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IFIED PROGRAM CONSOLIDATED FC `/ UNDERGROUND STORAGE TANK �%W MONITORING PLAN - (Page I of 2) 49x1, TYPE OF ACTION ❑ L NEW PLAN ❑ 2.CHANGE OF INFORMATION 490.2 PLAN TYPE ❑ t.MONrfORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) - 3. BUSINESS NAME(Same as 1 Nome or BA),[ i- 1m. CITY 1x4. BUSINESS SITE ADDRESS y a ` L C) II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,end calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the a ui ment manufacturers.'instmctions=or annuallwhichever is more frequent_Such work must be_�ormed by qua�i6ersonneL(z3 ccrt gzs3_z,w3a,zW i4�3L MONITORING EQUIPMENT IS SERVICED ❑ 1.ANNUALLY ❑ 99.OTHER(Specify): 490.3b. III. MONITORING LOCATIONS 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634] 490"4 [V. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS: �,�cka" 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL.)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490.5, WITH AUDIBLE AND VISUAL ALARMS.I Crn gZ,M347 SECONDARY CONTAINMENT IS: a DRY [Ib.LIQUID FILLED ❑ c.PRESSURIZED [Id.TINDER VACUUM 49°6' PANEL MANUFACTURER: L 5 3 490-3 MODEL#: LEAK SENSOR MANUFACTURER: 4909. MODEL#(S): 49010 2.AUTOMATIC TANK GAUGING(ATG)SYS PM USED TO MONITOR SINGLE WALL TANK(S).[23 cca 426431 490.]1 PANEL MANUFACTURER: 9 />To 49012. MODEL#: M� - � 490.13. IN-TANK PROBE MANUFACTURER: id 17-06Ie 49014. MODEL#(S): 4s01s. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY sso.16. ❑ d.MONTHLY OTHER(Specify): kf u .Z,1 L4D_A 4WIT PROGRAMMED TESTS: ❑ a 0.1 g.p.h. ❑ b.0.2 g.p.h. LJ c.OTHER(Specify): -ter- 4s 1918- ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION I23 CCR§2646.11 49020_ ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)In c 526tsl TESTING PERIOD: Ela 36 HOURS ❑ b.60 HOURS 49021_ 49x22. ❑ 5.TANK INTEGRITY TESTING PER 123 am§2643.11 490.23. TEST FREQUENCY: ❑ a.ANNUALLY [Ib.BIENNIALLY ❑ c.OTHER(Specify): 490.25�- ❑ 99.OTHER(Specify): _ _-_ 427 x90.2 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) cheek ml ❑ 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 390-28. "' SECONDARY CONTAINMENT IS: ''a.."�RR'Y�� ❑ b. QUID' FILLED ❑ c.PRESSURIZED p❑ d.UNDER VACUUM 49029. PANEL MANUFACTURER: �,A j ri4 W a9a3o. MODEL#: _ (Lo ago-31. LEAK SENSOR MANUFACTURER: � .r e x� 49032 MODEL#(S): °9033. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. YES ❑ b.NO 4W34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES ❑ b.NO 490.35. .. . 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490"36_ PRODUCT FLOW WHEN A LEAK IS DETEC c 7 MLLD MANUFACTURER(S): loi� Y�'t o 09033 MODEL#(S): J_k'F m U D 490-38. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.In ccit§m61 49039. ELLD MANUFACTURER(S): i� \PC 69D4 . MODEL#(S): 49 61 PROGRAMMED IN LINE LEAK TEST: k ❑ a MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490'02 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES ❑ b.NO 49643. EUA FAMURE/DLSCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES ❑ b.NO 4- 0 4.PIPE INTEGRITY TESTING. 49645. TEST FREQUENCY: ❑ a ANNU 490A6 LY ❑ b.EVERY 3 ARS c.OTHER(Specify)_ _a9_wt. ❑ 5.VISUAL PIPE MONITORING. I� 11��\\ 49648. FREQUENCY: ❑ a/11 .(Y ❑ b.WEEKLY ❑ C.MHN.MONTHLY&EACH TIME SYSTEM OPERATED' 490.49. 'Aoo,.a�o1o1^1�or ..ea. r_wy_as__•l��d.ee�.^x"9^.7.1 xsc�2s2s1.5@)(33)_ ❑ 6.SUCTION PIPING MEETS EXEMPTION CRTM In c 112636(4x3) 49050. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIV64IO 2Q 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ❑ 99.OTHER(Specify) 49453.51 UPCF UST-D(12/2W7)-1/4 www.ontdoe&org