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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDQ MONITORING 490-`4. 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54% ❑ 1.CONTINUOUS ELECTRONIC MONITORING 012.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS 099.OTHERS i ____ ----._._—__.__ wase_ PANEL MANUFACTURER:Bravo °90'a1 MODEL k: LEAK SENSOR MANUFACTURER: was9 MODEL#(Sy wash DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a YES [I b.NO wos9 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a YES ®b.NO 49040' FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ®b.NO 4s 1 DOC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER Ila a.YES ❑b.NO 49042 wow L UDC CONSTRUCTION IS bal.SINGLE-WALLED ❑2.DOUBLE-WALLED 49 IF DOUBLE WALLED: UDC INTERSTITIAL SPACE IS MONITORED BY:_UI,,LIQUID_ 02,PRF.SSLIRE_[,13:VACUUM ________--------— A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE HOC TRIGGERS AUDIBLE AND VISUAL.ALARMS Ela YES Ell, NO 490466 VII.PERIODIC SYSTEM TESTING: _ 1. ELD TESTING. THIS FACILITY HAS BEEN NOHFIFD BY THF STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49049. LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC FLU IS PERFORMED EVERY 36 MON THS AS RP 1N R 2( 3 CCIt§2644 __ ®2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS 3.SPELL BUCKETS ARE TESTED ANNUALLY. J9Pb_t VIII RECORDKEEPING --- -- e –.. __ – ----- --.__ The following munimnng7maintena–am,—records are kept for this lauht} ®Alarm logs 49 & [j]Visual Inspection Records 4904ae [I4%7. Tank integrity testing results 490 ❑SIR testing results(and supporting documentation records). 4% d ❑ Tank gauging results(and supporting documentation records). 49 se ❑ATG Testing results(and supporting documentation records).4v elf ❑ Corrosion Protection 60-day logs 4sosss l�Equipment maintenance and calibration records. 491 ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties. 4904% REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) M THIS UNDERGROUND STORAGE TANK MONITORING PIAN(Required)49o49e OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49049 ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 44949% ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 4904% ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"4so4u ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"41-wa ❑ OTHER(Specify):W*Mcsi This facility has a'Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). The"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but is not limited W,the following: D Operation of the UST systems in a manner consistent with the facility's best management practices • The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan ➢ The facility employee's role with regard to spills and overfills as specified in the UST Response Plan ➢ Names of contact personas)for emergencies and monitoring alarms.490-70 X. COMMENTS/ADDITIONAL INFORMATION Protide addumnal eommems here or indicate how any pages with additional information on specific monitoring procedures Ore ntiaebed to this plan 49ngI Overfill Prevention as drop tube with mechanical flapper set at 95%. X_I.PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that. I)the daily/routine US r monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The following persoMs)are responsible for performing the monitoring and equipment maintenance: NAME Mike Eliason wo-n TITLE Cardlock Mainaaer 49 n NAME James A wo-ts TITLE Site Technician 449-" The Designated Operator shall perform a monthly visual inspection of me facility, provide a report to the owner/operator,and inform the ownermpenator of any conditions that need follow-up action. XII.OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE _ , 49u.n DATE: 49mn `j�/ 3/11/2009 490-79 APPLICANT NAME(print) APPLICANT TITLE- d90.t9 Mike Eliason Cardlock Manager UPCF UST-D UV200/)374