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UNIFIED PROGRAM CONSOLIDATED FO UNDERGROUNDSTORAGETANK MONITORINGPLAN (Page2of2) VL UNDER DISPENSER CONTAINMENT(UDC)MONITORING _ L UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490.511 L CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 49 Mb ❑4.NO DISPENSERS_❑99.OTHER(Specify): PANEL MANUFACTURER: 49o-ss MODEL M' 490. LEAK SENSOR MANUFACTURER: 490.57 MODEL M(S): 490'511 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a.YES ❑b.NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN a.YES ❑b.NO 490°0 FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. * a.YES ❑b.NO °goat UDC MONITORING STOPI THE FLOW OF PRODUCT AT THE DISPENSER. a.YES ❑b.NO 490112 2.UDC CONSTRUCTION I3 1.SINGLE-WALLED Q.DOUBLE-WALLED 49063 IF DOUBLE WALLED: . r. 49 UDC INTERSTITIAL SPACE IS MONITORED BY: 1.LIQUID ❑2.PRESSURE ❑3 VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 49P69b VIL PERIODIC SYSTEM TESTING I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49aa5. LEAK DETECTION ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 CCR 2644.1 .SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490115 3.SPILL BUCKETS ARE TESTED ANNUALLY. ' VIIL RECORDKEEPING The following monhoring/ma [mance records are kept for this facility: Alamt logs 49aa11e Visual Inspection Records 4W611b I Tank integrity testing results 490a11c ❑SIR testing results(an supporting documentation records). 490 ❑ Tank gauging results(and supporting documentation records). 49011114 ❑ATG Testing results(and supporting documentation records).490a8f ❑ Corrosion Protection 60-day logs 49oasg ❑Equipment maintenance and calibration records. 49aaeb III.TRAE9NG ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties. 4904% REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) ❑ THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)49o.49b �p ❑ OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49oax ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49 % ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490 ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490-W ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49M98 ❑ OTHER(Specify):raMaisa ❑This facility has a"Designated UST OpemtoP who has passed the California UST System Y Operator f the administered by the[,and within Code sof hire. (ICC). The training will incl UST Operator-i will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of htre.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 ➢ The facility employce'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 UST Response Plan ➢ Names of contact person(s)for emergencies and monitoring alarms.e9( 'W X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how ges with additional infom tion m specific monitoring procedures are atmchod to this plan.490.71 jlvd-ha w f Cs�T /ae '1 7U'76 XL PERSONNEL 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 a possible release are investigated,and 3)all monitoring records are maintained properly. The followin,=person(S)are responsible for performinfP[he monitoring and equipment maintenance. NAME /tl..� �-v,b 490-n TITLE 49o-n NAME 1190-74 TITLE 490-75 The Designated Operator shall perform a monthly visual inspection of The facility, provide a report to the owner/operator,and inform the owner/operator of tory conditions that need follow-up action. XD.OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify dust the info Wed APPLICANT SIGNATUZREherein is hue and accurate to the beat of my knowledge. APPLICANT SIGNATURE 490-96 DATE: 49on r ID � ZO / l I.Turk in 2 Fecili relw 3.Au f APPLICANT NAME(print): 490115 APPLIC TITLE: 49o-n UPCF UST-D(1242007)3/4