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FIED PROGRAM CONSOLIDATED FOIRWI UNDERGROUND STORAGE TANK MONITORING PLAN- (Pae 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1• PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2• (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) - 1 G 1 Ir-INI - 10101 D BUSINESS NAME(Same as Facility Name or DBA) 3. INAAWA 5,19,FE-T A4, LO WOM -- Jsl<S P-KTEASKISEs 114C. BUSINESS SITE ADDRESS 103. CITY 104. loo S. MAIN STPLEET MAKTEc-A CA 95 33 H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration 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.Such work must be performed by qualified personnel.[23 ccx§2632,2634,263s,26411 490-3a. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3b. III. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634] 490.4. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Ch IV. 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5- WITH AUDIBLE AND VISUAL ALARMS.123 CCR 12632.26341 e SECONDARY CONTAINMENT IS: X a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6. PANEL MANUFACTURER: yE E Q CVL- ALO 0 T 490-7' MODEL#: T LS --35 O 4904• LEAK SENSOR MANUFACTURER: V EE QE Q -(LOO? 490-9' MODEL#(S): go 490-10. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 490-11. PANEL MANUFACTURER: 490-12. MODEL#: 490-13' IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): ago 1s. ;•1t LEAK TEST FREQUENCY: Ka.CONTINUOUS [Ib.DAILY/NIGHTLY ❑ c.WEEKLY 490-16• ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS ci 490 18 g•P• g.p.h. (Specify): a90-19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.11 490-20, ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[2.3 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490490 21. F ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.11 490-23• TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHERSc' 490.24' Q ) 490-25. ❑ 99.OTHER(Specify): 1 SU A L MON 1 TO RO N Cs -- D A%L. 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS) hatapply ( ck all 12L.1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [§2636] SECONDARY CONTAINMENT'IS: ❑ a.DRY E] b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM ago 29. PANEL MANUFACTURER: V eay fry„ ^ �LO O T 490-30. MODEL#: TI.S 1$-M 490.31. LEAK SENSOR MANUFACTURER: )(E E n R Rp p r 490-32. MODEL#(S): PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. a.YES ❑ b.NO 410-34- FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. )!�.a.YES ❑ b.NO 490-"- 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36- PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§26361 MLL_D_MANUFACTURER(S): \ M U FE Q E-T Q.O 490.37. MODEL#(S): g9 L p Z 0 0 0 Sj P n=,D 490 31. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.123 CCR§26361 490-39. ELLD MANUFACTURER(S): 490.40. MODEL#(S): 490-41. PROGRAMMED IN LINE LEAK TEST: Ela.MINIMUM MONTHLY 0.2 g p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490-42. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49043. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-M. ❑ 4.PIPE INTEGRITY TESTING. 490-45. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) a X7.46. ❑ 5.VISUAL PIPE MONITORING. 49048. FREQUENCY: a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 49(�49- 'AlloweA for monitoring ofunburied emergency generator fuel pipi_g only per HSC 525281.5(bZ(3) _ ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(ax3)] 490-50. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51• i ❑ 99.OTHER(Specify) 490-52. 490-53. UPCF UST-D(12/2007)-1/4 www.unidoes.org