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o Arco AIL Ak UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-(Page 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) I I I _ I I 1 1 -11 BUSINESS NAME(Same as FACILITY NAME) 3. BUSINESS SITE ADDRESS NO 3. 103, CITY 104. 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,and that such work must be performed by qualified personnel. (23 CCR 263212634,263_8,264I) -__- _ _ ------�-- MONITORING EQUIPMENT IS SERVICED -I.ANNUALLY 99.OTHER( � �')�S ci 490-34 ❑ 490.36 III.MONITO G LOCATIONS ❑ L NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49o-4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): Kr 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 4x)-5 VAULT(S)WITH AUDIBLE AND VISUAL A ARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED E] c.PRESSURIZED F1d.UNDER VACUUM 490-6 - ---------- - PA_NE_L_MANUFACTURER: 4x1�' I MODEL#: Qdv 490-8 LEAK SENSOR MANUFACTURER: 490-9' MODEL#(S): L 490-10 .AUTOMATIC TANK GAUGING(ATG) YS EM USED TO MOMTOR SINGLE WALL TAN R§2643) JJO-11 NUFACTURER: MODEL_#: 490-13 _ IN-TANK PROB -- R. ------- 490-14. MODEL MO_D_E_L _#(S): ----- ------ [N-TANK 490=is -LEAK TEST FREQUENCY: US ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490�6 ❑ d.MONTHLY _ _❑ e.OTHER(Specify): 40-17 0-8 PROGRAMMED TESTS: Ela.0.1 g.p.h. ❑ b.0.2 g.p.h. Specify): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 40-20 E] 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21 490-zz ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 491-23 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 4990-25 E]99.OTHER (Specify): 4990-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28- VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:Va.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 PANEL MANUFACTURER: ,� VCO 49130 , MODEL#: -27S-Sd4o _ �i�_1 490-31 LEAK SENSOR MANUFACTURER: 490-32 i MODEL#(S): L - 490-33 --- ---- --=`��_✓_------- - •--•-------- - ---r�----�--------------- PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. YES ❑b.NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. / YES Xb.NO 490-35 MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p h.LEAK TESTS AND RESTRI TS QR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2636FICI-�_L 490-36 MLLD MANUFACTURER(S): V r` 490-37 MODEL#(S): L D F9` X 3x ❑ 3.ELECTRONIC LINE LEAK DETECTOR(E LD)THAT RourINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 M _ELLD_AACTURER(S)_NUF - "'0' ! MODEL-MODEL#(S)_--------------------- -490--41 _ _ _ _ --- __ _ PROGRAMMED IN LINE LEAK TEST_- ❑ L MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490.42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 4'W-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-44 4.PIPE INTEGRITY JESTING 490.45 TEST FRE UENCY IN, a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER S eci ) 490-46490-47 ❑ 5.VISUAL PIPE MO RING. 4x)-48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49 *Allowed for monitoring of unburied emergent,generator fuel piping only per HSC§25281.5(6)(3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490-50 ❑ T NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 ❑ 99.OTHER(Specify) 490-52 490-s3 UPCF UST-D(12/2007)1/4