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10/03/2011 11:06 120933,11973 FLAGCITY CHEVRON_ PAGE 02/02
<br /> Ud/1'L/'LU1L YRJ. 131, 56 FAA : 553433 59C MUD �Inl)3laoa
<br /> I)NI[tM0 MOGRA.M(coNsou>r> uLD F011 (
<br /> U"ERGROUIYO STORAGIi TANK
<br /> MIDWORING PLANLI e.2 ofz
<br /> VI.UNDER]DISPENSER CONTAINMENT(UDC' MONITORING y (Fookall
<br /> UDC MONITORING IS PF.RL-IRMED USING THE FOLLOWING METHODS)
<br /> I•CONTINUOUS ELECTRONIC MONITORING (3 2_PLOAT AND CHAIN ASSr3MOLY [..1 3.ELECTRONIC STAND•ALON13 411n.i4n.
<br /> p 4.NO DISPENSERS (� 9g,(YTHER(Spcolfy) 49i1•9nb.
<br /> LEAKMONiTORMANUFACTURER:,Vy �?.f� -------- MODQL91:
<br /> 400.97. MODELNS); $b••- ..... nhnnA.
<br /> LEAK SENSOR MANUFACTURER._��tr,,~ ..�o� -�
<br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. 0 a.YES ] h.NO n9fF�9.
<br /> UDC IXAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN, OL a.YES ❑ h.NO IN-M.
<br /> FAILUREIDISCONNECTION OF UDC MONITORING SYSTEM TRIGOEMS AUTOMATIC PUMP SHUTDOWN, (3 a.YES ❑ b.NO 491Mr.
<br /> UDC MONI'MINGSTOPRTHE PLOW OFPRODUCT ATTETEDISPENSER, _u. .. ._...,. __ . .,.._.._,_...__...._,., ,,,
<br /> UDC cONSTRUC E ION IS. I•SINOLE WA[.[. ❑ 2,DQUBLB WALL
<br /> r9rt•sne.
<br /> IlDC INTERSTITIAL SPACE IS MONITORED BY: © o,LIQUID p U,PRESSURE ❑ c.VACUUM 49o-d41n
<br /> A tZAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. Ela.YES Q b.NO - -
<br /> rVii. PERIODIC SYSTEM[TESTING
<br /> 1.GLIJ TESTCNG THIS FACLIaTY tA9 t3ECN NOTIF
<br /> BY THE STATE WAT..M'APMURCES CONTROL BOARD THAT-894I�C� ADD•69.
<br /> _ C D1 T Tf01+1 lBl��)MUST IiE PBRFdRM}iD_PERIODIC ELD IS PSRFORMSD EVERY 36 MONTIIS AS REQUIRED.f29 CCn 4adnn.i 490-66
<br /> I� 2,SECONDARY CONTAINMENT COMPONENTS ARE TESTED SVGRY 36 MONTHS
<br /> i f 1.SPILL BUCKETS ARE TESTL?ri -T—
<br /> VIIIO RECORD KEEPING � T
<br /> 'Wo following mottftorlagAvdntmance records aro kept far 68 facility:
<br /> ® P.ALARM LOGS © h.VISUAL INSPECTION RECORDS p o.TANK INTSOATTY TESTING RESULTS
<br /> 0 d,SIR TPSTING RESULTS(Find swpporting doatmientaticm 1VOO ls) 0 o.TAMC GAUGING RESULTS(m+d suppm'ling dootnnatitation records)
<br /> 0 f,ATG TESTING RESULTS(edict supporting dowmenttdio+t ror:ords) Ij g.CORROSION PROTECTION 60-DAY LAGS
<br /> (p h EQUIPMCNTMAINTENANCP.ANDCALI9RATitlNR1:CoRDS
<br /> __ _ IX. TRAINING
<br /> PGrsOnlrct With UST monitoring rosponsibilitica ata fntnillaT with all Of tltc fo110Vhig dacament5 A�IoVanl to their job(IntiGS; 4hD•69A
<br /> RFFERENCE DOC:IIMENTS MAINTAINED AT FACILITY Pfdck all lkat apply)
<br /> M TMIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) Ino 69.
