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UNIFIED PROGRAM CONSOLIDATEp FORM UNDERGROUNDSTORAGETANK MONITORING PLAN (Pogo 2 of Z) VL UNDER DISPENSER CONTAINMENT ND9 MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD I.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY 4WUb ❑4_-NO DISPENSERS 99.oTNER_ S i ❑ 3 ELECTRONIC giAN6A1,ONE ---� L hL_^ --- PANELMANUFACTURER: T-- - .--.._..-_.._. ,,�i 490.55 .—___.� _ LEAK SENSOR MANUFACTURER: «ASI' - _MODEL M: `....__......_..49Wl 4 MODEL 3--.-.. - S--- a905s DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ) 3 UDC LEAK ALARM TRIGGERS AUTOMATIC PMP SHUTDOWN 9.YFS ❑h NO 499-59 b,YES ❑b.NO ° FAILURE/DISCONNECTION OR UDC MONITORING SYSTEM TRIGGER$AUTOMATIC PUMP gHU4".UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. TDOWN" 9- YES E3 b.NO 4vo.ei 2 UAC CONSTRUCTION IS �.SINGLE-WALLED ❑2.DOUBLE-WALLID a YES ❑b.NO a906z IF DOUBLE WALLED: +9061 UDC INTERSTITIAL 9PgCE IS MONI•CORED BY: Q I,LI UID --[�2.pRE$SURE 3.VACUUM J90""1e _... A LEAK�WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBRI-E AND VISUAL ALARMSIa.YES a9aab VII.PERNODIC SYSTEM TESTING 4 h.NO I. ELD TESTING'. THIS FACILITY HAS BEEN N071FIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCE 40.65. _-_ AK DET.Frs.T��tELn�MUST Br PERFOkMED. PERIODIC ELD Ig PERFORMED EVERY 36 M�pNTHS AS ]�2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTH$. -!I' 111RED;,(23 CCR p2644.IL -- 3�SPILL BUCKETS;\RE 7ESTE6 ANNUALLY. —�....�_ .�_.___-,.—._._.-._._......__�__�-_-- +9066 VIII.RECORDKEEPINC The following monitnring/meimenenee records arc kept for[his f8oiti l �' Alarm fogs +90-6r4 ($Vistml Inspection Records 4906e6 SIR testing resuus(and supporting documenmtian records). 49a.6a6 �Tanhk mtegnty testing msWts 49061c ATG 7'eshng resWts(and supponing documenmtion rccords,4vaerr ❑ Tacit gaugethg msdts(and supprntieg dacumnmanna records), 49066, Equi Ment ) ❑ Corrosion Protection 60.day lags a90.6ea P mainterer9ce and calibration records. 4906ab IX-TRAINING ,F�Pemotmel with UST monitoring tbponsibilitks are familierwith all ofthe fallowing documents relevant REFERENCE DOCUMENTS MAINTA)NED AT FACILITY(Check all that apply) t0 U1°r`�duties "°°�'• THIS UNDERGROUND STORAGE TANK MOMTORING PLAN(Regtilred).9osm OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49069, ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS499a96 ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49069. ❑ SSTATISTICAL TATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND ❑ TORY RECONCTLIATION",�w SWRCB]PUBLICATION:"UNDERSTAANDING AUTOMATIC TANK GAUGING SYSTEMS,a9owry ❑ OTHER($PeC*):N69k W9q This facility hasa"Designated UST Open, who has The"Designated UST Operaw"will train fanlity employees 6d the California UST Svstem Operator Enam administered b the Intent, tAlaing wiR include,but is not limited te,the followi in the proper operation and meintrnanae of me UST systems annual) ti0rml[oda Cotmcii(ICC), > Operation Of Ne UST �' Y.end within 30 days of hire.This > The tbei[ systems in a meaner consistent with the facility's best management practices nY employee's role with regard to the monitoring equiprrwnt as specified in this UST Monitoring Plan > The facility employee's role with re > Names of gard to spills and overfills as specified in the UST Reponse plan contact Penoo(s)for emergencies AM monitoring almms.49oao CpaMMDDPrwadditional comments here or indicate how, neswith 41renONAL INFORMATION formma on specihc monitoring Procedures are attached thislay orae frY/�a sr,. A«t ro J;1(Ckt 1 Oar- sI Soi-LQ G{0l 4 a P.. XI.PERSONNEL RESPONSIBILITIES The UST OwnedO all is responsible for ensuring that; 1)the daily/routine UST monitoring activities and mainte The Plan'occurs,2)all conditions that indicate a Possible release are inv ounce of UST leak detection equipment covered by The followingp r etigated_aM 3)all monitoring records are mairna ced proper) AME /G�/r( a °nsrWe for perl'ortning the monitoring and equipment rawnten a Y NAME L 49472 TITLEaThe Desi ted Opermr 014 TITLE CM0.nShal ma monthly viywl irep9ction of the facility, provide a report eondnions the)neM follow-upaction. m the owner/op,,wm, and inform the o.vner/o75 Aerator of arty CERTIFICA ON:I-certifyXII'OK'1NER/OPERATOR SIGNATURE APPLICANT SI ATU IShfostRa110a rovided heroin is true and&Mumae TO the best 01I knowl 490,6 DATE: a9o.n APPLICANT NAM (print). 12'"// (a' (Dont): 499-n X �'LG-� /�C APPLICANT TITLE: J90..� UPCF USI'-p()2notlT)3J4 C9"—