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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN — (Page 2 of 2 VI. UNDER DISPENSER CONTAINMENT(UDC) MONITORING (Check al( UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that a l ❑ 1.CONTINUOUS ELECTRONIC MONITORING X 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE +9 .54. .0-4.-NO DISPENSERS ❑ 99.OTHER(Specify) .9as4s LEAK MONITOR MANUFACTURER: Wass MODEL 0: -nsasn LEAK SENSOR MANUFACTURER: 690.57 MODEL N(S): 4WU DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. C1 a.YES X b.NO °90.69. UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES X b.NO 490^0 FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES X Is NO a90-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. X a.YES ❑ b.NO 49062 UDC CONSTRUCTION IS: X I.SINGLE WALL ❑ 2.DOUBLE WALL 490.61 IF DOUBI F WALL: 9a6. UDC INTERSTITIAL SPACE,IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ C.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 49a64a VII. PERIODIC SYSTEM TESTING L ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED a9oss MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.jLi«a j9a.I ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49x66. ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. VIII. RECORD KEEPING The following monimring/maintenance records arekept for this facility: .y0� ® a ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ c.TANK INTF.GRITV TESTING RESULTS ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) ❑ f ATG TESTING RESULTS(and supporting documentation records) ❑ 9.CORROSION PROTECTION 60-DAY LOGS 0 h.E UIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING ® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: 49669a REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check of that apply/ ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) d%0 ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) .� ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS ° ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49�� ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND 49069r STATISTICAL INVENTORY RECONCILIATION" ❑ SWRC13 PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 4". ❑ OTHER(Specify): 49U69h. 122ME .9669. 7 ility hss a"Daigrlated UST Operator'who hes passed the Catifomie UST System Operator Exam administered by the International Code Council 496'mhe "Designated UST Operator"will vein facility employees in the proptt operation and maintenance of[he UST systems annually,and within 30ire.This training will include,but is not limited to,the following:tion of the UST systems in a manner consistent with the facility's best management prmtices.aciliry employee's role wiU regard m the monitoring equipment m spaified in this UST Monitoring Plan.acility employee's role with regard to spills and ovehlls as specified in the facility's UST Response Plan.(s)ofcontact persons)for emergencies arM monitoring alarms.X. COMMENTSlADDITIONAL INFORMATIONtional asmmenn here or indicate how many pages with additional information on specific monitoring procedures art attached to this plan. 490-71 mwnnnin ie a OWv 6t m two toot wiues a n vNve 10 and"v 113 TM valve iv vet a 9s%a ~a arts cbvea. XI. PERSONNEL RESPONSIBILITIES The UST Owtser/Operator isresponsible for ensuring that: I.)the daily/routine US'(monitoring activities and maintenance of UST leak detection equipment covered by this plan octan;2)all conditions That indicate apossible release are investigated;and 3.1all monitoring records me,maimained properly. _ THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: Guillermo Lopez 190''2 TITLE:Manager a9an NAME: Sandy Edwards 4". TITLE:Environmental Compliance Admin. 90.8 The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any condition that need follow-up action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION:1 certify that the information provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATU I � DATE: 6/26/09 4�n aFPRPSEMING X t.Tu&0! 2.F.1 Ownw a.auto r.�emiw orO.m 496M. UPCF UST.D(1212007)-4/8 www.unidoccorg