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RECEIVED UNIFIED PROGRAM CONSOLIDATED FORINT UNDERGROUND STOWZE TANK MONITORING PLAN-(Palle I of 2) ENV!RO N M E NTA TYPE OF ACTION ❑1,NEW PLAN ❑ 2.CHANGE OF INFORMATION 4oi PLAN TYPE Z1,MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILI'T'Y. a9a z (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM I. FACILITY INFORMATION FACILITY 10#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME) F w c� x _-P 116 3 BUSINESS SITE ADDRESS, CITY 11.EQUIPMENT TESTING AND PREVENTIVE:MAI.NTEN.ANCE -testing,preventive maintenance,and calibrafion of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent;and that such work must be performed by qualified personnel. 23 CCR 2632 2634 2638 2641 MONITORING EQUIPMENT IS SERVICED Kri.ANNUALLY ❑ 99,OTHER(Specify): 41"3bb 111.MONITORING LOCATIONS, ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH TIUS PLAN. ❑2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49o.4 IV:TANK.MONITORING.IS PERNIL'VIED USING,THE FOLLOWINGM)ETHOD(S):. 1.CONTINUOUS ELECTRONIC TANK NIONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490.5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY_CONTAINMENT IS: ❑ a.DRY R-b.LIQUID FILLED ❑ c.PRESSURIZED El d.UNDER VACUUM 490 6 9°.7. _ PANEL MANUFACTURER: VI e@&c4Y /-00,t- 4 oO,t' _ MODEL#, I G T 490.0- " LEAK SENSOR MANUFACTURER: I 1 1) T490'9' MODEL#(S) Q L1,390 ^,3p)dc3t7 49v-2o ❑ 2.AUTOMATIC TANK GAUGING(ATC)SYSTEM USED TO MONITOR SINGLE WALL_T-A NK(S)-(23 CCR§2643) 490-11 PANEL MANUFACTURER 490-17 MODEL#: 490-13 IN-TANK PROBE MANUFACTI UR: 490-c4. MODEL#(S): 490-15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c,WEEKLY 490-16 ❑ d.MONTHLY ❑ e.OTHERS ci : 490-17 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0,2 h. ❑ c.OTKER Speci : 490-19 B•P• ( �') 49o-19 © 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1)-- 490,20 ❑ '4,WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: Ela.36 HOURS [3 b.60 HOURS 490-22 490.22 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-24 TEST FREQUENCY: [I a.ANNUALLY b.Ba (Spec i6,):❑ OTTIER S i 490-24 ( P �')� a90-25 490.26 ❑99.OTHER(Specify): 490.27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that a ly)..'; 21.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-29 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®a DRY ❑b.LIQUID FILLED ❑c.PRESSURIZ. ❑d-UNDER VACUUM 490 PANEL MANUFACTURER: 0-9010 MODEL#: •rL I- 490-31 LEAK SENSOR MANUFACTURER 1/ 11 _ 490.T^2 MODEL a S ; t'1 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. YES ❑b.NO 49°-x4 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. YES ❑b.NO 490-35 MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.)L LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT PLOW WREN A LEAK IS DETECTED 23 CCR 263 490.16 MLLD MANUFACTURERS: &a- -yet cyck490.17 MOREL#(S): ,� t V 1 71^�t aaa ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 ELLD MANUFACTURER(S) 49010' MODEL#(S): 49"l PROGRAMMED IN LINE LEAK TEST: C] I I.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑b.NO 490.44 ELLD FAILURF-MISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN, ❑a.YES ❑b.NO 49044 ❑ 4.PIPE INTEGRITY TESTING 490.45 TEST FRE UENCX a,ANNUALLY ❑ b.EVERY 3 YEARS ❑ c,OTHER S eci 49045 49047 ❑ S.VISUAL PIPE MONITORING. - 490-41 FREQUENCY ❑ &DAILY ❑ b,WEMY ❑c.MIN.MONTHLY&EACH TIME SYSTW OPERATED• 49049 •Allowed fof mohokg of unburied anefsency genuator fuel pi2ing=ly pu HSC 425281.N6 3 ❑ 6.SUCTION PIPING MEET$EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490-40 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490.51 490-52 ❑ 99.OTHER(Specify) 490.53 t. UPCF UST-D(12/2007)1/4