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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN—(Pa e 2 of 2) <br /> VI. UNDER DISPENSER CONTAINMENT(UDC)MONITORING (Ced,all <br /> Ihar opJv) <br /> UDC hIONITORING IS PL'RfORMED USING'I'Hr;POLI,OWING ML•'I'ITOD(S) <br /> *�rI.CON'rN000S ELECTItONIC i,IONITORING ❑ 2.FLOAT AND CIIAIN ASSEMBI,Y ❑ 3.ELEC I-RONIC STAND-AI.ONE <br /> ❑ I.NO DISPENSERS ❑ 99.OTHER(Specify) '191L5'11" <br /> ,y��- . ML H: r <br /> HE <br /> MONITOR MANUrACT'l1RLiR: \ICtB�Dffi,X- �.a.°1! w0-35ODE .190.56. <br /> 1_IAK SIiNSOR NIANUFA(TfLRPAy da <br /> (: �Ih�^` C � <br /> DET'ECHON OF A LEAK INTO TIIE UDC TRIGGERS AUD113LE AND VISUAL.ALARMS. J� a.YES ❑ It.NO wns9. <br /> UDC LEAK ALARM'fRIGGERS AIJ'fOMKr]C PUMP SIIUTDOWN. Eg a.YES ❑ 10,10 <br /> rAILURE+DISCONNECT'IONOFUDCMON11'OlkiNGSYSTENITRICiGERSAUTOMA'17CP11k1PSI'IUTDOWN. [.a.YES ❑ b.NO "•10'61- <br /> UDC MONITORING STOPS'I'llr:FLOW Or PRODU(:'r AT'I'IIE DISPENSL•)t. a.YES ❑ h.NO '19"1 . <br /> UDC CONSTRUCTION IS: 1.SINGLE WAIL ❑ 2.DOUBLE WALL '100.61 <br /> Ir I$)UBL[i WAJ_1: a9ae+a. <br /> UOC INTERSTITIAL SPACE IS MONMORED BY: ❑ d.LIQUID ❑ b.PRGSS01te ❑ c.VACUUM <br /> A LEAKWITHINTim SECONDARY CONT'AINMENTOFTHE UDCTRIGGERS AUDIBLEAND VISUAI.AI.ARMS. a.YES ❑ h.No X90611'. <br /> VII. PERIODIC SYSTEM TESTING <br /> ( rIJ)TESTING:TI uS rAC I-ITY IIAS BEEN NQTm1ED BY TBE STATE WATErt RESOURCES CONTROL BOARD THAT_r;NIIA-TCCA a9 fi5. <br /> UI f?AKD7rHjN r.1, N111S"f BI PERFORMED_PERIODIC ELD 15 PERFORMED I3VrRY36 MONTHS AS REQUIRED.123C'Ol s2644 11 <br /> ® 2.SECONDARY CONTA W MENT COMPONENIS.ARE.TESTED EVERY 36 MONTHS. a90e.. <br /> ® 3.SPILL.BUCKETS ARG"MISTED ANNUALLY. 49067, <br /> VIII.RECORD KEEPING <br /> The following nionhoring/maimcamec reconds arc kept for this Ihciliiy. A911Ini. <br /> ® a.ALARM I,OGS ❑ b.VISUAL INSPECTION RECORDS, ❑ c.TANK INTIM RIT'Y TESTING RESULTS <br /> ❑ d.SIRTF.STING RESULTS(mid supposing documentation records) ❑ e.TANK GAUGING RESULTS(and supposing docomeolmion mconls) <br /> ❑ L A'I-G-rESTNG RESULTS(and supposing docnncaation records) ❑ g.CORROSION PRO'rrcTION 60.DAY LOGS <br /> ® h.E(11JIPMI_N"I_MAIN'IINANCE AND CAI�IBRA'1'ION RECORDS <br /> IX. TRAINING <br /> Pasonncl with i1Sl'nioniloring rospgnsibiliticsRrc funilim'wiih all of the fiillmring Agcnucnls rcicv;ua Rr!heir doh dutic5' --_�-nwlr+n.-� <br /> REFER(NCE',DOCOMIiN'I'S MAINTAINED AT FACILITY(C'hec.L dl rhnr app!') <br /> ® TI IIS UNOERGROL.ND ST'ORAC17,TANK MONITORING PLAN(Rqulwo m.6w•. <br /> ® OPfiltA'I'ING MANUALS FOR IiLECTRON IC MON ITORINC EQU IPMGN'I'(Required) a•msk. <br /> ❑ CA[.IFORNIA INDF.RGROUND S'roRAGE TANK It F(jUL.A'r10N5 190-119.1. