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JUN-10-2010 12 :27 PN P. 04
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<br /> LIN IFIED PROGRAM CONSOLIDATED FORM
<br /> UNDERGROUND STORAGETANK
<br /> MONITORING PLAN (Page 2 oft)
<br /> __ __ VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING
<br /> 49M
<br /> ft
<br /> 1. LID(:MONITORING IS PERFORMED USING THE FOLLOWING METHOD e9a)a7
<br /> 1.CONTINUOUS ra,ECfRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ---
<br /> 4.NO DISPENSERS ❑99.OTHER( ify�: __-__ _
<br /> .._.__..._____—__...__.._._....__ ��4645 7
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<br /> PANEL MnNUhACTl1RFR! 1 `����7�� F�� �����_.-_.,'_MODEL A!��—kZ•��..............._..
<br /> LEAK SCMiU2 MAN_CIFACILRER: �r� d9f"n MO__DEL N(S�:_ �Q{{ 490'51
<br /> ._ _ . . C.¢' wo=ia
<br /> ULrI'LCI'ION O"A LEAK 1NTO TI'IC•Ul)(!I-RICCLRS AUDIBLE AND VISIIAI.ALARMS ,. "'YES ❑b.NO
<br /> UDC I.EAK AI,ARM TRICCF:RS AIrrOMATIC PUMPSHLI'11)OWN Ge.YES ❑b.NO
<br /> FAItA!RF./DISCONNECTION OP IIUC MON."IORINC SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ea.YES ❑b.NO `9041
<br /> ' UDCMONIfORINC.i STOPS TEIF.FLOW OF PRODUCT AT'TIIF. DISPENSER, IIs YES ❑b.NO 4603
<br /> 1 2,UDC CONSTRIi(7fION 19 W SINGI,r-WAIJ,F.D L2.DOUBLE-WALLED
<br /> _.......
<br /> ...---._._.-------
<br /> ..... . ... _..._.__.._-_ .. 46W
<br /> IF DOUtS!.F wALLF.D:
<br /> E1DC!N'-LRS'1_7TIAL,SFACCIS,MON(�(SRFD BY__❑ I_LIQUIt)__�2.PRFSSl1RF.�!_VA000M •,____-_
<br /> A LrAK w1 rmN rHE SF(:0141;AAS'CON'I'AINME,N-r OP THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO
<br /> VII.PERIODIC SYSTEM TESTING
<br /> '1 FSfTNG: THIS FACILITY HAS RFEN . TIFIED BY THF.gVrAxtl. WATER RESOURCES CONTROL BOARD THAT SAN_EO 4m65.
<br /> 7 jC;(IONSL•'L,U).MU39',BE.PI:RFORMIiU. PE_RIO_DIC FL„_P 19 PF.RYORMF.0 EVERY36MON7715 AjBpMIRED.(23CCR92644.1) •_••,_-
<br /> 29Fw:17N!)AR1'l':UN'fAINItEN'1'COMPONENTS ARE TESTED RVF.RV36 MONTHS.
<br /> .SPILL 111LICKpTSARCTENTKI1,Vi1s 1!ALIM. 46n
<br /> —T— VIII.RECORD KEEPING
<br /> �Th'f.7j.y�3fp'ollo,ving n+O:orannµ$�na+9I�aa,+u tecnnis am kept firtam Facility' -- ---_----_—
<br /> 'Cn AlOrn lo : qra" ((j's/'seal 1114pcclioo 0,ccnrd3 4W.e9h LrJ trunk integrity lasting results�esc
<br /> t��.1�QIR testing.rs•.h!Is(and suoponigq documentation records). +m+-6se ank gauging results(and supporting documentation records). 4aar
<br /> M A'r0 r,;...;,rine(sad supponinT dir•.neemat:on records),u 4xf ❑ Corrosion Protection 60-day logs 4 8,
<br /> FFquipmrm,nainlmo"end ealibWion •aca.dl, .vM h
<br /> _ arc a m!Iit _ IX.TRAINING
<br /> Pcrs""M_ with UST:n;onw-ing respuasibiI itiaN W!lh all ofthe fallowing documents relevant to their job duties. 4a4.
