COMPLIANCE INFO_2016-2018 - Laserfiche WebLink

Home Browse Search

RECEIVE® UNIFIED PROGRAM CONSOLIDATED FORM - UNDERGROUNDSTORAGETANK MAYS 16 2017 MONITORING PLAN- Pee 1 of-2) TYPE OF ACTION I.NEW PLAN ® 2.CHANGE OF INFORMATION PLAN TYPE 1.MONITORING IS IDENriCAL FOR ALL USTs AT THIS FACILITY. 49D i (Check one item only) ® 2.THIS PI AN COVERS ONLY THE FOLLOWING UST SYSTE d( - DEPARTMENT I. FACILITY INFORMATION FACR.TTY:]D:##:(Agenry Use Only) BUSMSS NAME(Same as FACR.TTY NAWE) RC1-Y BUSINESS SITE ADDRESS g�SS cITY ,a. iL EQUIPMENT S T cC�,a rest n Q TESTING AND PREVENTIVE MAINTENANCE &Preventive maintenance,and calibration ti monitoring equipment(0.g.,sea9ors,Pm �line leak detectors,etc.)mtat 6e performed at the frequency specified 61'the equipment manufacturers instructions,or annually,whichever is more frequent.and that such work to t be perfomted b 23 CCR 2632 2634 2638,2641 y qualified personnel. � MONITORING EQU�MENT IS SERVICED ® 1 ANNUALLY ❑ 99.OTHER(Specify): 49oaa III.MONITORING LOCATIONS 490.36 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2 SITE PLOT PLAN/MAp PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634 91 � N.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): I 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT a9as VAULTS)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINI9ffiNT IS: �J a DRY ❑ b.LIQUID FD,LED ❑ c PRESSURIZED ❑d.UNDER VACUUM 4 1 PANEL MANUFACTURER:V'✓ O o G IN3 R C+ 49x7. MODEL#: 49aa LEAK SENSOR MANUFACIURER:V _ r 6 49-9 MODEL#(S: 49ano i 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MON CIOR S NG a WA r 'r PANEL MANUFACTURER: 49aizNKr (23 CCR§2643) 49aii R IN-TANK PROBE MANUFACTURER 490-4. MODELM 49a13 LEAK TEST FREUENCY: MODEL#S): 4915 Q ❑ a CONTINUOUS ❑ b.DAILYM[GHTLY ❑ c.WEEKLY 490-6 O d.MONTHLY __ ❑ e.OTHER{Spec- ): -__ 49 17 PROGRAMMED TESTS: ❑ a.0.1&p.h. ❑ b.02 h. -- BP ❑ c.OrHER(Specify); a9ar9 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 4at9 ❑ 4.WEEKLY MANUAL TANK GAUGING MTG)(23 CCR 264 4�W { § 5). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 49 21 5.TANK INTEGRITY TESTING(23 CCR§2643.]): TEST FREQUENCY: ® a.ANNUALLY ❑ b.BIENNIALLY4aD ❑ c.OTHER(Specify): 49x24 490.23 � ❑94.OTHER (Specify): 490.26 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING MEMO S Ckeck all that a I 49 V I.CONTINUOUS MONITORING OFPH'Fl PIPAIG SIIMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND apply) 49o-29 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 4W0. PANEL MANUFACTURER 'V 6I: O 490.30 LEAK SENSOR MANUFACTUPERV;�� MODEL#: -- _ '�� 4W31 Ru OT 99W3 MODEL#(5): '-' • 3 490-33 iPIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN, kg a-YES FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. O a YES Ll b.NO 49x34 2.MECHANICAL LINE EAK DETECTOR(MLLD)THAT ROUTBVELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 35 PRODUCT FLOW WHENA LEAK ISDETECTED 23 CCR 2636) MLLD MANUFACTUREA(S) 49x99 490.36 hd 3 ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 9-ph.LEAK MODEL 490-38 l ELLD MANUFACTURER(S) . - 4910. (23 CCR§2636) 490.39 PROGRAMMED IN LINE LEAK TEST: MODEL#(S): r;�3 9911 ❑ 1.MINIMUM MONTHLY 0.2&P.h. ❑ 2.MINIMUM ANNUAL 0.1&p,h. 4912 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®&YES ❑b.NO +913 4.PIPE J TEGRrn TESTING 490-43 ®a YES ❑b.NO 49ois TEST FREQUENCYa.ANNUALLY b.EVERY YEARS C.OTHERS i Ll 6.VISUAL PIPE MONRORING. 4916 4917 l FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MON[HLY&EACH TIME SYSTEM OPt2tATFA• 4919 Allowed 6ir moo- oL,mb9nd fK '' as HSC 291 49049 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA J23 CCR§2636(a)3)]7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 49a30 49as1 ❑ 99.OTHER(Specify) 490.32 a9av UPCF UST-D(122007)IH