BILLING 2013 - 2017 - Laserfiche WebLink

Home Browse Search

Dec 0.5 11 05: 20p p. 2 MFIE PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-(Page 1 of 2 oval TYPE OF ACTION ❑ 1.NEW PLAN 2.CHANGE OF INFORMATION 490-2 PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( ' L FACILITY INFORMATION - FACILITY ID#(Agency Use Only) p S BUSINESS NAME(Same as FACILITY NAME) CITY too. 1 BUSINESSSfTEADDRESS II.EQUIPMENT TES ING AND REVENTIVE MAINTENAN Testing,preventive maintenance,and calibration of monilming equipment(e.g.,sensors,probes,line IWk detectors,etc.)must be performed at the ficqucncy specified by'be equipment manufacturers'ins0uetions,or annually,whichever is more frequent,and that such work must be performedqu by alif ed personnel. (23 CCR 2632.2634.2638,2641) - -"- MONITORING EQUIPMENT ISSERVICED 1 ANNUALLY ❑ 99.OTHER(Specify)., avow III. MONITORING LOCATIONS I.NEW SITE PLOT PLAN/11TAP SUBOIITTLD WITH THIS PLAN 2.STfE PLOT PLAN/MAP PREY[OUSLY SUBMITTED. (23 CCR§2632. 2634)4944 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONTTORI]G OF AN\ULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT 4vo-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS (23 CCR§2632,2634) aoa SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM - .___... PANEL MANUFACTURER-'MANUFACTURE %' __ ___ 9°oT MODEL#: a90.9. MODEL#(S): C) 090.10 LEAK SENSOR MANUFACTURER: / -vY 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 49att 99x12. MODEL#: 490-13 PANEL MANUFACTURER: - a9o-la. #(S): a9o-15 lN-TANK.PROBE MANUFACTURER: MODEL _ _ _ -- LEAK TEST FREQUENCY: [Ia.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 410 ❑ a9a17 d.MONTHLY El e.OTHER(Specify):- _ r.--_ - -----_--- 490-I9 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.01 g.p.h. ❑ e.OTHER(Specify): 490.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 4911-20 ❑ 4.WEEKLY MANUAL TANK GATICINC(hTTG)(23 CCR§2645). TESTINGPERIOD: ❑ a 36 FIOURS ❑ b.60 HOURS 4021 . 49 2 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 44 IT-.ST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ C.OTHER(Specify): a 25 4so-25 ❑99.07HER (Specify): 4v 27 V.PIPE MONITORING 1S PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS MONITORING OF PIM PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-25 UAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: DRY Ob.LIQUID FILLED ❑c PRESSURIZED ❑d.UNDER VACUUM 49 '29 MNELMANUFACTURER:-�cr�:p 99030 MODEL#: �_ 40071 LEAK SENSOR MANUFACTURER: ) + -{I 490_321MODEL#(S): °9051 PIPING LEAK ALARM TRIGGERS AUTOMATIC P P(i.e.,TURBINE)SHUTDOWN. &YES ❑b.NO 490'74 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. DK&YES ❑b.NO 490.35 2.MECHANICAL LINE LEAK DETECTOR(.MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS D 49. MLLDMANUFACTURER(S): 4x17 MODEL (S)__ - I _ 4a3$ ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) a 39 ELLDMANUFACTURER(S) --_- --- --- _ i90.11 i MODEL#(S):.- -60p''- PROGRAMMED IN LINE LEAK TEST:- ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490.42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49M3 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES [Ib.NO 49a+a Lj 4.PIPE INTEGRITY TESTING 490As TEST FRE UENCY ❑ a.ANNUALLY b.EVERY 3 YEARS c.O'THER S if 49aa6490-17 Ll 3.VISUAL PIPE MONITORING. 49°45 FREQUENCY ❑ a.DAI LY ❑ b.WEEKLY [3c.MIN.MONTHLY&EACH TIME SYSTEM OPERA'rEW 490A9 •Albrml flF. LL"'i 'a-z').' 1w 0c1 i .1 HaC§2wI5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRTTF.RIA 123 CCR§2636(a)(3)I. i9 V. 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE.DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-s1 490-52 ❑ 99.O1HER(Spceify) 49 53 UPCF USC-D(122007)1/4