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Mar 071011:10a ArPminimartp 2098352297 p.6 UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI. UNDER DISPENSER COA TAINMENT(UDC)MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 4y0-542 490-34b1.CONTINUOUS ELECTRONIC MONITORING ❑:.FLOAT AND CHAIN ASSEMBLY C13.ELECTRONIC STAND-ALONE ❑ 4.NO DISPENSERS— E199,OTHER(Sp-city): --------------------------- PANEL MANUFACTURER:�Q L ,AK SENSOR MANUFACTURER: C 1(00 490-57 MODEL4(S): 2D$ 490-Sr DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL.ALARI4IS � a.YES ❑b.NO 490•-`9 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN D9 a.YES ❑b.NO 490.60. FAILURE/DISCONNECTION OF UDC MONITORING SYSI'Hrvt TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES ❑b.NO 49o41 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a.YES ❑b.NO 49042 2.UDC CONSTRUCTION IS :SINGLE-WALLED ::12.DOUBLE-WALLED "a-63 1F DOUBLE WALLED: 49U—64z —LDC INTERSTITIAL SPACE I5 MONITORED BY: 3, PRESSURE_E713,vAcuuM A LEAK WITHIN THE SECONDARY CONTAINMENT OF TFr UDC TRIGGERS AUDIBLE-AND VISUAL ALARMS 0 a.YES ❑b.NO 490-6$ VfI.PERIODIC SYSTEM TESTING 1. LLD TESTING: THIS FACILITY NAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. LEAK DETECTION GELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE UERED.(23 CCR,,,2644.1) - ---vi-SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36,MONTHS 49n on ----------- -- —— — ------------ ----- —----- —---—-- 3.SPILL BCCKF.TS ARE TESTED ANNUALLY. - - ---—— -- — - ---••--•--... 390-67 VIII. RECORDKEEPING The following monitoring/maintenance records are kept for this facility: -59 Alarm logs +90-6sa ❑Visued Inspection Records 4x-6sb ❑Tank integrity testing results 490-6ac ❑SIR testing results(and supporting documentation records), 490-68d ❑ Tank gauging results(and supporting documentation records). 490-69e ❑ATG Testing resu!ts(and supporting documentation recordS).49P68r ❑ Corrosion Protection 60-day logs 4906te (§§-Equipment maintenance and calibration records. 490.68h IX.TRAINING ❑Personnel with UST monitoring responsibilities are familiar with all of she fol lowicg documents relevant to their job duties. 494-69a REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490S9b OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49o.69. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49049-- ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490.69[ ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAI'G1NG SYSTEMS"490-69t, ❑ OTHER(Specify):mwh,M6% JWThis facility has a"Designated UST Operator-who has passed the California GST System Operator Exam administered by cite International Code Council(ICC)- The"Designated UST Operarnr"will train ta`ilitY empin)•ees in the proper operation and maimcnance of the UST systems annually,and within 30 days of hire,This training will include,but is not limited to,the following: i Operation of the UST systems Ina manner consistent with the facility's best management practices 3 The facility employee's role with regard ro the monitoring equipment as specified in this UST Monitoring Plan !I ➢ The facility employee's role with regard to spills and overfills as specified in the UST Response Plan y Names orcontact person(s)for emergencies and monitoring alarms.490-70 X. COMMEN'I'SIADDITIONAL INFORMATION Provide additional comments here or indiic�ate�t,pw y pages with additional information on specific monitoring procedures arc attached to this plan.499-n 1AM1�.d!�AG Q,t' �"�tL � t�IJtcIG � n� ✓i�"I QJIrw ro C��Q t;?Y XI. PERSONNEL RESPONSIBILITIES The UST Otaner/Operator is responsible for ensuring that: I)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covtrred by 3 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 or performing the monitoring and 1e�quipment maintenance NAME CSL �C Ln Tf-,,r t-- 49u.r1 TITLE i �` 7 4 1 .� t.. 0 .e:-. J9'Y73 NAME = `� (� OA TITLE r The Designated Operator shall y 490.75 perform a month! visual ins ction of the facility, provide a report to the otener/operator, and inform the owner/operator of any conditions that need fo[low-up action. XiI.OWNER/OPERATOR SIGNATURE CERTIFICAITON:I certify that the information provided herein is true and accurate to the best of my knowledge. X APPLICA IT SIGNATI'RE 49c-7 DATE: i - Nom' '• i v� er;t) rat 3 Ari hart.�� 4 ic- f nm .PPLICANT NAME-(print): X90.73 APPLICAN r TITLE: 4907 UPCF UST-D(1212007)3/4