Laserfiche WebLink
UNIFIED PROGRANI CONSOLIDATED FORM <br /> UNDERGROUND STORAGETANK <br /> MONITORING PLAN-(Page I of 2) <br /> TYPE OP ACTION ❑ L NEW PI...AN [1 2.CHANGE OI'INFORMATION `N"c <br /> PLAN TYPE ❑ I.MONITORING IS IDL'N'1']CAL FOR ALL UST.,AT TiIIS FACILPTY. 494.2 <br /> (C"herk rule irm,onA) ❑ 2.'1'II IS PLAN COVERS ONLY'rIIE FOLLOWING UST SYSTEM(S):_ <br /> 1. FACILITY INFORMATIONy <br /> FACILITY ID f!(.4brcucy,Usr On(v) <br /> BUSINESSNAMI9 ISnm ns Freciliry Name hr D/Jd) <br /> L leg <br /> HUSINESS I'f'ADDI ESS lrn. CI" - tw. <br /> _C,.rP-/So A-? <br /> If. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing.pmventivc mninlennmce,and calibmiion of monilonng quipmenl(ag..salsors,probes,line leak deleclom.cic.)must be performed at the fscipasacy specified <br /> Fell- <br /> by tile equipment nuulfacturers'instructions,mannually,whichever is mom frquent.Such wol'k must be performed by qualified Noon mel.(23(x'R 02sm.2634.2smw]1 <br /> MONITORING EQUIPMENT IS SERVICED LN I.ANNUALLY ❑ 99AYNIER(S cif): 1103'' <br /> Q _ (Specify): 4911:31, <br /> III. MONITORING LOCATIONS <br /> p 1.NEW SITE PLOT PLAN/MAP SUBMITTED WIT[I TRIS PLAN 0 2.S]I'E PLOT PLANrMAP PREVIOUS(.Y SUBMrrrr:D m ccR yea z.26 1 410-i <br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> r <br /> CONTINUOUS ELECTRONIC TANK MONITORING OP ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CON'FAINa9EN'r VAULT(S) 490-5. <br /> WITH AUDIBLE AND VISUAL ALARMS.123 C(•n;2.32.26341 <br /> SECONDARY CONTAINMENT IS: DRY ❑ b.LIQUID PILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM <br /> PANEL MANUFACTURER: �� 8!. �'A,.d• tc,c�mn°/' 44p.7. MODELN:''re r•+ <br /> L.EAKSENSORMANUFACfURER: '-'A�- Qpx+ <br /> 4..� MODEL.I/(S): ({�,� 49n.1a. <br /> ❑ 2.AU'fOMA'rIC'I'ANK(iAUGING(A'rG)SYSTEMUSEDTOMONI'I'ORSINILLU\i!ALA.YE(\NK(SI.I-a(x'RgE.u1 ^mull <br /> PANEL MANUFACrURER: '9A'13' MODELM J9na3' <br /> IN-TANK PILOBE MANIIFACTU1t1?R: 4261-21. MODEI.f/(S): <br /> LEAK'I'EST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAIL.Y/NIGIITLY ❑ e.WEEKLY :nrvu` <br /> ❑ (i.MONI'IR.Y ❑ e.01'l1ER(Specify): A-M.12 <br /> PROGRAMMEDTFSI:S: ❑ a.0.1 ❑ 1).0.2 g.p.h. c.Of11iR(Specify); Juiias. <br /> ❑ 3.moin IILY STA,riSIICAL INVENTORY RECONCILIA'I ION 123 CTR 92040.11 490-20. <br /> ❑ d.WEEKLY MANUAL TANK GAUGING(MT(i)Ricca 9234x1 TESTING