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06/0412009 00:27 9252920074 GDF_SOLUTIONS FAX PAGE 07/15 ® r UNI ZJD PRO M CONSOLIDATED FORM UNDERGROUND STORAGE TANIC MONITORING ]PLAN — (Page 2 of 2) VI. UNDER DISPENSER CONT NX' (UDC) MONXTORING iCheckarl t� UDC MONITORING IS PERFORMED USING TkM FOLLOWINO METHODAS)............. ___.._.. ..._....... _ ® i. CONTINUOUS ELECTRONIC MONrrORING Q 2. FLOAT AND CHAIN ASSEMBLY ❑ 3 ELECTRONIC STAND-ALONE ❑ 4. NO DISPENSERS 0 ", OTEFER (30%*) LEAK MONITOR MANUPACTURER: YEBdRE Rpt �'x MODEL w TLS35aVgpaAr Root 40645, LEAK SENSOR MANUFACTURER Veeder Root 496'59' MODEL P(s): VR -309 VR 420 °tQ DETECTION OF A L1FAK INTO THE MC TRIGGERS AUDIBLE AND VISUAL ALARM6 ®a YES Q b. NO ®° UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. l3 a YES ❑ b. NO FAILURFl =0NNECTION OF UDC MO11aTORENG SY5TEM TRIQOERS AUTOMATIC PUMP SHUTDOWN. ® a YES ❑ b. NO der UDC MONITORING STOPS TO FLOW OF PRODUCT AT THE DISPENSER ®a. YES ❑ b. NO uDC CONSTRUCTION ISI ❑ i. SINGLE WALL ®_2._D5UBLEeWAr { . ..„...... _ ...�....,_._..: . iF DOTIBLE W ALL: aee.64a UDC INTERSTITEAL SPACE M MONITORED BY: a l IQUFA O b. PRESSURE ®0—V ACUUM A LEAK WITHIN TIB SECONDARY CONTAINMEN7 OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. YES ❑ b. NO °tea VU. PERIODIC SYSTEM TESTING t, aD TESTING THIS FACILITY HAS MEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT EMADUMago a5. MU E PERFORMED. PERIODIC IS PERFORMED EVERY 36 NTEfS AS RE UIRPD. cat t ® 2. SECONDARY CONTAINMENT COMPONENTS ARA TESTED EVERY 36 MONTHS, 0 3. SPALL SUCKETS ARE TESTED ANNUALLY, VIII. RECORD KEEPING The fb)lowimg mookovoWmannemmos records are kept tot this facility: Asn -ds.. a ALARM LOGO 0 b. VISUAL INSPECTION RECORDS 0 c TANI( rNTEONTY TESTING RESVLTS ❑ d Sit TESTING RESULTS (and supporting documentation revotds) ❑ e TANK GAUOLYG RESULTS (sod supporting documentation records) ❑ E ATG TESTING RESULTS (and supporting documentation m eofds) ®g. CORROSION PROTECTION 60 -DAY LOGS IR b MAINTENANCE AND C TION RECORDS IX. TRAINING Fersemaei with UST monitoring responsibilities are familiar With all of the following doeamem nslevam to their job duties: 49oe9a REPERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) 0 TWS UNDMAOUND STORAGE TANK MONITORING PLAN (Regain) 45arna M OPERAMO MANUALS FOR ELECTRONIC MONITORING EQUMM4T Meq ) 490-6ee. 0 CALIFORNIA UNDERGROUND STORAOE TANK REGULATIONS .904 e. ❑ CAL.XPORNIA UNDEROROUND STORAC& TANK LAW a M% - Q STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: 'TANDBOOK FOR TANK OWNERS - MANUAL AM 49o4st S'I'A=-n1:AL INVENTORY RECONCILIATION - 0 SWRCIB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTXNtS” asass/e. 13 o'I m(sp%*r . dM69a asoma. This facility has a "Desigpmad UST Operator" who has passed the California UST System Operator Exam admimsterad by the EMerrationa! Code Coun6( �°N• (ICC). The -D-09=4 UST Operator" wU1 train facility employees in the proper operant and maintenance of the UST systems annually, and wMut 30 days of hire. Tins training will itm)ude, but is rot limier to, the following: Y Operation Of the UST systoaas ion a manner with the facility's bate art Otaetiees. & The leciliN employees rale with regard to the monitoring equipment as specified in this UST Monitoring Plan, Y The fed lity employee's role with regard to soils and overfills: as specified in the faedity'p UST Respom Plan > Name($) of oontact pwwo(a) fox emergenGies and movitoft shams X. CONOMENTSIAODMONAL INFORMATION Provide additional comments here at indicate how many pages with additional information on specific n edwring procadtues are attached to this plsn, nib -9t. Ovorflll Preventon is Ball pipet M at 95% tarok caelft M. PERSONNEL RESPONSIBILITIES The UST Owner/Opaate, ie r.apoosible for ensuring trate: 1.) %)w daily/routine VST monttortog activities and maintenance of UST leak detection equipment covered t len oocurs: 2.) all conditions tE tt dieate a possible roles etre ipvegtigatexi; and 3.1 al „gr Ot itt�_,,roca arc mainat);(e ropsrl THE POEJ-OWING PERSON(S) ARE RESFONSE.BL E FOR PSRFORMENO TEES MONIT01UNG AND EQUIPMENT MAINTENANCE NAME: David Hinds TITLE: Sales Manager 490.71 NAME: stye 7a TITLE: 490.75. Tbo Designated PST Operator shall pttRxm,a monthly visual insp¢eaoa of the fes i,(iyige form.,t(he , pFov, a report to the mwner/operatpp,. sad m�!' . gt?0ll0pe 'x of any conditions that � - ZaJW whom XII. OWNERIOPERATOR SIGNATURE CERTIFICATION: I tx 0b that is eras crud accurate to the fust of my kt%2!!! e APPLICANT SIGNATURE DATE: av 977, 5/1s/zocrs 7 ater 9. n mnm 9 APPLICANT NAME ((aim): . ...' APPLICANT TMG- David Hinds Salva Manager UPCFUST-D(Ilan Z.X4. . . ,.y�.ityijrJ:4CB°ihE?3I"' >(%rSf'Ir1 ?,� °`;ilia;eg,BSac'Ise�r"thi'f,22LU5,a`t�'1�8j'�(<s , 'Grry eFes3�esr, ,37�2EAS "1 9 ti �luP