BILLING 2008-2009 - Laserfiche WebLink

Home Browse Search

• MIS WF UNIFIED PROGRAM CONSOLIDATED FOEM UNDERGROUND STORAGE TANK MONITORING PLAN- (Psae loft) TYPE OF ACTION ❑ 1. NEW PLAN X2. CHANGE OF INFORMATION 490.1 PLAN TYPE 1. MONITORING IS IDENTICAL FOR ALL LISTS AT THIS FACILITY. 49x2 (Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(;)' L FACILITY INFORMATION FACILITY ID # (Agency Use Only) I I I - I I I 1 -1 1 1 1 1 1 1 BUSINESS NAME (Same as FACILITY NAME) �6H �' rlrn L674td �i'�+L,S"�� G74- 3 BUSINESS SITE ADDRESS s�'? E lI pr f- tm. CITY 11. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE 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 CCR §2632,2634, 2638 2641 MONITORING EQUIPMENT IS SERVICED I. ANNUALLY ❑ 99. OTHER (Specify): 49 3b M. MONITORING LOCATIONS ❑ 1. NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN. 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634)490.4 IV. TANK MONTPORING IS PERFORMED USING THE FOLLOWING METHOD(S) 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT 49x5 VAULT(S) WITH AUDIBLE AND VISUAL ALARMS. (23 CCR §2632,2634) SECONDARY CONTAINMENT IS: ❑ a. DRY X b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 4906 PANEL MANUFACTURER: °90.9. MODEL #: - - °90.8 LEAK SENSOR MANUFACTURER: T - MODEL #(S): 7 ja J 690'10 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) 4911 PANEL MANUFACTURER: 490.12 MODEL #: 490'13 IN -TANK PROBE MANUFACTURER: 490.14. MODEL #(S): 490-15 LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490'16 ❑ d. MONTHLY ❑ e. OTHER (Specify): 49o17 PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): 49=1 ❑ 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 490'21 490.8 5. TANK INTEGRITY TESTING (23 CCR §2613.1): 490'B TEST FREQUENCY: ❑ at ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): gy900.a6u 99.OTHER S i ❑ (Pec fy): 490.26 490.) V. PEPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) XI . CONTINUOUS MONITORING OF POE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINNWNT WITH AUDIBLE AND 49o2s VISUAL ALARMS. (23 CCR §2636) SECONDARY CONTAINMENT IS:Xa. DRY ❑b. LIQUID FILED ❑c. PRESSURIZED ❑d - UNDER VACUUM 490'29 PANEL MANUFACTURER h 490x0 MODEL M 749x31 LEAK SENSOR MANUFACTURER: S °90'32 MODEL #(S): S L S 49x33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ❑ a. YES 21b. NO 490.34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES fib. NO 4WIS ❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g p.L LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 26 490.36 D2V MILD MANUFACTURER(;): F-EPgi`-S' 490.39 MODEL #(S)' 0 ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT R UTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR 52636) 490.39 ELLD MANUFACTURER(S) 490-001 MODEL#(S): 49041 PROGRAMMED IN LINE LEAK TEST: ❑ 1. MINIMUM MONTHLY 0.2 g.p.h. ❑ 2. MINIMUM ANNUAL 0.1 g.p.h. 49072 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 49 13 ELLD FAILURF/DISCONNECI'ION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 49 4. PIPE INTEGRITY TESTING 490<3 TEST FRE UENCYa. ANNUALLY b. EVERY 3 YEARS [3c. OTHERS i 49 49 17 5. VISUAL PIPE MONITORING. 49 FREQUENCY ❑ a DAILY ❑ b. WEEKLY ❑ C. MIN. MONTHLY 8. EACH TIME SYSTEM OPERATED- 49 19 •AlI9aN hrmaNbri ofimbund fid pipig ody W HSC 25281.5 3 ❑ 6. SUCTION PIPING MEETS EXEMVFION 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) 49x52 490.53 UPCF UST -D (12/2007) 1/4