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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> 11 tON1T'ORINCPLAN (Pose2 dx) <br /> VI.UNDER DISPENSER CONI'AIQMENT(UDC)MONITORING <br /> L 1. C MONITORING IS PERFORMED USING THE FOLLOWING MMOD ++ <br /> a90Ne <br /> t.CONTDIl10US ET.EC•IRONiG MONTTORWO Q 2.FLOAT AND CHAIN ASSEMBLY n- 3.ELECTRONIC S7AND.ALONE <br /> [14.NO DISPENSERS ❑oB.OTHER(S Fry): <br /> PANEL MANUFACTURER L..3 ++o�+ <br /> LEAK SENSOR MANUFACI'UMER •m.n MODEL N(S): <br /> DETECTION OF A LEAK INTO THE UDC TRXA3isK6 AUDIBLE AND VISUAL'ALARMS a.YFS <br /> UDC LEAK ALARM TRfOGERS AUTOMATIC PUMP SHUTDOWN LEM YRs in b,No <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIOOERS AUTOMATIC PUMP SHUTDOWN, sd'k YES ❑b.NO ° I <br /> UDC MONITORING STOPS T FLOW OF PRODUCT AT TAE DISPENSER. L 'I'ES Q b.NO alaaz <br /> 2-DDC coNSI7tUCnON is I,SMOL-,WALLED 13 2.DOUBLE-WAILED <br /> IF DOUDLE WALLEDt <br /> UDC MLR5T TIlAL$PACE IS MONITORS BY• 01, <br /> LTOUID g Z PRESSURE 3.VACUUM <br /> �A LEAK WITMN TAE SECONDARY CONTAINMENT OF THE UDC TRIOOWS AUDIBtr AND VISUAL ALARMS ❑t YL•S D Q NO <br /> VII.PERIODIC SYSTEM TESTING <br /> LLD TESTING THIS FACILr HAHAS OTIFIEp BY TH ATE WATER RESO CONTROL PICARD THAT + <br /> MUST @E PEF,FORtdRD. PERE)DIC ELD IS PERFOkI.gD S—V , Y 36 MONTHS A6 REQUIRED (^3 CCR$S6g4� <br /> .SECONDARY CONTAINMI KT COMPONENTS ARE TESTED&VERY 36 MONTHS, •+ <br /> 3.SPILL BUCKETS ARE TESTED AI•Id DALLY. <br /> +rose <br /> V1311.RIgCORDKEEPIVG <br /> ThS5SSoliowing moniwringlmo�gmoartx records are kept for this Demry: <br /> 10 AWm loge 4"a `I&TVisuel fttapection AeOotd=01 <br /> •9oew Q lank ItivEritY.!sung resuhs+teuw <br /> ❑SIR resting results(and+upportmF documenq[ion rcrords), asaaw �J Tenk saugme results(And Suppmmg dncuu�e.�W low raaa,4), •vw.. <br /> %❑ TG Testing m�.lts(end suppomng docmoenmdon records)..Bose I„I Corrosion Reunion 6oday lop «*!tee <br /> Equipment mainwhanee and Calibration teCotds. wsfuh <br /> UL TRAINING <br /> Personnel with UST monitnrfne..Ponsfalitier sure.Emilia,with all ofshe following documents relevant In theirjob darks. •sues. <br /> RE�F�E{RENCE DOCUMENTS MAINTAINED AT FACII.1'1'Y(Check all dust apply) <br /> %E THIS UNDERGROUND STORAGE TANK MONITORING PLAN(RspWttd).n <br /> OPERATINO MANUALS FOR ELECTRONIC MONITORING EQUfPMENT(Required)+torr,e <br /> CALIFORNIA UNDERGROUND STORAOE TANK REGULATIONS+wars <br /> -- ❑ CALIFORNIA UNDEROROLNO STORAGE TANK LAW.w.tea <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SKTtCB) PUBLICATION: `WANOBOOK FOR TANK OWNERS . MANUAL AND <br /> STATISTICAL INVENTORY RECONCLIATIOM'-9 Or <br /> ❑ SWRCB PUBLICATION:"UNDER-4TANDINOAUTOMATICTANKOAUOINOSYSTFMS".pdp• <br /> OTHER($pociM:Main A•MI <br /> "s eciliry a rpwted UST gmrtm"'wlw Me passed mo Califomm U57 yatem VperaWr LSrszn minlsur by Nc Inwiuiiotul Code Council(IGC, <br /> Tho"DeeljUmW UST Operitim"will train faciliry employees in ttG proper operation and maintenance of rhe UST Systeme annually.and M%hln 30 days of biro.This <br /> raining will include,but is not limimd m,the following: <br /> ➢ Opormion ofthe UST systems ilia maturer adnslemm wu h the facility's best ma tutram imicum <br /> The facility omployae's colo wan regmd to the monitotins nQuipmem a specified in this UST Monitoring Plan <br /> P The IaclBry employee's role with regard a&pills rod overfills as specified in due UST Response Plan <br /> D Names of contact pofson(U for emvgendes and monitoring alarms,~o <br /> X. COMMENTS/ADDITIONAL"INFORMATION <br /> Pmvidc■ddnbnal Comments hate or 1Wj0tC how.!arty PSgoc with Addl[io m omWion on Speci(k monitoring proevWm are auaohtd W.hie pmt x 7I <br /> k4d,%0 �c � ora° <br /> 3.PERSONNEL RESPONSIIUJTMS <br /> The UST OWnerlOPentot is reapootlblC for ensuring that 1)me dailyAo ne UST monitoring actieitios and mamtoWmee of UST Irak Neu (ton egWpmcm cov y <br /> dris Pun oCCUM 2)all eotdtdons that indicate a possiMe release are investigared,and 3)WI monitoring records are meintsime t properly. <br /> The folio , .son( ) res siblefor Worthing the monitoring and Cquipmddtr�m <br /> NAME asC-n TITLE 45p73 <br /> NAME rw.7a TITLE a9e.rr <br /> The Dcslgrimd Operavor shall pireliothin a monthly Visual inspection of toe Facility,provide a report to the n r opcnrw,And in oils ran!weer aperetw pf arty <br /> condlddns due need follow i*action <br /> XR.OWNER/OPERATOR SIGNATURE <br /> CERTIFICA N:T cc; Ih ion provided herein iu true and aoourate to the best of m•knowledge, <br /> APPLICAN A wo-z• DATE, •Pv> <br /> oa <br /> APPLICANT NAME(prmt): 'Y30"rS APPLICANT TITLE; <br /> V <br /> V'V Ci <br /> UPCF UST-D(1212007)3/4 <br /> 60/£0 39Vd SC£9 DoNv svO9JVA A sT0£I?b66BZ TZ:ST 80OZ/LZIBO <br />