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UNIFIED PROGRAM CONSOL►DATED FORM
<br /> UNDERGROUND STORAGE TANK
<br /> MONITOMGPLAN_ lag
<br /> TYPE OF ACTION 1.NEW PLAN ❑ 2,CHANGE OF cEa INFO
<br /> RMATION
<br /> PLAN TYPE 490.1
<br /> Che
<br /> t•MONiTORMG 1S lDEN77CAL FOR ALL USTI AT TFRS FACILITY. _
<br /> atle rota on[ ) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM 490.
<br /> FACILITY ID 0(,Igency UnOaly/ 1. FACILITY INFORMATION
<br /> BUSINESS NAME(Same as FACILITY NAME) n 1
<br /> BUSINESS SITE ADDRESS (,1 eys5 s,
<br /> , %T ,
<br /> 1Gt1G 1
<br /> 03
<br /> . CITY Q
<br /> IL EQUIPMENT TESTING AND PREVENTIVE MAINTE`NIANCE od
<br /> Teadng,prevelaive maimma±lcq and calibration of momtorin Nnt
<br /> III by the cqulPm=t mala�etum. instructions,3-r annu3e11 ulwhicbeve8ie mo p gepq y t'mgwn
<br /> 21 CCR '2632,2614,2634 264 Y. dat vmrk etc.)alae be pertAmed at the cy
<br /> w'oAr must be performed by qualified pessounel.
<br /> MONITORING EQUIPMENT 1g SERVICED
<br /> 1.ANNUALLY ❑ 99.OTHER(Specify): 4W)a
<br /> 1.NEW SITE PLOT PL•AN/MAP SUBMITTED WITH T1H SP ANTORING g�C�PLAN/MAP PREVIOUSLY SURMITTEp. 4�3b
<br /> (23 CCR X2632,
<br /> 2634 99r
<br /> 1V,TANK MONITORING IS PERFORMED U51NG THE FOLLOWING METRO
<br /> 1.CONTINUOUS ELECTRONJC TANK MONITORING OF ANNULAR(INTERSTTfIA4)SPACE(S)OR SECONDARY CnN)'TA1NMErvT 49aa
<br /> VAULTS WITH AUDIALE AND VISUAL ALARM$. (23 CCR§2632,2634)
<br /> ( 1
<br /> 3ECONDARYCONTAINMENTIS: �{e.DRY_❑ b.LIQUID FILLED
<br /> "-"' -- ❑ c.PRESSURIZED
<br /> PANEL MANUFACTU V -" ro� ""---•-__,.-_,.,,,.._. ❑d.UNDER VAC
<br /> LEAK SENSOR MANUFA _ __ dvlw t _. UUM .._. 49ot
<br /> _ MODEL _ZS .._._.._...........A�-
<br /> 2.AUTOMATICT Gb� - - -....._".."---.._....
<br /> ANA GAUGING fATG)SYSTEM USED TO MONIT MODEL S: -"'-- `-- 715-
<br /> OR SIN. . wA � T.�.., . �_.... d9a10
<br /> __„_PANEL MANUFACTURER: - - (23 CCR§2643)
<br /> _ _ dvo-Ix a9o.11
<br /> IN•TANK PROBE MANUFACTURER: _�� -' MODEL#:
<br /> LEAK TEST FRE UEN ......••._..••.-.-».--.._.-.,`.....`.. MODEL l/(S� .....'_'..........
<br /> Q CY: ❑ a.CONTINUOUS - -••................
