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IN— UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGETANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 490-54. 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-346 ❑ I.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ®4.NO DISPENSERS ❑99.OTHER S ): ___— PANEL MANUFACTURER: 490-55 MODEL#: -__ ____ 490-w. LEAK SENSOR MANUFACTURER: 49U57 MODEL#(S): 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES ❑b.NO 490.59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES ❑b.NO 460. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ❑ a.YES ❑b.NO 4906x S.UDC CONSTRUCTION IS ❑1.SINGL&WALLED ❑2.DOUBLE-WALLED 49oe5 IF DOUBLE WALLED: 49a64a UDC INTERSTITIAL SPACE IS MONITORED BY: 1.LI UID 2.PRESSURE..Q 3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 49oaw VII.PERIODIC SYSTEM TESTING El I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 4va's5- DETE ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR 12644.1 [12.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 4900-6 3.SPILL BUCKETS ARE TESTED ANNUALLY. 4W67 VIII.RECORDKEEPING The following monitoring/maintenauce records are kept for this facility: ®Alarm logs 400 a M Visual Inspection Records 490-68b ❑Tank integrity testing results 490-68. ❑SIR testing results(and supporting documentation records). 4W68d ❑ Tank gauging results(and supporting documentation records). 490-6se ❑ATG Testing results(and supporting documentation records).490-68£ ❑ Corrosion Protection 60-day logs 4"g ®Equipment maintenance and calibration records. 490-686 IX.TRAINING ® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties. 490-690- REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) ❑e THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-696 X OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-6% ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 4so s9e ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"4so-w ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-699 ❑ OTHER(Specify):m69h,m6 This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). The"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but is not limited to,the following: ➢ Operation of the UST systems in a mamer consistent with the facility's best management practices D The facility employce's role with regard to the monitoring equipment as specified in this UST Monitoring Plan D The facility employee's role with regard to spills and overfills as specified in the UST Response Plan ➢ Names of contact person(s)for emergencies and monitoring alarms.490-70 X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 Audible and visual overfill alarm set at 90%of tank capacity for overfill protection. See additional attachment XL PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responaible for ensuring that 1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The following person(s)are responsible for performing the monitoring and equipment maintenance: NAME Tim Hurlocker 4Wn TITLE Director of Gasoline Operations 490-73 NAME Dennis Bock 490-74 TITLE Environmental Compliance Manager 490-75 The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator, and inform the owner/operator of my conditions that need follow-up action. XII.OWNER/OPERATOR SIGNATURE CERTIFICATION:I cerfify,thistfiffWormation provided herein is true and accurate to the best of my knowledge. 4so-76 DATE: 490-77 LE APPLICANT NAME(print): `90.18 APPLICANT TITLE: 490 79 David H Rogers Director of Real Estate Development UPCF UST-D(12/2007)314