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bmwFIED PROGRAM CONSOLIDATED FOS UNDERGROUNDSTORAGETANK E_ MONITORING PLAN — (Page 2 of 2 MONITORING clack al VI.UNDER DISPENSER CONTAINMENT (UDC) hot UDC MONITORING IS PERFORMED USING THE FOLLOWING METHODS) 49as,.. ❑ I.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 49o- b. ❑ 4.NO DISPENSERS ❑ 99. (Specify) d90.s6. TLS^ s eso-ss. MODEL#: LEAK MONITOR MANUFACTURER: 490.5]. LEAK SENSOR MANUFACTURER: MODEL#(S)' �J )C YES ❑ b.NO dvass. DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. e( YES ❑ b.NO 4� UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. / b. yy�r. NO FAB.URF/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. /z YES El b.NO d UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. W ems} UDC CONSTRUCTION IS: ❑ 1.SINGLE WALL DOUBLE WALL ,90-64e IF DOUBLE WALL: UDC INTERSTITW.SPACE IS MONITORED BY: ❑ a LIQUID, ❑ b.PRESSURE ❑ c.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. El a YES ❑ b.NO 490'6°6_ VII. PERIODIC SYSTEM TESTING CED 49a65 1 LED DETE TI N ELD MUST BI E PERFORMED�PERIODIC ELDS SAPERFORMED EVERY 36 MONTHS AS RE UIRED. x[9(Xa � 49666. ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-67 ® 3.SPR.L BUCKETS ARE TESTED ANNUALLY. VIII. RECORD KEEPING The following moni[oring/mainrenance records are kept for this facility: 49068 ® a ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ a TANK RJ'['EGRITY TESTING RESULTS ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.CORROSION PRO CTION 60-DAY LOGS rting documentation records) ❑ E ATG TESTING RESULTS(and supporting documentation records) ❑ g. ® h.E UIPMENT MAINTIX. TRAINING ENANCE AND CALIBRATION RECORDS I Dg Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties: 490694 REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490696. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 490-W ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490'6. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.0 ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 49a69r. STATISTICAL INVENTORY RECONCILIATION' 49069a. ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490696. ❑ OTHER(Specify): 49a69i. This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council 49x70. (ICC). The "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but is not limited to,the following: ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. D The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. ➢ The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. ➢ Name(s)of contact person(s)for emergencies and monitoring alarms. X. COMMENTS/ADDITIONAL INFORMATION Prov(de ad i[ionai comm is h indicate how many with additional infonna ion on specific monitoring procedures are attached to this plan. 490.]1_ A01s -K za RSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that 1.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs;2.)all conditions that indicate apossible release are investigated;and_all monitoring records are maintained properly__ THE FOLLOWING PERSON(S)ARE RESPONSIBLE/F,OR PERFORMING THE M T� 1.NONTfORING/rp�Np E UIPM�EwNT MAINTENANCE: NAME: OL C�.� C'& KJ CA-7 49 U, T177,E: �J .N• ,9on. NAME: 490.74_ TITLE: 490.75. The Designated UST Operator shall perforin a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any conditions that need follow-up action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION:1 certify t a the information rovided herein is true and accurate to the best of my knowled e. APPLICANT SIGNATURE DATE: / /_ 490.]]. REPRESEMTn4G: Tuv<Owmr/ m 2.F Owner/ w 1.Auaweizad Rnc afOwnar d90.]b. APPLICANT NkME(print): Fva C,Q N e 6iSC � O l - ago-]e. APPLICANT TITLE: 49x]9. Gv N UPCF UST-D(122007)-3/4 www.unidocs.org