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10/06/2011 08:08 2099316743 waterloo Food Mart #0720 P.005/015 fu1.IFIED PROGRAM CONSOLIDATED FOk,A UNDERGROUND STORAGE TANK MONITORING PLAN — (Pa e 2 of 2) c" a" VI. UNDER DISPENSER. CONTAINMENT (UDC} MONITORING (h"ec Uge MONITORING IS PERFORMED USING'111E FOLLOWING NIETHOD(S) I. CONTINUOUS ELECTRONIC MONITORING ❑ 2. FLOAT AND CHAIN ASSEMBLY ❑ 3" ELECTRONIC STAND-ALONE ❑ 4. NO DISPENSERS ❑ 99.WER (Specify) 490-54b. LEAK MONITOR MANUFACTURER: N tc G d L� 490 55' MODEL #: 49066 LEAK SENSOR MANUFACTURER: 116 Oje 40457. MODEL 4(S): (^-<64 490-58' DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS_YES ❑ b" NO 490.59" UDC LEAK AI.AR1yl TRIGGERS AUTOMATIC PUMP SHUTDOWN. � YES ❑ b. NO 490.60. FAILUREOiSCONNFCfION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN, YES ❑ b, NO 490-61. 400-62. UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER YES ❑ b. NO UDC CONSTRUCTION IS: El 1. SINGLE WAIL 2, DOUBLE WALL 49063. IF DQUBj,E WALL: 49P6a� ,._,� UDC INTERSTITIAL SPACE IS MONITORED BY; Q 11 LIQUID ❑ b. PRESSURE ��, ❑�c VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAI, ALARMS_ �d'a YES ❑ b. NO VII. PERIODIC SYSTEM TESTING 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT FNHANCED a9a�5. LE DF..TF.CTION (ELD1 MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONITIS AS REQUIRED. I23 ccR 4z644.ni _ 2. SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49LM6. ® 3. SPILL BUCKETS ARE TESTED ANNUALLY. 49M7. VIII. RECORD KEEPING The following monit0ri*rnain1enanc0 records are kept for this facility; N a. ALARM LOGS ❑ b. VISUAI. INSPECTION RECORDS ❑ c. TANK INTEGRITY TESTING RESULTS ❑ d- SIR TESTING RESULTS (and supporting documentation records) ❑ e. TANTS GAUGING RESULTS (and supporting documentation rceords) ❑ f ATG TESTLNG RESULTS (and supporting documentation records) ❑ a. CORROSION PROTECTION 60 -DAY LOGS NT MAINTENANCE AND CALIBRATION RECORDS M TRAINING ® Personnel with UST monitoring responsibilities air familiar with all of the following documents relevant to their job duties; 490-69& REFERENCB DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) ® THiC i 0sMF.RGR0I R4D CT0R AGF. TANK MONiTOR!NG PTAN (RPgnirrA) ago 69h. Q iDPPRAT11W7 I�I.°3I UAL3 rG1C LLL.-r�c,r_nur� NIIDI� TCMr2V0 P`R3IFIrlL'IVT (Fk 0 -j% -I -W) [71 CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490.690- ❑ CALII:ORNIA UNDERGROUND STORAGE TANK LAW 4%-690 ❑ STATE WATER RESOURCES CONTROL 130ARD (SWRCB) PUBLICATION: "HAND800K FOR TANK OWNERS - MANUAL AND 490.69f STATISTICAL INVENTORY RECONCILIATION" ❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGTNC* SYSTEMS" 490 -ft ' ❑ OTHER (Specify): syo t93 49469ii. This facility has a "Designated UST Operator" who has passed the California UST System Operator Exam administered by the International Codd Council 490 70. (ICC). The "Designated UST Operator" will train facility employees in the proper operation and maintenance of the (1ST systems annually, and within 30 days of hire. This training will include, but is not limited to, the following' ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. Y The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. Name(s) of contact person(s) for emergencies and monitoring alarms. X. COMMENTS/ADDITIONAL INFORMATION Provide additional here or in di how ma v wsth clition fo Ian on specific monitoring procedures hed to this plan. J�� 490.71. U M. PERSONNEL RESPOriSIB S , The UST Owner/Operator is responsible for ensuring that L) the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs: 2.) all conditions that indicate apossible release am investigated, and 3") all monitoring records are maintained properly. _ THE FOLLOWING PERSONS) ARE RES�)PONSIBLE FOR PF_RFORMING THE MONITORING AAND" MAINTENANCE: nn rE�QUIPMENT NAME' �if L C P N) r A f" 490.72. TITLE: G wi rf Pr �[ 49473. NAME: N 490-1/4. TITLE: j A1(i 490-73. 1-f.. r'6—...o A 7SCT ryt . fn ...-X..... -k6' __I :...,r.....:..., ..o.f... � ..0-_y.. p.....:.s.. .,-,y.,.r .., .a... ....,.,,.�i.,r..-,...,....tea=c.—.�."----''.r.�......c �..., conditions that mod follow -u action. XII. OWNER/OPERATOR SIGNATURE" CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my known APPLICANT SIGNATURE DATE: 490-r7. 3 161 REPRESS -FEYG: WrTazA Owaer 490.76. APPLICANT NAME print): 49009. APPLICANT TITLE: 49079. FL 1.1. %�71 t� UPCF UST -D (11/2007) - 3/4 www.unidocs org hA.