PERIOD: ❑ a.36 HOURS ❑ h,60 HOURS9U_i0.21 <br /> 2. <br /> ❑ S.TANK I NI'EGRITY'rES'rING PEA Pa ccx f2amal 190.21 <br /> PEST FREQUENCY: ❑ n.ANNUALLY ❑ b.BIENNIALLY ❑ c O'I'llEft(Specify): .19.195 <br /> ❑ 99.0'I'lllat(Spccifaanni=' <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> L CONTINUOUS MONITORING OF PIPFIPIPING SUNIP(S AND OTHER SECONDARY CONTAINMENr WITH AUDIBLE R VISUAL ALARMS. 4nnas. <br /> 123 ccx SECONDARY CON'G\INMFN'r IS: hi a.DRY LIQUID FILL .PRESSURIZEC1 d <br /> D .UNDER VACUUM 426�29 <br /> a2n+u1 ❑ b. ED ❑ c <br /> ppy+ 4.-30. .1411.11 <br /> PnNEI_MANIIPACI'l1Rf:R: s-Q, '•"4C,.GDQ � MODL•L R: �� .� <br /> IXAK SENSOR MANUFACTURER- 490'12_ MODELif(S); <br /> PIPING LEAK ALARMTRIGGLiRS AUTOMATIC PUMP(LO-TURBINE)Slit)I'DOWN. a.Yi:s Elb.N0 's'-34. <br /> FAIL11RrA)ISCONNI:ICOON OF'rlili MONITORING SYSI FM TRIGGERS AU'TOMA'I1C PUMP Sllli 1'DOWN. I a.YES ❑ b.N0 <br /> ❑ 2.MECHANICAL LINE LEAK DF I'EC'f(.)R(MI..L.D)THAT ROU'I'INFLY PERFORMS 3.0 g.p.h.LEAK TESTS AND REM RICIS Olt%AEGIS OFF 49n4A ' <br /> ('ItODUC'r FLOW W'I IEN A LEAK IS bE'I'IiC''I'fiD.lz.:ccxs20u,I <br /> 41LL.D MANIiPAC-1'UltGli(5):_ _ 4-111-37- MODEI_{I(S): '90-31 <br /> . <br /> 3. 1I,EC'I'RONICLINELIiAKOETECrOR(E1.1.1))'I'BAI'RO,LJ''fMP.I.I'PISRFORMS3.0g.1).h.LEAK'rES1S.125(0oVY- ,q} 49049, <br /> ELLD MANUFACTURF12(S): � .a a.-"Ia,4949,°` '41411'' MODE..d(S): <br /> PROGRAMMED IN LINE LIiAK TEST: ❑ n.MiNIML'M MONI'IILY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1.1 g.p.h. 490'42 <br /> ELLD DETECTION OF A PIPING LEAKTRIGGERS AUTOMATI(1 PUMP SI IUFDOWN. ❑ a.YES ❑ b,NO ''94.4' <br /> ELLD PAILURGDISCONNEC'ITON'rRiUGERS ALFfOMATIC PU:\IP SHUTDOWN. ❑ a.YES I] b.NO '11114'i <br /> ❑ 4.PIPE IN'rFGRI"f Y'TESTING. <br /> TES"f FREQUENCY: [I it.ANNUALLY [Ib.EVERY 3 YEARS El c.c.OTHER(Specify) _ nw.n7. <br /> ❑ s. VISUAL.PIPE MONrrc)rHNr,. <br /> 104"s <br /> FREQUFNC': ❑ it.DAILY ❑ b.WEEKLY ❑ c.MIN.MON'1'aLY&FACII IMI.SYS'I'FbIOPHRAIT.Da 42621°. <br /> • I'len 126 Md Vi, m 1,,.,115('052sj SNh101 <br /> ❑ b.SUCTION PIPING MEE.I'S EXEM PITON CRITERIA.121ci(,2',10(WUq J9..5h. <br /> 7.NO RF(iLI1.A'I'f:O PIPING PC•R lll::AI.'I'II AND SAt'E'1'Y CODE,DIVISION 20.C'HAP'I'ER(,7IS(IONNECTT;D'rOTIIE'rANK SYS'rt'±h4. 4va-51 <br /> 99.0'I'I l fit(specify) aw1.1la52 <br /> El .94 <br /> OPCF UST-1)(12/2007)-1/d www•.mddocs.org <br />