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE'I'ANK LAW ma-ren. <br /> ❑ STATE WATER RESOURCE"; CONTROL BOARD (SWRCB) pUBLICATioN: "IIANDBOOK FOR "TANK OWNIiRS - MANUAL AND 411,(Or <br /> STA ris HCAt.INVENTORY RL',CONCIUAT'ION" <br /> ❑ SWRCB PCIBUCATION:"UNDERSTANDING AUT'OMATIC'IANK GAUGING SYSTEMS.. 490.69e. <br /> nvr69u. <br /> ❑ O'I'1113R GSpccil'y): _ awl,,,,, <br /> E <br /> "D <br /> .- :I11s ______. <br /> IfflClhly I»IS:1 t`Slgllatl'd US OPCriilgtNIM' has SI pafitil'd IAC Cahfgrnla USytilelil Operator 41111&htillll$Il`RYI(1V Ilte International Code COnI1C1I 491)70, <br /> (ICC). The "Design:attl UST Opantor"will uvin Gcilily cngtloycvs in the proper apoatinn:wd maimaumcc ollhc US'I's)slmn.annoaily,and within.10 <br /> days of hire.This training will include,bill is not limited to,the.following: <br /> (hx:ratirnl of the Ci$'f systems in a manner cgnsiacnl with the fmility's 6cs1 manngenrem procliccs. <br /> the faciliy<mployce s vole with regard u1 the monitorigc equipment;is specified in this USI Monica ring Plan!. ' <br /> 'I'hc faciliq`omployce's Isle with rtganl to spills and ova:rlillfi as spwificA in the faci)il)%s 11ti'1')Lapnnsc I'Ixn. <br /> N:vic(i)otconnis pers0n(s)for cuangencies and monitoring alonns. <br /> _ X. COMMENTS/ADDITIONAL INFORMATION <br /> 11mvideaddilional consents cm nr indieatc lwn•nwny pagca+vn:I"�,.�1ddha, mifm'nmtion On specific monitoring prtmiulums amanaclud to this pilin, 190,11. <br /> XI. PERSONNEL RESPONSIBILITIES <br /> l._....._..,_..._._.--- ----__...._--leak--.____�..__...__. _... <br /> 'ILC U.S'"I'OwncdOpcmnr is resPonsihlc far ensuring that: L)the dail)dnnaine Ii5'I'mm�ilnring naivincs and nmin(cnance of 1151'talk(ktcetion cgnipass ent cow led <br /> by this plan occurs:2.A. .111 conditions Ih fi'I TIZ a possible rcicase.arc invcsticncA;:nul 3.)all monitoring mcords am nulintninal properly. <br /> I'IIC FOI.LON%I. S)ARB 1131E FOIL PI I(I''ORMING I'I lli MONI'fORN(;ANI)F. UIPMFNT MAIN'M'NANCI.. <br /> NAMI :°I"r TII I.C' /q �q qc p- a91sn. <br /> NANif: �• . • .. .. .._ w0'^- T'1'fLC: �`7 - cal •s. <br /> 'fie Iksignntcrl IiST OpcmNu shall perform a monthly visual inspection ufthc fnmiliry,proeidc a rcpat al the uwncdnperngr.an(1 inform the oN'nnrlopaamr ofany <br /> conditions Ihai UCCA fgllmv-up avian. <br /> _ _Xlt. OWNER/OPERATORSIG_NATURE _ <br /> CER'FIFICA"('ION:I certify th t inform i vidcd hei vin is true and accurate to the best of illy knmwlcd'c. <br /> APPLICANT'SIGNA'fl1Rr DATE: 1 y` Ips/ '191'i°' <br /> RF.P1fl.1i_T1N(i L_iinkllviy(dl dol +r__rl:a'+^' mI71 nmuolsud nnv«•nmi.c.�r<i:na9oa6:"___ a ,2, 1 �� `6 <br /> _ _Jmnn <br /> (I u .9o.is, am <br /> A -». <br /> I'PLI®W'I' ANIF il,t�•. / ArPLIc:nN'r•rrrL.r:: <br /> UPCr UST-D(12/20(17)-3/4 i"vw,unldoes.org <br />