BILLING 2002 - 2012 - Laserfiche WebLink

Home Browse Search

JNIFIED PROGRAM CONSOLIDATED FORM ... UNDERGROUND STORAGE TANK - MONITORING PLAN-(Page l of 2) JIJA TYPE OF ACTION ❑1.NEW PLAN 12 2.CHANGE OF INFORMATION 6e 4WI PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. q/y�OF 490,2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) F UiI I. FACEUW INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME) I , O� 3. BUSINESS SITE ADDRESS _ i l03_ CITY /r/9.V7 la IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)most be performed at the frequency specified by the equipment monufacturers'instrwions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR§2632,2634,2638,2641 MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 4963a 49636 III.MONITORING LOCATIONS t,NEW SITE PLOT PLAN/MAP SUBMTTTED WITH THIS PLAN. [&2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)491 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 09 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 4965 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: 1Z a DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 49 PANEL MANUFACTURER: 0A71y,115C 490-7. MODAL#: 6 D 490'4 LEAK SENSOR MANUFACTURER: -TIG 496x. MODEL#(S): 49610 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(SL(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490'11 MODEL#: 49613 IN-TANK PROBE MANUFACTURER: 4914. MODEL#(S): 690-13 LEAK TEST FREQUENCY: ❑ &CONTINUOUS ❑ b.DAILYNIGHTLY ❑ c.WEEKLY °90'16 ❑ d.MONTHLY ❑ e.OTHER(S ify): 49617 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 9 49631 4961 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 49620 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 49621 490.22 IS 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 49613 TEST FREQUENCY: ® a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): <9 24 ❑99.OTHER (Specify): 49616 49627 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUNT(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 49024 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:iffliLDRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490.29 PANEL MANUFACTURER: --e 49630 MODEL#: - .O 490.31 LEAK SENSOR MANUFACTURER: °90'33 MODEL#(S): .fr _ D tv� 49633 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,,URBINE)SHUTDOWN. ®a.YES ❑b.NO 490'34 FAI.UREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Pia.YES ❑b.NO 49635 Rg 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2636 49636 MLLD MANUFACTURER(S): - yla d o r I4=9 S 49637MODEL#(S): ' , t L 49631 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 49639 ELLD MANUFACTURER(S) 490.40. MODEL#(S): % _ .4 4911 PROGRAMMED IN LINE LEAK TEST: ❑ i.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 4912 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. a_y YES ❑b.NO 4913 ELLD FAI.URE/DISCONNECfION TRIGGERS AUTOMATIC PUMP SHUTDOWN. .YES ❑b.NO 490.10 12 4.PIPE INTEGRITY TESTING 491s TEST FREQUENCY 19 a.ANNUALLY 0 b.EVERY 3 YEARS C.OTHERS if 490164917 5.VISUAL PIPE MONITORING. 49 FREQUENCY P a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 4919 •Ano 6r mmibnn of mbvrid mi enerela fuel OMM aNy W NSC =L5 37 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(x)(3)1. 49650 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.715 CONNECTED TO THE TANK SYSTEM 490.51 ❑ 99.OTHER(Specify) 49652 49653 UPCF UST-D(12/2007)1/4