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1 TYPE OF ACTION PLAN TYPE (Check one item on] ) FACILITY IDA (Agenc) BUSINESS NAME (Sats BUSINESS SITE ADDR Testing, preventive main specified by the egvipma 23 CCR 7632 2634 26 MONITORING 1rQUIP ❑ L NEW SITE PLOT N 2. VAULTS) SECON PANEL LEAK III -TANK PI LEAK TEST ❑ 3. MONTHLY STA © 4. WEEKLY MAN[ 5. TANK INTEGRI TEST FREQUEN( ❑ 99. OTHER (Specify' V. PIPE M i. CONTINUOUS MI OVISUAL ALARMS. (23 SECONDARY CON PIPING LEAK 0 0 RD2.1 10; PROGRAMU MD ELLD DETECT(( ELLD FAILURFJ 5. VISUAL Mm I1i0 Asaww far �0 61 6. SUCTION PIPING ❑ 99.OTHXR (specify) UPCF UST -D (12/20i1'TJ t . NEW PLAN JlN3r1L& 3) rKuFj IAM CONSOLIDATED FORM UNDERGROUND STORAGE. TANK MONITORING PLAN - (Pay I of ❑ 2. CHANGE OF INFORMATION I . MUN (TURING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( _ _ i, FACILITY UWORMA77ON as FACILITY NAME) 7-6) 5S II. EQUI14ENT TESTING AND PREVENTIVE MAINTMANCE lance, and calibration of monitoring equipment (e.g., seisms, probes, line k:ak detectola, etc.) tinitit be ptsrt'ortned at the F* - a mw mtmuf d mors' instructions, or tmmally, whiehever is more frequent, and that each work must be pwfbt mod by qualified perk* .tri. i 2641 ENT Is SERVICED 1. ANNUALLY ❑ 99. OTHER (Specify): ....._ IM MONIT( MG LOCATIONS LAN/sw SUBMITTED WITH THIS PLAN. t3 2. SITE PLOT PLANIMAP PREVIOUSLY SUIIMIT"PRD. (23 CCR t I632, . TANK MONITORING IS PERFORMD USING THE FOLLOWING MET) iOb(S): 'sCTRONIC TANK WONITORWG OF ANNULAR (pY'iM mTnAL) SPACE(&) OR SZC ONDA liY O&MINIIDl1i1' UDIBLB AND VISUAL ALARMS. (23 CCR Vi32. W ONTAINMBNT IS: b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDM t V, ►CUUM ACTURER + r _ODEL #: CT MANUFAURER: 49049a�. MA MODEL S): K GAUGING (ATG) SYSTEM L7D TO MONITOR (23 CCR JW43) O ACfURER: 49D -t2. MODEL. #: Cs MANUFACTURER: 49044, MODEL S): - iQUENCY: _❑ a. CONTINUOUS ❑ b. DAILYINWAMY ❑ c. WEEKLY 49" 490.13 © d, MONTHLY a. OTHER 490.17 TESTS! ❑ a 0.1 g.p.h, ❑ b. 0,2 &.ph. ❑ o. OTHER (Specify): ._ 49a8 496.19 STICAL INVENTORY RECONCILIATION (23 CCR p6dLj): TANK GAUGING (MTG) (23 CCR $2345). 'TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS 490.7337 TESTING (23 CCR }2643.1):-29- ❑ a. ANNUALLY 0 b. BIENNIALLY ❑ c. OTHMR (Specify): � 410.N 49037 NITORING IS PERFORMED USING TIII; FOLLOWING METHODS) (Che ek all that apply) ITORING OF PJJW PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH A 7DIBLE AND 490.29 CR §2636) AINWNTIS:%A.DRY ❑b. LIQUID FILLED []c. PRESSURIZED ❑d UNDER VACUUM 490.39 496'3° MODEL #: ' _ 496-31 ACTURER ( f 499-321 MODEL!( 490.33 TRIt3G SRS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN- Na Y 3 13b. NO _ 490-34 f30 CN OF TIM MOWTORING SYSTEM TRIGOW AUTOMAT iC PUMP SHUTDOWN. A ria [:1b. NO 49oas LEAK DETECTOR M")M") THAT ROUTINELY PERFORM 3A g.p.L LEAK TESTS AND I tESTRICCS OR SRI 3 OFF MEN A LF.AX IS RETECTEDag CCR 490 -US � . 4907 MODEL. S _ am, LICA1( DI;T)I:("I+O>A, (SIRED) THAT ROUTINELY PCRFORW 34 g,}A LEAK TLM M CL R §263f)r - 4" S 4%49 Mom fin - - 490-41 LINE LEAK TEST: . , ❑ 1. MINIMUM MONTI#I.Y 0.2 g.p.h. ❑ 2. M[NIMUM ANNUAL 0. I g p h, '41111-4. F A PIPING LEAK TRIGGERS AUI.OMAnc PUMP SHUTDOWN. ' ❑ a: YM; ❑ b. NO NNECTION TRIGGERS AUTOMATIC PUMP SHiTIDOWN. ; D a Y8:t ❑ b. NO 49644 G 4904,4 r - u n:. ,t.ruwa fc ;0-2 t~ANNUALLY' bCY3YEARS = i: LTAAdY (' b.��FlICL3F wFi4r'f7 Ii3(EWIP'naN CRITERIA pi CCR $26331+)(3)6 nt►so ,[PING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAP'm 6.7 Is CON11i)l;C = TO THE TANK SYSTEM AA- . -490.3?