BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI. UNDER DISPENSER CONTAINMENT(UDC)MONITORING I. f�DC MONITORING LS PERFORMED USING THE FOLLOWING METHOD �(1.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY 490.54, ❑4.NO DISPENSERS ❑ 3.ELECTRONIC STAND-ALONE 490-946 �99.OTHER S eci PANEL MANUFACTURER: __Y '_7;��--�.�,�--pp�` _ LEAK SENSOR MANUFACTURER: r cp v r-fi-moo— __ 49099_ MODEL H: (f _ 3�'p a9a56. DETECTION OF A LEAK IN'CO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS 4 sr MODEL 49 5, UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ,�a YES Cl b.NO 49.59 FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN Ltd•a YYEES ❑b.NO 4906. UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. �L1B,l ❑h.NO 490.61 2.UDC CONSTRUCTION IS .SINGLE-WALLED ❑2.DOUBLE-WALLED YES ❑b.NO a9a.6z IF DOUBLE WALLED: 49NO —_ UDC[I'?TERSTCfIAL SPACE ISMONITOREDBY:�ILLI UID -Q2,PRESSURE 3_VACUUM 49c 6 A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a YES ❑b.NO a906at VII.PERIODIC SYSTEM TESTING ❑ I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT F.NIiANCED 49069. MUST BE PERFORMED, PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RF�UIREDy23 CCR . SECONDARY CONTAINA7ENT COMPONENTS ARE TESTED EVERY 36 MONTHS. .SPILL BUCKETS ARE TESTED ANNOALLY. -------•-- — ------ -- —_ a00-� VIII.RECORDKEEPING 49.61 Thejollowing monitoring/m—aint�n�nce records are kept for this facility: Alarm logs 490.611, Prsue1 Inspection Records 49.686 W❑S testing results(and supporting documentation records). 4906sd El Tank integrity resting results ago-rti G Testing results(and,importing ) ❑ Tank gauging results(and supporting documentation records). .9068, pporting documentation records).49.6.1 ❑ Corrosion Protection 60-day logs s906eg NlIfquipment maintenance and calibration records. s9a6an IX.TRAINING Personnel with UST monitoring responsibilities are familierwith 811 of the following documents relevantto theirjob duties. 490.69, REFERENCE DOCUMENTS MAINTAINED AOR EL N CT FACILITY(Check all that apply) rl OPERATING MANUALS FOR ELECTRONIC MONITORING❑ THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)49.696 ❑ CA IF RNIA UDERGROUND STORAGE TANK REB"U 9a69a MENT(Required)a9a6x ❑ CALIFORNTINIA UNDERGROUND STORAGE TANK LAW 4sc4% ECTR ❑ SSTATISTICAL TATTI TT E WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND ❑ INVEN SN"49069f WRCB PUBLICATION:f`"UNDERSTA DING AORY OUTOMATIC TANK GAUGING SYSTEMS"49"9g ❑ OTHER(Specify):mI M69i This facility has a"Designated UST Operator"who hes passed the California US7 System Operator Exflm administered by the International Code Council(ICC), The i 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 training will include,but is not limited to,the following: D Operation of the UST systems in a mflnner consistent with the facility's best management practices D The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan D The facility employee's role with regard to spills and overfills w specified in the UST Response Plan ➢ Names of contact persons)for emergencies and monitoring alarms.490-7o Provide additional X. COMMENTS/ADDITIONAL INFORMATION wrrtments here or indicate ow manes wpithpadditional infortne[ion qn specific monitoring pr doges are attached to this plan 490-71 �p•/,��`~`�" IIINNN �f 1 r�.$ Rs^CSy � '2'� I � ' , XI.PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that:1)the daily/routine UST monitoring activities and maintenabre of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)ell monitoring records are maintained properly. The follow' pars s)are respo Bible for p ormin a onito ' g and equipment maintenan NAME NAME 49.71 TITLE k.�� ' 49074 TITLE acs+-2. 4s0az The Designs per mr shall perfo monthly visual inspection of the£stili l 490.9 conditions that need follow-up action. ty. provide a repo to the owner/ toq and inform the owner/operator of any XII.OWNER/OPERATOR SIGNATURE CERTIFICATION:I the a rm tion rovided herein is true and accurate to the best of m knowledge. APPLICANT SIGNATURE 49x76 DATE: 49.77 APPLICANT NAME(print): ,^,11 49.7e Wv. APPLICANT TITLE: � A.,'�� 9aa9 UPI UST-D(122007)3/4 I