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�,,,,JNIFIED pROGRAM CONSOLIDATED FOMW UNDERGROUNDSTORAGETANK MONITORING PLAN— 1 of 2 TYPE OF AC770N '� 1.NEW PLAN ❑ 2 CHANGE OF INFORMATION PLAN TYPE E'1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (C'heck orre dem onh') ❑ 2 TBIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): L FACILITY INFORMATION FACRITY ID a(Agem7 L'se Onh) — — BUSINESS NAME(Same as Faci '\- or DBA) It 1113 (Try WA BUSRdF.SS SITE_ADDRESS 6 ¢ 11 6 H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE fid seating.prn'entiV a nrainlenan«.and caEbmti3m of monAorine eyuipment/e.g.-> � Pr°b� dd-lors'act t mall be performed at the trequanev specs • - or amml w1uC11Cve L¢mM2 t'i gU__®t_$veh P'Orl mmi be pirFn®ed b\'�na1111ed p n2!o it<I. by We cq.%—wt_ aanufacluraa'matrrradons,._._—�Y, MONITORING EQUIPMENT IS SERVICED Eg-1.ANNUALLY ❑ 99.OTIIER(Sp=4): 49 % III. MONITORING LOCATIONS J9nJ L NEW SITE RAT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2 SITE PLOT PLANMAP PREVIOUSLY SUBMITTED I=i t1 §2612,26341 (Check all IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that h/ L CONIIN130US Q.ECIRONIC TANK MR3NITORING clF ANN3LAR(INT'ERSTITIAL)SPACES)OR SF1'ONDARY CONI-AIIdh1ENf N".AL3I.T(S) 9a3 WITH AUDIBLE AND VISUAL ALARMS.t23 §2632.�] d UNDER VAC lq l J.p SECONDARY CONTAINMENT IS: ❑ a DRY ❑ b,LIQUID FILLED ❑ a PRESSURIZED T`S 3 49M \t'b "EA 490'- MODEL a: PANEL MLAN3FACR3RER: y�J asulo —REE- 49 9. MODEL o(S): —N�4gc)0-�0 LEAK SENSORMANrFACTIJRER: - -a9o-t1 ❑ 2 41TIOMLAHC TAHdGAUGING(ATG)SYSTEM USED TO MONITOR SINGl F AV 1�1 „1 T_ANAf"S).p mti±6+31 Jypls PANEL MLANrFACTURIM MSH'a' "' MODEL NS): a9o-13 IN-TANK PROBE hf4NCrFAC1L7tFR: ,vo16 LEAF:TEST FREQUENCY: ❑ a CON1TNrOLrS ❑ b.DAILY NIGHTLY E3 WEEKLY J9o-C ❑ dMONTHLY ❑ e.OTf1ETt(Speedy); J9o-ls PROGRAMMED TESTS: ❑ a.0.1t.PJL b.02 .h. ❑ c.OTTER(Spe6fyY. 49o-19 J9u•±0 ❑ 3.MfON1H.YSTaTTSTICALDAENTORYRECONCRIATIONIn CM§±wtI ago-±1 ❑ 4.WEEMI.YMIANIJAL T.ANF:GALrGQ.IG(MITG)[-3Mt3'-6+11 TESTING PERIl7D: ❑ a36 HOURS ❑ 660 HOURS .r9o12 J9U_`) ❑ 5.TANK INTEGRITY TESTING PER 1.3 mt;±633.11 49o-24 TEST FREQUENCY: ❑ &ANNUALLY ❑ b BH NNIALLY ❑ c.OTHFR(Specift): ,9a2, ,90.+6 ❑ 99.0I1JER(S ): 49o-2- V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) IC�hreck no L CONTINITOUS MIONITINtING OF PIPING SC3Mff(S)AND OTHER SECONDARY COMITAINMIEM]T KITH.AUDIBLE&l'ISUAL.AI._ARAIS. 163 SECONDARY CONTAINI.ffNT IS: ❑ a DRY b.LFQC3ID FB.LED ❑ e PRESSTAUZED d UNDER V.ACUCR\! J9U� PANEL ALANUFACRIRER: 49o-3o MODEL<: IZ-S — 3 ,9P31 LEAK SENSOR hLANUFACNNRER. 4W32 MIODEI.I+(S): ?V4VD _ D J9o-33 PIPING LEAK ALARM TRIGGERS ACTfOMATIC PUMIP(i.e.,TURBINE)SMUDORN. jR(a .ES ❑ b.NO S FAILURE-DISCONNECTION OF THE MRINITORING SYSIEMTRIGGFRS AUTOMATIC PUMP SHL TIHOBN. 0 a YES ❑ b.NO 19P'3` ❑ 2 MCCIiAMCAL LINE LEAK DETECTOR(mLLD)TILAT ROUTINELY PERFORMS 3.0 g p.h.LEAK TESTS AND RESTRICTS OR M TTS OFF J9o- PRODUCT FLOW ViIHIH A LEAKS DETECTED.l23 my±6361 MILDMANUFACfURER(S): a9o-3> MODI7,#(S): J9o-36 3.ELECTRONIC LINE LEAK DETECTOR((EEIL/,IL,DD)THAT ROC Y PERFORMS 3.0 g.pA.LEAK TESTS.l'-3 MW26w a9o-39 L F1DMLAMIFACIURER(S): VE.uat - J9�0 MIODEL-(S): %4047X7 -0 — PRO(:RAMIMED IN LIMIE LEAK TEST: VFa.MBNE3Rgd MIONTTH.Y 0.2 g.p.h. ❑ b.MRNJMUM ANNUAL 0.I gPJL , ± El l n DETECITON OF A PIPING LEAK TRIGGERS AUTTOMLAHC PUMP SHUTDOWN. Ea a YES ❑ b.NO 19°'r3 El IDFAILURETNSCONNECTION IRIGCERSALTTOMLA17C PUMP SHUTDOWN. ® AYES ❑ 6N ❑ IFIPEDQTEGRMTESTTNG. J9nas TEST FRE CY: ❑ a ANNCTALLY ❑ b.EVERY 3 YEARS ❑ c-OTTER(S ' ) �9w.ln 49 ❑ 5.VLSUAL PIPE MONEDRING. FREQUENCY: ❑ aDAELY ❑ b.WTEKLY ❑ a MN mLl=Y&EAIDTIMIH SY9Mf0HIGATED• 490.19 '>IloRed fm mowioung otnob®ad e^iaEa'"R�dte Tod ppo0mlapn MC§21M FbM31 (3 6SUC'1TONT�BQG MEETS EXI�TION CRrII t1A-113mPI WD)] _ ,9o-ni ❑ 7.NO REGULATED p>PING PFRHEALTH AND" ffff CODE,DIVISION 20,CHAPTER 6.715 CONNECTED TO THE TANK SYSTEM 'r9o'sl 99.OTHER J9063 UPCF UST-D(Iy2M7)-W 3 .unidomorg