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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN — (Page 2 of 2 VI. UNDER DISPENSER CONTAINMENT(UDC)MONITORING (Chaekarl UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) tlr� ❑ L CONTINUOUS ELECTRONIC MONITORING X 2.FLOAT AND CHAIN ASSEMBLY490-544 ❑ 3.ELECTRONIC STAND-ALONE ❑ 4.NO DISPENSERS _ _ ❑ 99,OTHER(Specify) LEAK MONITOR MANUFACTURER: 4995 eao:4e- MODEL g: LEAK SENSOR MANUFACTURER: 41)0-sv. MOUEL .90-58q(S) osa DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS : 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN, ❑ a.YES X b.NO a YES X b.NO 4004440044o FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES X K b.NO "P°t _ UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. 99ae: UDC CONSTRUCTION IS.- _ - _ X a.YES ❑ b.NO I.SINGLE WALL _._.._. ..—--__ IF DOUBLE WALL:: ❑ 2.DOUBLE WALL __—_ +9n-m UDC INTERSTITIAL SPACE IS MONITORED BY: _ PRESSURE 0 C.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF T❑HE UDC TRIGGERS AUDIBLE bAND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490� VII. PERIODIC SYSTEM TESTING ❑ L ELTESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WgTER RESOURCES CONTROL BOAKD THAT ENHANCE n 490-65 MUST BE PERFORMED. PERIODIC EI D IS PERFORMED EVERY 36 MONTHS AS RE UIRED,123CMJ1) ® 2.SECONDARY CONTAINMENT COMPONENTS ARE"TESTED EVERY 36 MONTHS. 49466 ® 3.SPILL BUCKETS ARE TESTED ANNUALLY_ waT VIII. RECORD KEEPING The Following monitoring/maintenance records are kept far Nis facility: ® a ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY TESTING RESULTS 49o-6s ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) ❑ f.ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS ® K E UIPMENT MAINTENANCE AND CALIBRATION RECORDS IX TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant[o Meirjob duties: REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) 49a,69a ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Requf r d) ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 49069p El49 CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 11490-6%CALIFORNIA UNDERGROUND STORAGE TANK LAW 49oe% ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 4at-Wr STATISTICAL INVENTORY RECONCILIATION' ❑ SWRC13 PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 49os9a. ❑ OTHER(Specify) 49osm, UC facility hes a"Designated UST Operator"who has passed the California UST System Operator Hxam administered b the Inremationat Code Council 490470 y 49oro (ICC). The `Designated UST Operator"wil I train facility employees in the proper operation and maintenance of the US'T systems annually,and within 30 days of him.This training will include,bra is not limited to,the following: > Operation of the UST systems in a manner consistent with the facility's best management prectics,, > The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. Y The facility employee's role with regard in spills and overfills as specified in the facility's UST Response Plan. Name(s)of contact pmmn(s)for emergencies and monitoring alarms. X COMMENTS/ADDITIONAL INFO"leakdelmlion N [Pir,0"deadditional comments here or indicate how many pages with additional information on specific monures ere attached m this plat. 490-]1l mwnvutm If a OPW Bt tope Mr upl¢ea a n vrve to raver ovwalb. TM vrve is sr at 95% it rlat6 Cbaed.XL PERSONNEL RESPONSIBILIThe UST Owt¢r/ numisrespomible forensuring that: L)the dailyiroutine UST monitoring activities nce of UST leak detectionb Nis Ian«curs;2all conditions that indicate a ssible release ere i3. all monitorin aintained d equipment wvetedTHE FOLLOWING PERSONS)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND MAINTENANCE:NAME' Guillermo Lo 49URPez rITLE:Manaera9o.rs NAME: Sand Edwards 490'4 TITLE:Environmental Com 11ance Admin. 4W75 The Designated UST Oshall perform a monthly visual conditions that need follow-up action. inspection of the facility,provide a report to the owaerlopvator,and inform the owner/operetor of any __ XII. OWNER/OPERATOR SIGNATURE rAPPLICA—NTSIGNATU TIFICATION:1 certi that the information provided herein is true and accurate to the best of m knowledge. PATE: 4w.n 2 6/8/09 ENrrMr.X 1.Trak C) 1 IJFFaalu l m )wutMrizM tw.a arO.er 49676 UPCF UST-D(12/2007)-JB www.unidomorg