BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

It UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGETANK MONITORING PLAN- (Page 1 of 2 TYPE OF ACTION SO I.NEW PLAN ❑ 2.CHANGE OF INFORMATION 4'"W PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2. (Check one item only) 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): 490.2. I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1. BUSINESS NAME(Same as Facility Name or��DBA) 3. BUSINESS SITE ADDRESS 103. BUSINESS SITE CITY IN o N S - c C -TCS II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified bytheeguipment manufacturers instructionnually_whichever is more frequent,Such work mustbeperformed by qualified personnel.I23 eca§2632,263x,2638.2mil MONITORING EQUIPMENT IS SERVICED III. 49U3a OI.ANNUALLY 99.OTHER(Specify): 490-3bNITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED 123 CCR§2632,26341 4904. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) nCl�k all 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 49x5. WITH AUDIBLE AND VISUAL ALARMS.123 CCR§2632,26341 SECONDARY CONTAINMENT IS: ®a.DRY 1 ❑, b.LIQUID FILLED El c.PRESSURIZED El d.UNDER VACUUM 4"'s PANEL MANUFACTURER: t/o4z clyW Ra5sT 'T LCft 'i&S b 490-3 MODEL#: L S -AS-b 490-8. LEAK SENSOR MANUFACTURER: Llee.CAP ✓ f4j" "'FFj=f 4%4 MODEL#(S): 4PL0 49x10. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).123 CCR§26431 490-11. PANEL MANUFACTURER: 090'12 MODEL#: 490-11 IN-TANK PROBE MANUFACTURER: 490.14. MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 4W-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-1T PROGRAMMED TESTS: [I a.0.1 g.p.h. ❑ b.0.2&p.h. ❑ c.OTHER(Specify): 490-1e. 490.19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION 123 CCR§2646.11 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 ccR§26451 TESTING PERIOD ❑ a.36 HOURS ❑ b.60 HOURS 49x21. 490-22. ❑ 5.TANK INTEGRITY TESTING PER 123 CCRJ1643.1] 490-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHERS 1 090'24 ❑ 99.OTHERi -4A (Specify): 617-16. 4W-17 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) nnhrak i l 1.CONTINUOUS MONITORING OF PIPEIPIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 4%-28. 5U36l SECONDARY CONTAINMENT IS: r a.DRYO-❑ b.LIQUID FILLED [__1c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. PANEL MANUFACTURER: VP e4-e V QUI- 490.30. MODEL#: TLS 3 S-0 490.3L LEAK SENSOR MANUFACTURER: u 9 490.11 MODEL#(S): 20 R 490.33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑ a.YES ❑ b.NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-35. PL 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 DETIE�C.TED.[23CeiR§z63'61 I .A FX Z9V0-3a MLLD MANUFACTURER(S): C, �JQ'1 ybr- , Q�ol L. (l{�" 490-33 MODEL#(S): S T r- M L� ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 ccR§2636] 490.39. ELLD MANUFACTURER(S): 490'40 MODEL#(S): 49041. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1&p.h. 49042. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49043 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49044. ❑ 4.PIPE INTEGRITY TESTING. ago-Os. TEST FREQUENCY: [I a.ANNUALLY [Ib.EVERY 3 YEARS ❑ c.OTHER(Specify) 449'46. ❑ 5.VISUAL PIPE MONITORING. 490.48. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 49049. _ 'Allowed fa moNton of lmried em c aetor fuel i in oN HSC 25231.5 3 _ ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.123 CCR§2636(aN3)1 a90-So ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 49x51. ❑ 99.OTHER(Speci ) 49x52 %53. UPCF UST-D(12/2007)-1/4 www.unidocs.org Effective 01/17/08