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NIFIED PROGRAM CONSOLIDATED FORM ; '%w UNDERGROUND STORAGE TANK MONITORING PLAN- Pae 1 of 2) 1 0-1 TYPE OF ACTION ❑ 1.NEW PLAN V1 2.CHANGE OF INFORMATION 49 PLAN TYPE �,1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. a90- 0-z (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- 1. FACILITY INFORMATION FACILITY ID#(Agency Use Only) - - I BUSINESS NAME(Same as FACILITY NAME) 3. BUSINESS SITE ADDRESS `-7L7>,j w. C y\o.r eT CITYCA 104. 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 by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR 2632,2634,2639,2641 _ __ MONITORING EQUIPMENT IS SERVICED [�,1.ANNUALLY El99.OTHER(Specify) 4W3b III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN.Ta2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)4944 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 491-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6 ------------------------------------------- - - PANEL MANUFACTURER: 6%� n�,f{.D -- 490-7. MODEL#: T--CA490-9 LEAK SENSOR MANUFACTURER: eW ,tea 4949. MODEL#(S): 49410 ❑ 2.AUTOMATIC TANK GAUGING(ATC)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL#: 496-13 -- ---------------- -- - ------- ------ - - --- - - - - - ----------- IN-TANK ---------IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15 - -- -- ------- ------------- - - - - - - ------------------------------------- -- -------- -- LEAK TEST FREQUENCY: E] a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 490-16 ❑ d.MONTHLY ❑ c.OTHER(Specify): 490-17 - _----- _____ _._ _ 49418 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: F_] a.36 HOURS El b.60 HOURS 49900.22 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 49421 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 49424 990-25 E]99.OTHER (Specify): 426 9999 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND x9428 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: a.DRY ❑b.LIQUID FILLED [1c.PRESSURIZED ❑d.UNDER VACUUM 490-29 - --- -- --------------- - - -- - -- - ------------ - - - .. PANEL MANUFACTURER: 4943° i_MODEL#: M ----------------------- - 49431 --------------------------------------1-MOD LEAK SENSOR MANUFACTURER: �Q,L er - Qo 494sz MODEL#(S) �0 49933 -- - -------------------------------- ------- - -- ------- ------------------------ PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.c.,TURBINE)SHUTDOWN. ❑a.YES ❑b.NO 49434 FAILURE/DISCONNECFION 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 --_PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2636 ___-_-__-__-__-_-_ -_- 490-36 - -----(;3------1-- -�- - - - - - - - - -�j - MLLD MANUFACTURER(S): M �� 490-37 MODEL#(S): q-{ 490-38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 ---------------------------------------------------------------------------------------------------------------------------------------- ELLD MANUFACTURER(S) --- 49440. 3 MODEL#(S)_ --- -- --------------------------------------------------------------------- -------------------- ------- PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490-42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49043 ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-44 ❑ 4.PIPE INTEGRITY TESTING 490-45 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46490-47 ❑ 5.VISUAL PIPE MONITORING. 490-48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49 Allowed for mnitwiny of unburied emergemy generatOT fuel piping only er HSC'25281 5 b 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR 62636(a)(3)]. 490-50 ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 ❑ 99.OTHER(Specify) 49952 49453