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IFIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN- Page I of 2) FPLAN OF ACTION ❑ I.NEW PLAN 2.CHANGE OF INFORMATION 490-1 TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 4902 (Check one item only) ❑ 2.'PHIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(Sp L FACILITY INFORMATION FACILITY ID#(Agency Use Only BUSINESS NAME(Same as FACILITY NAME) 1 3, BUSINESS SITE ADDRESS O a Qp. 103 CITY �1 104. II.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE 1 Testing preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. (23 CCA_2632,2634,2638,2641 __ _ �_______-________--____ ----- MONITORING EQUIPMENT IS SERVICED19 I.ANNUALLY ❑ 99.OTHER(Specify): 490-3a 490-36 III.MONITORING LOCATIONS 2634 4904 ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): L CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT 490-5 VAULTS)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 49M PANEL MANUFACTURERF�� - �y�-��--/` �-j-_ 490-7. I--ODEL#__- �, -S'�--_4%=8 LEAK SENSOR MANUFACTUREF iy� ,A,, s ` 490-9. 11 490-10 _V MIL-PZO C I MODEL#(S): ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED T MONIT R SINGLE WALL TANKS) (23 CCR§2643) 490.11 __PANEL MANUFACTURER: 490-12. MODEL#: 490-13 IN-TANK PROBE MANUFACTURER: ____________ 490-14. MODEL#(S): 4vo-1s LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAB.Y/NIGHTLY ---❑ C. WEEKLY -- 490-16 ------ ❑ d.MONTHLY ❑ e.(2'fHER(SpeCilL 490-17 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-18 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 49N21 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 49122 490-23 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 49024 490-25 ❑99.OTHER (Specify): 490,26 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 490-2] 911.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:❑a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM�� 490-29 PANEL MANUFACTURER: - � (♦,�Q-OO'r a9o.3o MODEL#: SI,..,�.)(1-------- 490-31 LEAK SENSOR MANUFACTURER: 1'CC1� 496-32 --- 490-33 - - IILO� _-_-- ___ _MODEL#(S) PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES ❑b.NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49035 2.MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3.0 g,p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF _- PRODUCT FLOW WHEN A LEAK IS DETECTED C23 CCR§2636) __ _ __ ___ 490-36 MELD MANUFACTURER(S): fL 490.3] MODEL#(S): __FW LpoJ' 490-38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490.39 ELLD MANUFACTURER(S) _ _________ 49040. MODFL#(S): 49041 PROGRAMMED IN LINE LEAK TEST: 11I.MINIMUM MONTHLY 0.2 g.p.h. El2.MINIMUM ANNUAL O.l g.p.h, 49abz ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 490.43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. [Da.YES ❑b. 490-44 ❑ 4.PIPE INTEGRITY TESTING 49o4s TEST FRE UENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHERS eci 4904649047 5.VISUAL PIPE MONITORING. 490.48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 'Allowed far monitorin ofunburied emer me eneramr Poel i n oN er HSC&25381.56 3 49x49 - ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(x)(3)1. 490-50 ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490.51 ❑ 99.OTHER(Specify) 490-52 490-53 UPCF UST-D(12/2007)1/4