<br /> REFERFINCI'•, I0 . IME NTS MAINTAINUM ATFACILITY(Check all that apply)
<br /> :o•1 +IIS I'NDCRCRavD SIT)RAC.-E TANK MONITORING PLAN(Required)weave
<br /> OPCRn'r!N(t MANI IA 1.4 FOR F.I.F.C7RONK MONITORING EQUIPMENT(Required)49a
<br /> CALIFORNIA I INDFR0RC,rUND S'IY)ILACiE TANK RFG11LA1'IONS4mwaa
<br /> C,lLll'UItNIA I1NDIiIt0Aks,,ND:l i*0aA ZTANK LAW wear
<br /> STATF WATER RESOURCES CONTROL BOARD (SWRCH) PUBLICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND
<br /> ",-iS(ICA.I.INVENr0R':'� RFCONC!I.IATION"4a�RM SV.RCN PUBL.ICA'fION:'-11NDEli>rANDING AUTOMATIC'IANK GAUGING SYSTEMS"woes#
<br /> rl'li kill ttipeci It, :Mesh.M64,
<br /> This :Nt.i lily Ls: :� IlaNigtmtcd I1S'1'Uncralni'w•hn hav passed the Cnlifomia 11S7'System Opernlor Fxem administered by the International Code Council(ICC).
<br /> 'the"Ihsivunr.7 k!1 F 01colu r"Will train luulily employees in the proper operation and maintenance Of the UsT sysh:ms annually,and within 30 days of hife.This
<br /> mining n! inuhah.Ind is nm It n.ad,a.1`n:failo+nrg:
<br /> Yftp r:uiot ul"he PlRT systcnisiv: rz.nrer consistent with the lhcility's Msl management practices
<br /> D TIN:fxc!!ity employee's tole with regard W the mnnitoringeyuipment as specified,n this UST Monitoring Plan
<br /> 3• The facility,employee's rok:with regardw spills and nrerfdls as specified in the UST Response Plan
<br /> Iva••as+i .... a(aii,u xincrgcraias nn.l munilonng alarms,castes
<br /> X. COMMENTS/ADDITIONAL INFORMATION
<br /> )Ym'ide atUiliJ�t«I::anmarAx hen:nr iniiadr fir,nulry Pages with addniunsl information on specific monitoring procedures rte attached to this plan.4671
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<br /> 4.y- W %6
<br /> _XI.PERSONNEL RESPONSIBILITIES
<br /> I TI•e UST(h:..c41'n•mrnr is resprmib"!i,r cn.uritg fret: 1)the daily/routine UST monitoring activities and maintenance of US'T leak detection equipment revered by
<br /> ' this plan•.+,u+ :Rdl!Ivne l+al irr wets a twsOle release are investigated,and 3)all monitoring records are maimained properly
<br /> 'Des;1010%.'est p:•^•:,Ms`arc resp 'W.It, mrR>rmi•,a the monitoring and equipment mninteaanyen PN, e96'!7
<br /> NAME. _RtN ware 17TLE
<br /> NAME ua.vi L]FIX Ivan
<br /> The rks!gra!al n:R.(v shell perter-i a ntc4 tbfy rrsual it:spe.tion of the facility. provide u report to the owner/operator,and inform the owner/Olxrotor of airy
<br /> ..--- '-- -•- ...—__._ XII,OWNER/OPERATORSIGNATURE
<br /> CP:'RT1I'7C%'f ION (Carl LP, h _tits in_3;:_motion provided herein IN true and accurate to the best of my knowledge.
<br /> APPI..IL I'kJ1Ni%IURb (�� ��/./� 4xh7e 13A M. c�
<br /> SSL\SLw{: t�nnk otmv(13nerpmcCLlrf.?s..J`auv9luae:_Ori s� :�.�..•n smrue:,u,..,�r,n.m,,:
<br /> APPI ICAN T' -int:
<br /> an,.79 APPLICANT TITLE: 4b
<br /> IIPCF US'..1:1:.'AIW,,J/4
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