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UNIFIED PROGRAM CONSOLN IDATED FORM UNDER GROUND STORAGETAK l� MONITORING PLAN - (p. I of 2) TYPE OF ACTION I. NEW PLAN ❑ 2. CHANGE OF INFORMATION • PLAN TYPE I . MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 40. (Check one item onl) 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) I. FACILITYINFORMATION FACILITY ID M (Agelw Use Orly) BUSINESS NAME (Sa ' as FACILITY NAME) BUSINESS SITE ADD S 1 /v 103. CITY r II EQUIP T TESTING AND PRE 0 Testin VEPII IVE MAINTENANCE g, preventive main Hence, end calibration of monitoring equipment (e.g., saroora, probes, line look detectors, ac) must be performed et the tteG .i stay specified by the equipme �t manufeeturers' instructions, or annual) whichever is more frequent, and that such work must be 23 CCR 2632 2634 26 8 2641 y' perfa mad by qualified paten naL MONITORING EQUIP NT IS SERVICED 1. ANNUALLY ❑ 99, OTHER (Specify): 490.3 III. MONITORING LOCATIONS 490.1 ❑ L NEW SITE PLOT LAN/MAP SUBMITTED WITH THIS 2634 a9a4 PLAN. ❑ 2. SITE PLOT PLAN/NtAp PREVIOUSLY SUl IMITTED. (23 CCN 12632, I. TANK MONITORING IS PERFORMED USING THE FOLLOWING MET] IOD(S); 1. CONTINUOUS E ELTRON[C TANK MONITORING OF ANNULAR (BVTERSTITfAL) SPACES) OR SYCONDA RY CONTAINPEN," 490.5 VAFJLT(S) UDIBLE AND VISUAL ALARMS. (Z3 CCR ¢2632, 2630 SECONDARY ONTAINM[ENT IS:, b. LIQUID FI LED ❑ C. PRESSURIZED E3 d. UNDER V. \CUUM 4904 PANEL MAN ACTURER,F LEAK SENSO MANUFACTURER: v IKDOA. MODEL I(S): [) 3q�n- 49oro 2. AUTOMATIC T GAUGING (ATG) SYSTE ED TO MONITOR SING .. WALL T NKlSI. (1I CCR §2613) 49o -i 1 PANEL MA ACfURER: 49o.ta MODEL 0: LU I 490-13 LEAK ❑ 3. MONTHLY STA ❑ 4. WEEKLY MAN' 5. TANK 1NfEGR1 TEST FREQUEM ❑ 99. OTHER (Specify V. PIPE M 1. CONTINUOUS M UAL ALARMS. (b SECONDARY COh PIPING LEAK P FAH.UREMW � . INEy CAA ICA Pcnnrlrr yr MANUFACTURER: )UENCY: ❑ a.CC ❑ d. M( 'ESTS: ❑ &0.1 TICAL INVENTORY TANK GAUGING (M TESTING (23 CCR §L ZI a. ANNUALLY IN(; IS PEI ) OF PIPE/ PI IS: B& DRY ❑ b. 0.2 CILIATION (2 CCR §264Sy 490•Ia MODEL k(Sy ❑ b. DAILYINIGHTLY ❑ c. WEEKLY ❑ e. OTHER (Specify): ❑ c. OTHER(Specify): §2616.1): TESTING PERIOD: ❑ e 36 HOURS ❑ b. 60 HOURS USING THE i) AND OTHER TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN, TION OF THE MONITORDIG SYSTEM TRIGGERS AUTOMAT LEAK DETECTOR (NOLO) THAT ROUTINELY PERFORN ..A 490-N 490.25 ell that UNDER VACUUM 490.39 HODELx(S):7y� Rf�-Z6 499-33 MaYS ❑b.NO 49 UTDOWN. *Ra. Y.iS ❑ b. NO 49035 LEAK TESTS AND 1 tESTRICI'S OR SHF " B OFF MLLD MANUF CTURER(S): 190"37 MODEL g(S): .. - 490.36 49oaa ❑ 3. ELECTRONIC L[ E LEAK DETECTOR (ELLD) YRAT ROUTINELY PERFORMS 3A S49 K LEAK TESTS (23 CC R §2636) ELLD MANUFACT __-- _14� _R(S) 490.907 MODEL k S): PROGRAMMED _ _ LINE LEAK TEST: ❑ 1. MINIMUM MONTHLY 01 g.p.h ❑ 2. MINIMUM ANNUAL 0.1 g.p,h. ELLD DETECTION F A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN, ❑ A. YE; 0 b. NO FIT FADLURFJDI NNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YEt: ❑ b. NO4. PIPE INTEGRITY GTEST a.ANNUALLY hEVERY.3YEARS i.OTHER r5. VISUAL PIPE G. FREQUENCY ❑ •Aaow4fmT"�:?;'/l.c.rr�C':1 DAILY [)'6 WEEKLY A/. UZI. (3N'fk6.Y I161o&§Y31F1(q�Fy�m '`f ta7r�P,� 49PK ❑ 6. SUCTION PIPING ry�l. EXEMPTION CRITERIA 123 CCR §2636(x)(3)1• 490.50 7. NO REGULATED (PING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.715 CONNECTED TO FHE TANK SYSTEM 990.51 ❑ 99. OTHER (Specify) ! - 490.A ..,190.53 UPCF UST -D (12/2097) U4ill it L -LD 7