHER SECONDARY CONNTAAINME T WITH AUDIBLE AND +w.2a <br /> VISUAL ALARMS. (2J CCR 52676) D )(Check all that a 1 <br /> SECONDARY CONTAINMENT IS, PP Y) <br /> -- -----�_ �RY ❑b_LIQUID FILLED ❑c.PRESSURIZED <br /> PANEL MANUFACTURER' Cd.UNDER VACUUM <br /> LEAK SENSOR MA ♦e <br /> MANUFACTURER <br /> / �� Y 490,9CIVRER --- - + �1 MODF,L N: <br /> PIPING LEAK ALARMTRI Yf`R'rf�` __,— +Nb2= <br /> GGERS AUTOMATIC PUMP It e.,TURBINE)SHUTDOWN _ MODEL p(S)_ s_ �Tiwl-u <br /> FAILURFJOISCONNECTION OFTHE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. <br /> MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 YES ❑b.NO +wua <br /> _PRODUCE FLOW-W _HEN A LEAK IS DETE �YES ❑b.NO +wrss <br /> MLLD MANUFACfURER(S): ,C�EPCCR�2636Z B-P•h•LEAK TEST'S AND RESTRICTS OR SHUTS OFF <br /> ❑ 3.ELECTRONIC LINE LEAK DETECT I/� +wFn MODEL g($) +w'9i <br /> OR(FLED)THAT ROUTINELY PERFORMS 3.0 5 <br /> _.__FLED MANUFACTURERS) — _ gp.h.LEAK TESTS <br /> PROGRAMMED IN LINE LEAK TEST: +aun (D CCR 52636) +,M 2v <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP HUi(30 WN. MODEL dAN _ ------ bFtTi- <br /> Bph. ❑ 2.MINIMUM ANNUAL <br /> ELLU fA1LURF/DISCONNECEION TRIGGERS AUTOMATIC PUMP SHUTDOWN <br /> 4.PIPE INTEGRITY TES ❑a.YES ❑b.NO +1sw <br /> TEST'FRE ENCY TING+wNs ❑a.YES <br /> a.ANNUALLY ❑b.NO <br /> VISUAL PIPE MONITORING. b.EVERY;YEARS <.OTHERS if <br /> FREQUENCY Q�a.DAILY ❑ b WEEKLY +wiwc aww <br /> •'�'O'a4 f"'a•m "wn nw CV mnwu fud ❑c.MIN.MONTHLY J:EA {TIME SYS EM OPE <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA(2J CCRt 2beJ1 `A / /1 fF.D, 4.Wv <br /> 7.NO REGULATED pIpING PER HEALTH AND SAFETY CODE,D6V ISION 20,CHAPTER 6.7 IS CO//NNECTED TO THE TANK SYSTEM +w~y <br /> w s; <br /> ❑ 99,OTHERS +wun <br /> OTHER(Specify) <br /> 41,32 <br /> +was <br /> UPCF UST-D(1212007)114 <br />