COMPLIANCE INFO_2016-2018 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORINGPLAN (Page2af2) VL UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD aso.ssa ® I.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CRAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE s.NO DISPENSERS 099,OTHER(Specify). PANEL MANUFACTURER V E EO E R R()cT�- 717JLA4LC0 was# MODEL#: i LS je 0 LEAK SENSOR MANUFACTURER' #son MODEL s(S): DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ® a YES ❑b.NO ase UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN 13 a YES ❑b.NO "ado FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a YES ❑b.NO UDC MONITORING STOPS THE FLAW OF PRODUCT AT THE DISPENSER. ® a YES ❑b.NO woo 2.UDC CONSTRUCTION IS ®I.SINGLE-WALLED ❑2.DOUBLE-WALLED woo IFDOIIBLE WAILED: UDC INTERSTITIAL SPACE IS MONITORED BY 0 1.LIQUID 2.PRESSURE 0 3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a YES ❑b.NO wsaw VIL PERIODIC SYSTEM TESTING I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED LEAK DETEC ION(ELD)MUST BE PERFORMED PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED(23 CCR J2644 1) ®2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS wor 3.SPILL BUCKETS ARE TESTED ANNUALLY. wogs VEIL RECORDKEEPING The following monitoring/msintenuae records are kept for this facility: ®Alarm logs woeaa ®Visual Inspection Records swew ❑Tank integrity hearing results saoess ❑SIR testing results(arid supporting documentation records). swwa ❑ Tank gauging mWts(ant supporting decumrntavon recor(ls) wow. ❑ATG Testing results(and supporting documentation records) woof ❑ Corrosion Protection 60-day logs sway CZ Fquipmatt mdnteruece and calibration records. woes DL TRAINING _ E)Personnel with UST monitoring responsibilities arc familiar with all of the following doeunnemb relevant in their job dunes woe% REFERENCE DOCUMENTS MAINTAMED AT FACILITY(Check all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)anew E) OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)woew ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS woavd ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW swew ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION. "HANDBOOK FOR TANK OWNERS - MANUAL AND � STATISTICAL INVENTORY RECONCILIATION"woear ❑ SWRCB PUBLICATION:-UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS-4%4% i ❑ OTHER(Specify)assn stars. This facility him a"Desigrusted UST Operator who him posed the California UST System Operator Foam dminuoered by the International Cade Camcd(im. The"Desigmted UST Opermor"will thin facility employees in the proper operation and miumm nce of the UST systems annually,std within 30 days of hire.This training will include,but is not limited to,the following > Operation of the UST systems in a mumer ecasinem with the facility's best management pruaces Y The facility cmployee s rok with regard sortie monitoring egwpment m specified in this UST Monitoring Plan > The facility employee's note with regard to spills and overfills as specified in the UST Response Plan > Namur of m tW pr:rsata)far eme Vmm and monitonng dams won X. COMMENTSIADDIIIONAL INFORMATION Provide eddniorul wmmrnu here or irdiate how many pry)#with additmmal ohfarmatioo eco specific mommrmg procedures ere attached to this plan.. Ii TyPt yr c�V�RFtk PF vLNTroVINA ALAathCw,ct Fw �13 P �— XL PERSONNEL RESPONSIBILITIES — -- — The UST ONnlef/Operara u tespomible form emunng that I)the ddlyhouorc UST monitoring ae0vnies and maintenance of UST leak detection equipment covered by I this plan=or&2)all co ditiau tut indicate a possible release are investigated,and 3)all monitoring records are mourned properly. The following petsori are tespomble for perfuming the monitoring and equipment mdntetmnce NAME won TITLE aao-�s NAME wars TITLE aaats The 13taigrsued Opcnlor WI perform a monthly visual inspection of the facility, provide a report to the owrcr/operator,and inform the ownedopnalor of Buy conditiau dot need fallow-tip action. XIL OW R/OPERATOR SIGNATURE CERTIFICATION:1 txtti i rmat rein is true and Reunite to the best of m knowle e. OKI ANTSIGNATURF I soar^ DATE. ato.T APPLICANT NAME(print) I / , a90.D APPLICANT TITLE „ L71111 UPCF UST-D(12/2007)3/4 Scanned by CarnScanner