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BCE#10199-Tanks 1,2,3 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUNDSTORAGETANK <br /> NIONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 49°51' <br /> 490-346 <br /> ® 1.CONTINUOUS ELECTRONIC MONITORING (:12.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> ❑4_NO DISPENSERS____ ❑_99._OTHER(Spec )___________ __ _____ _ _ _ _ _ __ <br /> PANEL MANUFACTURER:VEEDER_RO_OT Ka55 M0DEL#:TLS-350R 4W56 <br /> LEAK SENSOR MANUFACTURER:VEEDER ROOT 49037 MODEL#(s):794380.208 "658 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ® a.YES ❑b.NO 49659 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ® a.YES ❑It.NO 49050. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑b.NO 49661 <br /> UDC MONITORING STOPS THE FLAW OF PRODUCT AT THE DISPENSER. ® a.YES ❑b.NO 49042 <br /> 2.UDC CONSI'RUCTTONI IS ®1.SINGLE-WALLED ❑2.DOUBLE-WALLED 49041 <br /> IF DOUBLE WALLED: 490-61, <br /> .._._. <br /> UDC INTERSTITIAL SPACE IS MONITORED BY_._Q Lldl(_UID__Q2.PRESSURB A3_VACUUIN <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UTC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 490646 <br /> VII.PERIODIC SYSTEM TESTING <br /> 1.ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 4�. <br /> L MUST BE PITRFORk�D. PERIODC 8LD IS PERFORMEDHVERY 36 MONTHS AS RE(�UIRED_(23 CCR§2&14.IZ_____ <br /> __....__ _ ORME _._______._ <br /> ®2.SECONDARY CONTAINMENT CO\U'ONENTS ARE TESTED EVERY 36' ONTHS. 490-66 <br /> . ____._________._.__._..____.. __.,___..._____._.____.____._._____.__—___._._____.__.__..___.._.._.—......_._.._..—.—.__ <br /> �3.SPILL IF <br /> ARE TESTED ANNUALLY. 49062 <br /> VIII.RECORDKEEPIKG <br /> The following moultoring/maintenance records aro kept for this feetitfy: <br /> N Alarm logs 4a04a. ❑Visual Inspection Records 490404 Q Tank integrity testing resuhs 490, a <br /> ❑SIR testing results(and supporting documentation records). 490686 jj Tank gauging results(and supporting documentation records). Oso sas <br /> ❑ATG Testing results(and supporting documentation records).49a6sf U Corrosion Protection 60-day logs 490689 <br /> ®Equipment maintenance and calibration records. 490666 <br /> IX.TRAINING <br /> ®Persoonel with UST monitoring responsibilities are familiar with all of the foilosving documents relevant to theirjob ditties. 4so69. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITYO(Check all that apply) <br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)496-696 <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Requimd)496 - <br /> CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-Y1d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49a69e <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RF.C()NCILLITTON"49a69t <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"4WO, <br /> ❑ OTHER(Specify):M69hsmX <br /> -EYThis facility has a"Designated UST Opemtof'who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated UST Operatot'will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This <br /> training will include,but is not limited to,the following: <br /> D Operation of the UST systems in a manner consistent with the facility's best management practices <br /> D The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan <br /> D The facility employee's role with regard to spills and overfills as specified in the UST Response Pian <br /> ➢ Names of eomtad person(s)for emergencies and monitoring alarms.49o7o <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional Information on specific monitoring procedures aro attached to this plan.4w7i <br /> Audible and visual overfill alarm set at 90yf tank capacity for omfill protection. <br /> XI.PERSONNEL RESPONSIBILITIES <br /> The UST OwnedOpemtor is responsible for ensuring that: 1)the daily/routine UST monitoring activities and maintenance of UST leak dUcelion equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release we investigated,and 3)eI monitoring records am maintained properly. <br /> The following person(s)are responsible for performing the monitoring and equipment maintenance: <br /> NAME DENNIS BOCK 49x72 TITLE COMPLIANCE MANAGER 490-23 <br /> NAMETIM IIURLOCKER TITLE DIRECTOR OF GASOLINE OPERATIONS <br /> The Designated Operator sball perform a monthly visual inspection of Ire facility,provide a report to the ownedoperator,and inform The owner/operator of any <br /> conditions flat need follow-up aetios. <br /> XII.OWNEWOPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the Infntmo.on vided herein is Iroe and attumte to the best of atknowled e. <br /> APPLICANT SIONATURB 49076 DATE: 49an <br /> 4WW <br /> APPLICANT NAME(print): APPLICANTTITIE: <br /> DAVID H ROGERS /^ DIRECTOR OF REAL ESTATE DEVELOPMENT <br /> .. <br />