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UNIFIED PROGRAM CONSOLIDATED FOOMW <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. PC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 4v 54 <br /> �' <br /> 1IN <br /> .CONTUOUS ELECTRONIC MONITORING 112.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-5w <br /> ❑4.NO DISPENSERS 1199.OTHER(Si ): <br /> PANEL MANUFACTURER: 49455 MODEL#: GS ,.S O 490-56 <br /> ER: . <br /> LEAK SENSOR MANUFACTUR490"57 MODEL#(S): 490-59 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS7-7a.YES ❑b.NO 490'59 <br /> ry� <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN a.YES ❑b.NO 4%40. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. fj`a.YES ❑b.NO 49041 <br /> UDC MONITORING STOPS FLOW OF PRODUCT AT THE DISPENSER Itf a.YES ❑b.NO a9o-6x <br /> 2.UDC CONSTRUCTION IS 1.SINGLE-WALLED ❑2.DOUBLE-WALLED 49 3 <br /> IF DOUBLE WALLED: 490441 <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: 0 I.LIQUID 0 2.PRESSURE 0 3.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 49a64b <br /> VII.PERIODIC SYSTEM TESTING <br /> 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.65. <br /> LEAK ON MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR 2644.1 <br /> V2.5ECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49046 <br /> .SPILL BUCKETS ARE TESTED ANNUALLY. 490.67 <br /> VIII.RECORDKEEPING <br /> The (lowing monitoring/mainumance records are kept for this facility: —/ <br /> Alarm logs 49o4g4 ❑Visual Inspection Records a90.6sb Ldjank integrity testing results 490 k <br /> ZIR testing results(and supporting documentation records). 49°.68( [)"Tan904 <br /> Tank gauging results(and supporting documentation records). 4se <br /> Testing results(and supporting documentation records).490.6at [:] Corrosion Protection 60-day logs 49°489 <br /> Equipment maintenance and calibration records. 490.68h <br /> D{.TRAINING <br /> Persomlel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties. 490.69. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> 10IS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-6 b <br /> OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49049. <br /> ffrCALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49 w <br /> CALIFORNIA UNDERGROUND STORAGE TANK LAW 49 6% <br /> STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION'49049f <br /> SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49069g <br /> ❑ OTHER(Specify):ra69h M69i <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This <br /> 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 practices <br /> ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan <br /> ➢ The facility employee's role with regard to spills and overfills as specified in the UST Response Plan <br /> ➢ Names of contact person(s)for emergencies and monitoring alarms.490-20 <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 <br /> M.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Opendor is responsible for ensuring that:1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. <br /> The followw��pp��!!��on(s)are responsible for perfomung the monitoring and equipment maintenance: <br /> NAME !'/tf/� C ✓IjiL2 /L 49o-72 TITLE �!/J A, 490-73 <br /> NAME 490-74 TITLE 490-75 <br /> The Designated Operator shall 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-up action. <br /> XII.OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICA SIGNATURE 49 16 DATE: 490-77 <br /> �� 3/5(/o s/ <br /> APPLICANT NAME �49a7s APPLICANTTITLE: 49079 <br /> n <br /> UPCF UST-D(122007)314 <br />