<br /> ❑ b.DAILY/NIGHTLY -
<br /> ❑
<br /> • ---------
<br /> ---•------------..___ d.MONTHLY 49o1s
<br /> PR013RAMMED TESTS ❑ e.OTHER S ify); 490-17
<br /> ❑ b.0.2 g.p.h ❑ c.OTHER(SPeci --- -
<br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION C �) 494'4
<br /> ❑ <.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR 2645. CR,2646.1)r 49o-i
<br /> TESTING PERIOD: +90±0
<br /> $.TANK INTECRITk'TESTING(23 CCR 82643,1). ❑ a 36 HtK,IRS ❑ b.60 HOURS 493-21
<br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY49°-zx
<br /> ❑ c.OTHER(Specify): 490-29
<br /> 1199,OTHER9 490.0
<br /> ( peciryg 499as
<br /> V.POPE MONITORING IS PERFORMED USING THE FOLLOWING METRO S
<br /> 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH(Check
<br /> AND 7
<br /> ISUAL ALARMS, (23CCR,2636) D( )(HA UD all that apply)
<br /> SECONDARY CONTAINMENT IS: a.DRY
<br /> `---'--- •--••--------- ❑b,LIQUID FILLEb
<br /> PANEI�MANUFgCTURER: ❑c.PRESSURIZED ❑d,UNDER VACUUM
<br /> "__.._.__--.•.-._-._.. iaLLlo.t......... 490.29
<br /> LEAK SENSOR MANUFACTURER: V - ..._,.._ ' MODEL q: '1'�/ 'J...
<br /> __ V _.-._ aw-91
<br /> PIPINGLEAKALARMTRIGGERSAUTOMATICpUMP(i.e„TURBINE)SHUTDOWN, _ _
<br /> _,".'--_�-.- MODEL M(S):
<br /> 490-9:
<br /> ..�.,........ 49041
<br /> FAILURE/D15CONNECTION OF THE MONITORING SYSTEM TRI -."- -- a 3 •••-_.,,
<br /> 2.MECHANICAL LINE LEAA DETECTOR M ) GGERS AUTOMA jgAl,.YES ❑b-NO 19a±d
<br /> -._ PRODUCT FLOW WREN A LEAK 1S DE1•ECTED 2;CCR TIC PUMP SHUTDOWN, ,>�a.YES ❑b.NO 4y 13
<br /> ( LLD THAT ROUTINELY PERFORMS 3.0$p•d LEAK TESTS AND R
<br /> MLLD MANUFACTURER($): ._(-'"` Z--�••- ESTRICTS OR SIIIITS OFF
<br /> �..---------------------,..._
<br /> 3.ELEC1'ROMC LINE LEA 49p.9) MODEL .._.,. _`_._..'.'..'....._..____ 490-1
<br /> ----.�_„_ K bETECTOR(FLED)TNwT ROUTINELY PERPORM4_3.0 S). 490.99
<br /> ELLD MANUFACTURER($) - 4Rh•LEAK TE97'3 (23 CCR$2636)
<br /> _-.�,_.._.....-,.�..__(S _ ,. ......__...
<br /> AROGRAMMEp IN UNE LEAK TEST: ""
<br /> ❑ LMINIMUM MONTRLY 0.2 g,p.h .--�-a..I.MODEL_M(S)_.,��'"(•'......-..-'-••-"'._..,�9_
<br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ 2.MDIIMUM a •- -•'""""
<br /> NNVAL 0.1 gp.h .....,......idora-
<br /> EIPELLD NTECFAMURITYTUNN G,,,CTION TRIGGERS AUTOMATIC PUMP SHUTDOWN, �a.YES
<br /> 4,PIPE INTEGRITY TESTING,,, ❑b.NO 490J3
<br /> TEST FRE UENCY INC 499<s a.YES
<br /> a.ANNUALLY ❑b.NO 490-4
<br /> S.VISUAL PIPE MONITORING b.EVERY 3 YEARS e.OTHFdt(S i
<br /> FREQUENCY ❑ a.DAILY ❑ b,WEEKLY ❑c. WN.MONTHLY&EACH TIME SYSTEM OF 4 a9p-q
<br /> ❑ 6,SUCTION PIPIN q1 H9t mea 4+0,49
<br /> G MEETS EXEMPTION CRITERIA 23 CCR 2 49049
<br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM
<br /> 490.31
<br /> ❑ 99.OTHERS 49a•so
<br /> I9p 3±
<br /> 199.<4
<br /> UPCF IIST-D(12/2007)Id
<br />
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