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w .INMED PROGRAM CONSOLIDATED FOW UNDERGROUNDSTORAGETANK MONITORING PLAN- (Page I of 2 TYPE OF ACTION ❑ L NEW PLAN ❑ 2.CHANGE OF INFORMATION 4%4 PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. 490-2. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): FACILITY ID#(AgenI. FACILITY INFORMATIONcy Use Only) I BUSINESS N,Ii (Same. Facility N9me or Dg� f� 3 BUSINESS SITE ADDRESS 103.0ie ICITY 104. tAo ) II. 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 the oWpment manufacturers'instructions,or annually,whichever is more fleauent.Such work must be performed byqualifiedcersonnel.Iz3 CCR 12632.2634,2639,26411 MONITORING EQUIPMENT IS SERVICED �§.�,,t§ 1.ANNUALLY (Specify): 49 3o ^1a ❑ 99.OTHER III. MONITORING LOCATIONS ❑ I.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED 123 CCR§x632,26341 4904. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWINGMETHOD(S) r(Che k`!1 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULTS)hat mlz WITH AUDIBLE AND VISUAL ALARMS.I23 CCR§202,M341 SECONDARY CONTAINMENT I�a DRY fF b.Lrl]],FILLED ❑ c.PRESSURIZED P d.UNDER VACUUM °� PANEL MANUFACTURER: c.[6 c�- 490'3 490-8. O MODEL#: 3� LEAK SENSOR MANUFACTURER: p. "- 490A MODEL#(S): 64 49NI0, ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).ID cca§26431 49x11.- PANEL MANUFACTURER: 49 12. MODEL#: 49 13. IN-TANK PROBE MANUFACTURER: 490-14 MODEL#(S): 490-15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490'16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 49NM PROGRAMMED TESTS: ❑ a.0.1 . .h. ❑ b.0.2 . .h. ❑ c.OTHER(Specif): 490.19. 490-19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION ID CCR 1x646.11 - 49 W. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)Iz3 CCR§zb4s1 TESTING PERIOD: ❑ a._36 HOURS ❑ b.60 HOURS 490-21. 490-22 ❑ 5.TANK INTEGRITY TESTING PER In CCR§2643.11 - 490.23. TEST FREQUENCY: ❑ a.ANNUALLYTHER_ ❑ b.BIENNIALLY ❑ C.O (S cpe ify): 4%.24. ❑ 99 OTHER(Specify): 4saz6- 49N21. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) Man I ata L CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490'25. Iz3 CCR SECONDARY CONTAINMENT IS: a.DRY ❑ c.PRESSURIZED 490xv. §x6361 ❑ ¢.LIQUID FILLED c❑• d.UNDER VACUUM PANEL MANUFACTURER490.30' MODEL#: �,7'�SSa 499031. LEAK SENSOR MANUFACTURER: 49032. MODEL#(S): [' el- CI49x33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. r a.YES ❑ b.NO 490.34. FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a_YES ❑ b.NO x90.35. 2.MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 49o-3s PRODUCT FLOW WHEN A LEAK IS TELT .I2 ccagz6361 gy�p,A, 490.33. y� §� Icen MELD MANUFACTURER(S): /'1-T MODEL#(S): 5 fP- MLD, to 490-35. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS,I23 CCR§26361 49 39, ELLD MANUFACTURER(S): 490-90. MODEL#(S): 49041 PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 99041 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49043. ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN, ❑ a.YES ❑ b.NO 490'44 _ff 4.PIPE INTEGRITY TESTING, a9ods:- TEST FREQUENCY: ❑ a.ANNUALLY b.EVERY 3 YEARS ❑ c OTHER(Specify) 49046. .._.. ❑ 5.VISUAL PIPE MONITORING. 49-041. 4s 18 FREQUENCY: ❑ a DAILY ❑ b.WEEKLY ❑ C.MM.MONTHLY.&EACH TIME SYSTEM OPERATED. 49049. •Allowed farnwnitorin¢of unburied amerg_mrygenueror fuel�pin¢oNv uer HSC Sl32515@Nl) ._-__, ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.I23 CCR§206(.X3)] 49as0. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490.51. ❑ 99.OTHER(Specify) 490.52 490.53. UPCF UST-D(12/2007)-1/4 www.uuldocs.org