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R S <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> E:- - UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Page 1 of 2 <br /> TYPE OF ACTION ❑ L NEW PLAN ❑ 2.CHANGE OF INFORMATION FI UAtt 490-1 <br /> PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Aizencv Use Only) �. <br /> - � A - o 1 00 - 464 <br /> BUSINESS NAME(Same as Faciliry Name or DBA) i <br /> A► STQ E q M - V-J 5 E N TER�RtSE LL <br /> BUSINESS SITE ADDRESS 103 CITY 104 <br /> ftb S- MA44 STP_eE.T MANtE c, �A 9 5 334 <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified <br /> I�y-the equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by clualrfied_personneL 123 CCR gz3z 263°_231,26411 <br /> MONITORING EQUIPMENT IS SERVICED Ix 1 ANNUALLY ❑ 99.OTHER i 490-3& <br /> ( P�fY) 490-3b <br /> III. MONITORING LOCATIONS <br /> ❑ 1.NEW SITE PLOT PLANIN AP SUBMITTED WITH THIS PLAN 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [234CCR§2632.26341 490.4. <br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) heck apply)11 <br /> I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490.5 <br /> WITH AUDIBLE AND VISUAL ALARMS.Iz3 crt§2632.2634) <br /> SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6 <br /> PANEL MANUFACTURER: E .- - (50 r 490-7 MODEL#. 7 L S - a 490-1. <br /> LEAK SENSOR MANUFACTURER: F_Df k- Roo T 490-9. MODEL#(S): 1 y Lj;` y 490.10. <br /> Cly-A-UF64kbCTANK GAUGING(ATG)SYSTEM USE D TO MONITOR SINGLE WALL TANK(S).(23 CCR§26431 490.11 <br /> PANEL MANUFACTURER: _. 490-12 MODEL#: _ 490-13. <br /> IN-TANK PROBE MANUFACTURER: 49044. MODEL#(S): 490.15 <br /> LEAK TEST FREQUENCY: Xa.CONTINUOUS ❑ b.DAILY/NIGHTLY, ❑ c.WEEKLY 490-16 <br /> d.MONTHLY ❑ e.OTHER(Specify): <br /> 490.17. <br /> PROGRAMMED TESTS: a.0.1 h. ❑ b.0.2 _h. ❑ c_.OT_H_E_R S i 499. <br /> ..__...�1P- ._.- '_ .. .l _ �• 490-I9�.._ <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§264611 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21 <br /> ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§264311 490-23. <br /> TEST FREQUENCY_ : ❑ a.ANNUALLY [Ib.BIENNIALLY ❑ c.OTHERS i fpy� 490.24. <br /> .�.� 71:-.. -_490.25:___ <br /> ❑ 99.OTHER(Specs ): V 1SU MoN�To Q tuck - ��,�- 4990-2627. . <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) iCp'apply)11 <br /> L CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490'21. <br /> [23 CCR <br /> §2 361 SECONDARY CONTAINMENT IS: a.DRY [Ib.LIQUID FILLED ❑ c.PRESSURIZED F-1 d.UNDER VACUUM 490.29. <br /> PANEL MANUFACTURER: yp g a torr 490-30. MODEL#: TLS-3, S cs 490-31. <br /> LEAK SENSOR MANUFACTURER: VEE��- 1-�T 490-32 MODEL#(S): "� qL(3�O^39.3 490-33. <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. a.YES ❑ b.NO 490.34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ..YES ❑ b.NO .35- <br /> 2. MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490.36 <br /> PRODUCT FLOW WHEN A LEAK IS DETEC D.123 CCR§26361 <br /> MLLD MANUFACT URER(S): V M I. IFS ?E`TQ Q 490-37. MODEL#(S): ��L 1iN (� IV)L _490-38. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(F.LLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS 123 CCR§26361 490.39. <br /> ELLD MANUFACTURFR(S): 490`0' MODEL#(S): 490•41. <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490-42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.ND 413 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490.44. <br /> ❑ 4.PIPE.INTEGRITY TESTING. 490.45. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHERS i °9°46 <br /> ----.-_..- _.-_. - _(Specify) 490-47. <br /> ❑ 5.VISUAL PIPE MONITORING. � 490.41. <br /> FREQUENCY: 1>Sl a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 49049 <br /> Allowed for monaonna of unburied emergency.yen"O,fuel Piping only per RSC 125281._ift3).. <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.123CCR§236(&x3)1 490-% <br /> _ - _ -..._ <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490.51 <br /> ❑ 99.OTHER(S cify) 490.52 <br /> 490-53 <br /> UPCF UST-D(12/2007)-1/4 www.unidocs.org <br />