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07/07/2011 08:54 2097270859 GEORGE'S #1637 P.003 /004 ikTED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) M�"oMVM .,-._�...�:Y_ yr __ .�'JfA1M^ n�i : .,.�. .. x�V... _.4 �1� 1 `fJ... 'N 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD- 49654& ❑ I.CONTINUOUS ELECTRONIC MONrroRING ® 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS ❑99.OTHER_(SpcciM! PANEL MANUFACTURER: a�STEL S; 490-56. LEAK SENSOR MANUFACTURER: `9657 I MODEL#(S); DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a,YES ❑b_NO 49459 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ;j a YES ❑It NO 49n6Q FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Pia YES ❑b.NO 49MI UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ❑ a YES ❑b.NO 40"2 LUDCCON.STRUCI'IONIS ❑1.51NOI,E-WALLED 02.DOVBL&WALLED d9D IF DOUBLE WALLED: - a9o.a44 UDC INTERSTITIAL SPACE IS MONITORED BY: ❑L LIQUID ❑2.PRESSURE Q3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE,AND VISUAL ALARMS YES ❑b.NO &Sona. ❑ I. ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENF ,C�.D Oso-ss. LEAK DETECTION(RID)MUST BE PERFORMED. PERIODIC ELO IS PERFORMED EVERY 36 MONTHS AS REQUIRED_(23 CCR§2644,1 02.SECONDARY CONTAINMENT'COMPONENTS ARE TESTED EVERY 36 MONTt3S. 4g ®3.SPILL AVCKM ARE TESTED ANNUALLY. yyp� The following mrnitoring/m ' enamce records are kept for this facility .u_ - ®Alarm logs -w �Visuat Inspection Records 49oem STank integrity tacng results 49oca4 ❑SIR testing results( supporting documentation records)_ 49a4iM ❑ Tank gauging results(and supporting documentation records). 49ocs4 ❑ATG Testiug results(mai supporting documentation records).4go-W ❑ Cortosion Pratoction 60-day logs 44acsa ®Equipment maintenance and calibration rocords. a9aean IT , It 1 Personnel with US'I monitoring fesponsibililics arc familiar with all ofthc following documents re:levam to their job duties. 4go4ea REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Chock all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)4w.6% ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49oe9c ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49649$ ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 4oa ft ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCI.iATION"4coasr ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490 s ❑ OTHER(Specify):M696 mb% N This facility has a"Designated UST OperatoT who hes passed fhc California UST System Operator Exam administered by the Imemalional Code Counorl(10C). The"Designated UST Operates"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of him.This training will include,but is not limited to,the following. D Operation offt UST systems in a mmrner consistcm with the facility's best management practices ➢ The facility cmploysc's role with regard to the monitoring equipment as specified in this UST Monitoring Plan Y The facility employee's role with regard to spills and overfills as specified in the UST Response Plan ➢ Names of commas persons)for emergencies and monitoring alarms.49aio Provide additional cammcros bac a indicate how man with additional nrfomwtion on pl 7 Pages spoeifto monitoring procedures 0-[e attac6td W this Tan.4ga7r eve tl q . J Is, The UST Owner/Operator is responsiblo for ensuring that 1)the daily/routine UST monitoring activities and maintenance ofUST Icak detection equipment coveted by this plan occurs,2)all conditions thin indicate a possible release are mvcsdgatcd,and 3)all monitoring records are maintained properly. The following person(s)arc responsible for perIbmi tq the monitoring and equipment maintenance: NAME ALEX IABBARI 49672 'TITLE DESIGNATED UST OPERATOR 4947] NAME 4 74 TITLE 490-7$ The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/opv Wr,and inform the owns/operuror of ally conditions dig nftd fo action. _ . . CERIMCATIO certify that the information provided herein is flue and accurate to the best of my knowledge. APPLICANT SIGN agave DATE: 4no-n C3, J=irrtyPwwr a crO.ar APPLICANT NAME(print): 470.A APPLICANTTrrLE: 490-V Rrrpinfler Paddy SEC cure•mr_n r»nrra�sly