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0 IFIED PROGRAM CONSOLIDATED FOR <br /> UNDERGROUND STORAGE TANK _„ <br /> MONITORING PLAN-(Pag 3 Nl <br /> TYPE OF ACTION ❑ I.NEW PLAN ❑ 2.CHANGE OF INFORMATION ' ', h, 490-1 <br /> zi, <br /> PLAN TYPE R 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACIATr. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) - 1tii 1 1 <br /> BUSINESS NAME(Same as FACILITY NAME)1(0 3 <br /> BUSINESS SITE ADDRESS S-777 <br /> S Freu6 Lm ]• 103. �oC-IG104. <br /> S Ln <br /> II.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency <br /> specified by the 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) <br /> ------------------------ <br /> ----- --------------------------------------------------------------------------------------------------------3a---- <br /> MONITORING EQUIPMENT IS SERVICED 1 a90 <br /> .ANNUALLY ❑ 99.OTHER(Specify): 490-3b <br /> III. MONITORI LOCATIONS <br /> ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. .SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)490-4 <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT ago-s <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: [�rla.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6 <br /> -------------------------------------------------------------------- --------------------------------------------- --------------------- <br /> --------- <br /> PANEL_MANUFACTURER: ago-7. % - 4948 <br /> -------------------- e - Ulf -a ----------------------------------------- y-MODEL#_ - - ----------------------------------------- <br /> 490-9.LEAK SENSOR MANUFACTURER: a9oao <br /> JtrMODEL#(S): ZOO <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 <br /> PANEL MANUFACTURER: 490-12. MODEL#: 490-13 <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ <br /> -IN-TANK PROBE-MANUFACTURER_--- ---------------------------------------------------- <br /> 490-14. -MODEL#(S) 490-15 <br /> - - - --------------------------------------- <br /> -- <br /> LEAK TEST FREQUENCY: Ela.CONTINUOUS ❑ b.DAILY/NIGHTLY El c.WEEKLY 490-16 <br /> -- E d_MONTHLY ❑ e_OTHER(Specify): 490-17 <br /> ---------------------------- -------------------------------------------------------- - - ------------------------------------------------------------------- <br /> PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER(Specify): <br /> 490-18 <br /> g.p.h. g.p.h. ( P i7)� 490-19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: E] a.36 HOURS [Ib.60 HOURS 490-21 <br /> 490-22 <br /> ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-24 <br /> 490-25 <br /> ❑99.OTHER (Specify): 490-26 <br /> 490-27 <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS: DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> - ------------------------------- <br /> -- - - - - --- - <br /> PANEL MANUFACTURER: / f a9oao MODEL#: �.^�, ago-31 <br /> - - - - - - - -u ` <br /> _L_EAK SENSOR MANUFACTURER: 490 3 490-33 <br /> or 2 MODEL# S) 2D <br /> - - - -° - .........-- - -------------------- - -= <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. a.YES ❑b.NO <br /> 490-34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Va.YES ❑b.NO 490-35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS A D REST ICTS OR SHUTS OFJF <br /> _-------- PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR_§2636)________-_ ______ - 7 �� <br /> ------490-37------ 490-38 <br /> MLLD MANUFACTURER(S): I MODEL#(S): V <br /> ❑ 3.ELECTRONIC LINE LEAK DETECT0 LL )THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) <br /> ----------------------------------------------------------- - ----------- --- - ---- ------- ------- <br /> ------- ------ <br /> ----------------- - ---- --- ---- <br /> 1 490-40. I - - ------------------------'--- 490-41 <br /> ELLD MANUFACTURER(S) <br /> MODEL#(S): <br /> PROGRAMMED IN LINE LEAK-TES 1. IMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490-42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 490-43 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 490-44 <br /> ❑ 4.PIPE INTEGRITY TESTING 490-45 <br /> TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHERS eci ) 490-46490-47 <br /> ❑ 5.VISUAL PIPE MONITORING. 490-48 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049 <br /> 'Allowed for monitoring of unburied emergency enerator fuel piping only per HSC§25281.5(b)(3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)I. 490-50 <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> ❑ 99.OTHER(Specify) 490-52 <br /> 490-53 <br /> UPCF UST-D(12/2007)1/4 <br />