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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- Page Iof2) TYPE Of ACTION 1. W PLAN ❑ 2.CHANGE OF INFORMATION 4Wi PLAN TYPE L.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 4962 (Check one unto only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING I1ST SYSTEM( i T. F�SCIIbI'T'!P:INFORMATION. ' .. IMUTY ID#(Agency ,Ute 000 _ . _ i BUSINESS NAME(Same s FACILITY NAME) 3. . BUSINESS SITRADDRESS al. ✓l - 106. Cf1.Y �N . TI.EWOMENT.TI&STING AND PREVENTPVE MAINTENANCE- Tcsting,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must Le pertonnad U rhe frequency specified by she equipment manufwtu s'inswctiom,or sanllally,whichever is mom frequent and that such work must be performed by qualified personnel. 23 CCR 2632 2634 2638.2641 MONITORING EQUIPMENT IS SERVICED 1011,ANNUALLY ❑ 99,OTHER(Specify): 490.34 I&MONITORINGLOCATIONS' 1.NEW SITE PLOT PLAN/1NAP SUBMITTED WITH TRIS PIAN: L SITE PLOT PLAN/"PREVIOUSLY S 2636 49pw UBMITTED. (23 CCR§2672, IV.TANK MONITORING IS.PERFORMED.USINGIME FOLLOWINGMETHOD(S): ZI I,CONTINUOUS ELECTRONIC TANKMONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT °ads VAULT(S)WITH AUDIBLE AND VISUAL AI.ARW. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS T A.DRY 0 b.LIQUID FILLED ❑ C.PRESSUKIZLD ❑d.UNDER VACUUM 450.6 PANEL MANUFACTURER: 4to'° MODEL#: 4A fl LEAK SENSOR MANI7FACITIRER: L 4to-9' ; MODEL#(S): v 7 49610 ❑ 2,AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONI'l'UR SINGLE WALL IA K(S).(23 CCR§2643) 490.11 PANEL MANUFACTURER: 49U-1x. MODEL#: 490.13 IN-TANK PROBE_M_ANUFACTL/RER -w --- d061a MODEL#(S); 49619 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ 490.16 c WEEKLY Q d.MONTHLY _ ❑ e.OTHER(spwilyy •9o-n ( PROGRAMMED TESTS: ❑ a.0.1 gp.h. ❑ 6.0,2 g,p.h. ❑ c.OTFTER(Specify): 4N 4 119 � ❑ 3.MONTHLY STATISTICAL DVVENTORY RECONCQ.WTION(Z3 CCR§2646.1): 49am ❑ 4.WEEKLY MANUAL TANK GAUGING(MIG)(23 CCR§2645). TESTING PERIOD: ❑ 5.36 HOURS4Wr' ❑ b.60 HOURS ♦90-n ❑ S.TANK INTEGRITY T ING(23 CCR$2643.1): 4YU2a TEST FREQUeNCY'W&ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): a9n-za 99,OTHER (Specify): 490-26 V.PIPE.MONITORIlVG IS:PERFORMED'USTNG TER FOLIO WINGvEs'I30D(5)(Checle 0.p tLat apply),' I.CONTINUOUS MONITORING OF PIPE/PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-u VISUAL ALARMS. (23 CCR§2636) _/ SECONDARY CONTAINMENT 5-DRY qb.LIQUID FILLED ❑e.PRESSURIZED 0d.UNDER VACUUM wags PANEL.MgNL1FACTURptt i4 'aW30 MODEL#: L�'� 49631 LEAK SENSOR MANUFACTURER a90'x_x MODEL s(5): n9W3 PIPING LEAK ALARM TRIGGERS AUTO TIC PUMP(i.c.,TURBINE)SHUTDOWN, a. ❑b.NO 4�U FAILURMISCONNECTION Or THE MONITORING SYSTEM TRILiOFRS AUTOMATIC PUMP SHUTDOWN. A.YES ❑b.NO 49043 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS-1 A g n.I.IiAK T85TS nND RFSTBICTS OR SHUTS O PRODUCT FLOW WHEN A LEAK DETECTEp CCR 2636 OFF 4046 MLLDMANUUFACTRTRRR(S): 4CQ"3' MODEL#$ ; 49d3B 3.ELECTRONIC LINE LEAK DE77± OR(ELLD) HAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§7636) .99.39 GILD MANUFACTUAER(5) 49040. MODEL#(S: 440.41 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0,2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 6LLD DETECTION OF A PIPING LEAK TRIOGERS AUTOMATIC PUMP SRI(TIaOWN. i0 a YE9 ❑b.NO 49442 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. Ulf YES ❑b.NO 490-44 ❑ 4.PIPE INTEGRITV TESTING.auz TEST FRE UENCY ❑ h ANNUALLY b.EVERY 3 YEARS C.OTHERS i S.VISUAL PIPE MONITORING. 4'+D46Hw3 FREQUENCY ❑ 3.DAIT.Y ❑ b.WEEKLY C.MIN MON'MY&EACH TIME SYSTEM OPFRATED azu-4e wnowed far motions ofw�I..iW Oma^'aev aetu9rtw "p mlv HSC 25241.3 41wM9 ❑ 6,SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(1JO)I- a9D,50 ❑ 7.NO REGULATED PIPING PER HEALTH AND 3AFETY CODE,DIVISION 20,CHAPTER 6.7 TS cgNNEC'fED TO THE TANK SYSTEM a96af ❑ 99.OTIIER(Specify) 49652 4sdss LPCF CST-D(J2/2DD7)1/4 6e/Ze 39Vd SEE9 00dV SV9HVA A 8T0E8v000Z TZ :ZT 800Z/LZ/80