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UNIFIED PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- Pae 1 of 21 <br /> 490.1 <br /> TYPE OF ACTION .NEW PLAN ❑ 2.CHANGE OF INFORMATION <br /> a9o-x <br /> PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)_ <br /> L FACILITY INFORMATION <br /> 1 <br /> FACR.TI'Y ID#(Agency Use Only) <br /> 1. <br /> BUSINESS NAME(Same as FACILITY NAME) rgh'ir/r ~r OMI <br /> BUSINESS SITE ADDRESS �y 000 � l✓% Q' tm. � �/-4'/�a 9S"Z�7 I°'. <br /> II.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leek detectors,etc.)must be perfomred at the frequency <br /> specified by Ore equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> 23 CCR 2632 2634 2638 2641 490.3. <br /> MONITORING EQUIPMENT IS SERVICED I.ANNUALLY ❑ 99.OTHER(Specify): 490.34 <br /> III.MONITORING LOCATIONS <br /> 1.NEW SITE PLOT PLANW"SUBMITTED WITH THIS PLAN. E32.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)49oa <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 49o-s <br /> t.CONTINUOUS ELECTROMC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAIN <br /> VAULT(S)WITH AUDIM AND VISUALS (23 CCR§7632,2634) 49 <br /> SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM ams <br /> PANEL MANUFACTURER: ✓Ai I�AM IZ P,"- 4909. MODEL#: L.$ ,3vr0 <br /> v�,r 490A. - .Z 49 <br /> LEAK SENSOR MANUFACTURER ,(ri�.�Zl MODEL#(S): x9011Ll <br /> 2.Al17 DMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR aQj9I F W T 1 TAN-K15 (23 CCR§2643 tw 490.13 <br /> PANEL MANUFACTURER: r �/�G 19011 MODEL#: ? <br /> T904 <br /> 490.14. MODEL#(S): 495 <br /> IN-TANK PROBE MANUFACTURER: a9a1e <br /> LEAK TEST FREQUENCY: ❑ a.CONTIN000S ❑ b.DAILvniGHTLY ❑ c.WEEKLY <br /> 49013 <br /> ❑ it.MONTHLY ❑ e.OTHER(Specify): <br /> 49ats <br /> PROGRAMMED TESTS: ❑ a 0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490.9 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.21 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS 490-0 <br /> 490.x3 <br /> 5,TANK INTEGRITY TESTING(23 CCR§2613.1): 490.24 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490.x3 <br /> 490.26 <br /> [199.OTHER (Specify): 490x27 <br /> V.PII'E MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check aU that apply) a9o-xe <br /> 1.CONTINUOUS MONITORING OF PIPE/PINING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND <br /> VISUAL ALARMS. (23 CCR§2636) 49x29 <br /> SECONDARY CONTAINMENT IS:Ora.DRY ❑b.LIQUID FILLED 0c.PRESSURIZED ❑d.UNDER VACUUM 4� <br /> PANEL MANUFACTURER: " f n 0 090.30 MODEL#: L �..j <br /> 4903x MODEL#(S): v °9x.33 <br /> LEAK SENSOR MANUFACTURER: G/Z G BIT a.YES ❑b.NO 49034 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e,TURBINE)SHUTDOWN. 2'&- NO 490.35 <br /> AlLuREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Ild a YES ❑b.TS <br /> I IIINCHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 p bp.h.LEAK TESTS ANDRE OR SHUTS OF�36 <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 263 490.38 <br /> MLLD MANUFACIURER(Sy f ,�'M10 49o-n MODEL#(S): 5l-P7-,- L <br /> 490.39 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 gp.h.LEAK TESTS (23 CCR§2 49x41 <br /> ELLD MANUFACTURERS) MODEL#(S): <br /> a904z <br /> PROGRAMMED IN LINE LEAK TEST: ❑ I.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0,1 g.p.h. a9oa3 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO °9014 <br /> ELLD FAILURFIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. <br /> 4.PIPE INTEGRITY TESTING 490.15 49 496 17 <br /> TEST FREQUENCY a.ANNUALLY b.EVERY 3 YEARS c.OTHER(Specify) 49 <br /> 5.VISUAL PIPE MONITORING. 49x.49 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED• <br /> •Mloxxdtmmoahon oriebaied enet4lrc Pod i'n ad HSC 23281.5 3 <br /> ❑ 49aso <br /> 6.SUCTION PIPING MEETS EXEMPTION CRITERIA)23 CCR§2636(a)(3)I• <br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.715 CONNECTED TO THE TANK SYSTEM <br /> 490.51 490.52 <br /> ❑ <br /> 99.OTHER(Specify) 49a53 <br /> UPCF UST-D(12/2007)U4 <br />