<br /> ?Z OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 490-69d,
<br /> © CAUPORNIA UNDERGROUND STORAGE'('ANK REGULATIONS 490-6k
<br /> ( CALM•ORNIAUNDERGROUNDSTORAGE,TANK LAW
<br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490.69(
<br /> STATISTICAL INVENTORY RECONCILIATION" 490.696.
<br /> ((,3 sWRCBPUBLICATION:"UNDERSTANDING AU'rOMATIC-TANKGAUOINOSYgTrM5" 490•60h,
<br /> ❑ OTHER(Spwify):.., - .... __._ ...,;.-_ 490-691.
<br /> to This fncillty ling n"Designntod UST Operntot''_who has pna9cd the Cnlifomia US"r System OparntOr Exam Rdtniuirdarcl by the Inletr:nlrntal Cadc Council 40450.
<br /> (ICC,). 1110"De3ignaltd UST Operalol"'will train Facility employees in dw proper oper+tion and mniatrnanea of the UST systema annually,nW within 30
<br /> fLrya of hire.This traitiing will Include,but is not limited to,tho following
<br /> >• Opemical of the UST systpvs in a manner oonaistent with the fAciUty's best mnnagctncnt proctiaas.
<br /> The foci lily employee's tole with mpr(I to ilia monitoring equipment M speeifiod in thin UST Monitoring Plat),
<br /> The fooillty etttploycc's role with regard to spills and o�rlllls as apeollled in IM facility's UST Rcspnaa0 Plan
<br /> ?� Nnme(s)of coataot perno++(s)for ctrnrgancias eiaQ monitoring alarms. m^_�W ...........
<br /> _�._�_",.,...-,--_
<br /> X" CON[>VCENTS/ADDITIONAL MORMATiON 49n.7i.
<br /> Provide additionnt comments hot' or indicatchow man pages with RdditiwiRl u�fonnat.lrn+oil apeoific 1nonitoring pmoedures are attaaliGd to this p1An•
<br /> (,x 1 wP�7t Y'.y �d'o t^t ol�..�lf 4 t✓*g1 1�
<br /> _ X1. PERSONNEL RESPONSIBILITIES
<br /> ThG UST Owner/Opolator is tespoitslbio fbr ensuring that:I.)rho daily/roudne UST motti"ng acliviliM aixl msintcainnoa Of IJST leak deleetion cgnitnnent covered
<br /> u)iR plan2,)�l!Conditicatc,tltat indiafltc a Passible r0leaac Rr'o lova?ti eICtl_atld'3.)all monil�ri+?�rt rda ore maintaitxxi pCi{).__. _.._.._.._
<br /> —py
<br /> THE FOLIAWINO SRSON(S)ARC RU4PONSIBL1t rOR PERTORMTNG 7 HSMONITORlNO A^�NDyEQ�IPMGNTMAINTRNANCE:
<br /> NAME: TITLE:
<br /> .Y_\ _14031( _�.—. ..... .._^W.^. li x-� `n9n•7S,
<br /> �NAME: A9a74. TTrG9; - --
<br /> -< �1 .ate
<br /> Tbc.Dadgttaled ilST Opemfor shall perfa9n n mo+ithly visual inspectloa of the Illollity,provido a report to rlta owner/opCiAlor,and Inform the owned/nlxtntor of soy
<br /> candidancthatnw tl
<br /> codf0lkaction• — -�" —`"'"" """"
<br /> -- XII OWNER/0PEI2ATOR SIGNATURE
<br /> CI^ATIR.CA,TION:I certify that tide inforMOtion provided het'ein is true And accurate to the Imst of may snow o Qe,
<br /> APPI.LCAN7 IGNATURE DATF:
<br /> tti;rRfiSnN'rI C!:0,1' }:pone )punmr.I,•i-2.fToilil Ow�/Ona�ato(.....3.Au0errr�Atec�rasomntWen„II{�)o11D'76. ,-.., L�,� ,.;--_ --•^-"'-- 450.79.
<br /> �”7p' APPt,ICAN TITLE.
<br /> APPLICANT NAME(lxint)- TITLE/
<br /> Unp tlsT-P(I 2M)07)-314 wwwomAdocs.org
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