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F ENE UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK 5`� 17 2013 MONITORING PLAN-(Pae 1 of 2 A' TYPE OF ACTION I NEW PLAN ❑ 2.CHANGE OF INFORMATION PLAN TYPE I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. BL .Lai -- 'III I 490-2. (Cheekare item ordv) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) L BUSINESS NAME(Same as Facility Name or DBA) 3. BUSINESS SITE ADDRESS a 103. CITY 104 H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by theequipment manufacturers'instructions,or annual ly,whichever,is more frequent.Such work must be performed by qualified erp sonnet.l'-3 CCR§2632,2634,z63a,wml MONITORING EQUIPMENT IS SERVICED R I.ANNUALLY [1pecif 99.OTHER(S ��3a Y): 490-3b, III. MONITORING LOCATIONS ❑ I.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED 123 CCR 42632,W41 4m'', IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) „o;eekall I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490.5. WITH AUDIBLE AND VISUAL ALARMS.W cSp 42632,M341 SECONDARY CONTAINMEtjT IS: LK&DRY ❑ b.LIQUID FILLED [I c.PRESSURIZED b [Id.UNDER VACUUM 490-6,PANEL MANUFACTURER: G S S d L G Na Rev;^ 490.7' MODEL#: A('6 L fe - <>Z L 4908' LEAK SENSOR MANUFACTURER: / 490-9. MODEL#(S): 671 310 Oso-lo. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).In CCR 4x6431 49°'11. PANEL MANUFACTURER: 49°-1x. MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 390-14. MODEL#(S): 490.15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS /Sc1 .DAILYINIGHTLY ❑ c.WEEKLY. 490-16 ❑ d.MONTHLY ❑ c.OTHER(Specify): J�17 . PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ 6.0.2 g.p.h. ❑ c.OTHER(Specify): 49D191R ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION Iv CCR§2"6.11 490-20. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)In CCR 4x6451 TESTING PERIOD: E] a.36 HOURS . ❑ b.60 HOURS 4�29Zn. ❑ 5.TANK INTEGRITY TESTING PER In ccitgxw3.11 49an. 490.x4. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ a OTHER(Specify): 490-25. 4900.2. ❑ 99.OTHER(Specify): -4900-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) fcneckmr Thar a [ 03� 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28' In CCR SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-29 5x6361 PANEL MANUFACTURER: G:=-_A*< - 4"O 49030. MODEL#: 949210 - OZZ.. 490-31. LEAK SENSOR MANUFACTURER: S*.e- C/ J90-32 MODEL#(S): 01140196 ^ ZG B 49033. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑ a.YES ❑ b.NO 490-34. FAH.URE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ &YES ❑ b.NO 490-35. 2.MECHANICAL LINE LEAK DETECTOR�C(M(�L'pLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36 PRODUCT FLOW WHEN A LEAK IS 7WTD.l Cc 636 y V4 MLLD MANUFACTURER(S): �/M I �.r� -SAC- (-/- 490-37. MODEL#(S): �`� Zd'25D �C ,?plj y 490-3a. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS,R3 CCR426361 490-39. ELLD MANUFACTURER(S): i90.40' MODEL#(S): 49°'1' - PROGRAMMED-KLINE LEAK TEST: ------ --❑-a�M[NIMUMMONTHLY 0.2 g.p.h. .❑ b.-Ia11NIMUM ANNUAL 0.1 g.p.h. 49042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490'01' ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 4so-u. ❑ 4.PIPE INTEGRITY TESTING. 49045. TEST FREQUENCY: _ ❑ a.ANNUALLY ❑ b.EVERY YEARS ❑ c.OTHER(Specify) 490°7-06 S.VISUAL PIPE MON FrORING. 49n<e. FREQUENCY: [T}'a.DAILY ❑ b.WEEKLY ❑ e.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 49049 •Allmvea For moNtonn orwbmM em a romping only pVHSC ID2815(bp3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR 42636(a)D)l 4%os0, ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490.51. 490.51 ❑ 99.OTHER(Specify) 490-53. UPCF UST-D(12/2007)-1/4 www.unidocs.org