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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) STT �•� g�y[� p�7�(�ry.D�f/�A7 •} �,� /y'�rg �,{ 7� �r. �'�y��/•� ... Tae UNDER DISPENSER Vo/1lTH1NiT 5�:I��\aT+!C)FTwOi7A®Avtt 47 - 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-s4a WI d40-Sah ® 1.CONTINUOUS ELECTRONIC MONITORING [12.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS ❑99.OTHER(Specify) ... ._._......_... _.............-............ ..-...1moDuLN(s)-794380-323 .........—.._._...——---------..................... -... PANEL MANUFACTURER:VEEDER ROOT 49ass MODEL#:TLS-350 49<!-s6. LEAK SENSOR MANUFACTURER:VEEDER ROOT 490 s7 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ® a.YES ❑b.NO 490.59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ® a.YES ❑b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑b.NO 440.61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER, ® a YES ❑b.NO 4962 2.UDC CONSTRUCTION IS ®1.SINOLE-WALLED ❑2.DOUBLE-WALLED 49x63 IF DOUBLE SVALLED: 49ab4a -UDC INTERSTITIAL SPACE IS MONITORED BY: l:LIQUID p 2.PRESSURE ❑3.VACUUM ._._ MONITORED _�... .......a._......_._._ ....................................•------...........__.... A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a,YES ❑b.NO 4�6rh �YI PEI,tIODIC;SYSTEIVI TESTYNCx 1.ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THATENHANCED 4W63- LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 CCR(2644,1?— _.._. a Win_ ._M..._..__. ..._ _...._._.......»................. ._.... ._._........ 02.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 0-94.66 0-j................................. - ---------------------_--_----_-_--______..---__---.-__--______-.--_---.------_-.---------------•-----•----_---_-__--.--_-----•••••-•-•--••---•--.SPILL BUCKETS ARE TESTED ANNUALLY. 590.67 vlu:RcoltDlcEE�INc The following monitoring/maintenance records are kept for this facility: ®Alarm logs 490-683 ❑Visual Inspection Records 44o-6sb ❑Tank integrity testing results 490-69c ❑SIR testing results(and supporting documentation records). 44a68d ❑ Tank gauging results(and supporting documentation records). 494.68e ❑ATO Testing results(and supporting documentation records).4"f ❑ Corrasion Protection 60-day logs 4go-ass ®Equipment maintenance and calibration records. 490- IX TiIAINITG ®Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490.6% REFERENCE DOCUMENTS MAINTAINED AT FACILITY0(Chock all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)494-69h ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-69¢ ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.690- ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION'49&69t ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-69$ ❑ OTHER(Specify):u69b,moi This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC), The"Designated UST Operator'will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but Is not limited to,the following: Y Operation of the UST systems in a manner consistent with the facility's best management practices 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 UST Response Plan D Names of contact person(s)for emergencies and monitoring alarm,490-70 : x cQ �rs�Ab�iT><ox�� rivI?o�,ivt�;TroN , Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.49o•7t *Monitoring systems manually maintained by contracted,licensed pump and tank technicians.Best Management Practices are maintained in the H.S.S.E.Retail Facility Programs Manual(Green Binder). VAPOR POT SUMP MONITORED BY VEEDER ROOT 794380-323&794380.420 SENSORS. 1% NNEL'RESPON ][.ITIES The UST Owner/Operator is responsible for ensuring that:1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that Indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The following person(s)are responsible for performing the monitoring and equipment maintenance: NAME BP WEST COAST PRODUCTS LLC 494.72 TITLE COMPLIANCE DEPARTMENT 49x73 The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any conditions that need follow-up action. XII,OW WR/OPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of My knowledge. APPLICANT SIGNATURE 490-76 DATE: 490-77 eWl 1N n�15 t f �1 APPLICANT NAME(print): 494.79 APPLICANT TITLE: 490-79 RICHARD GOSSETT FOR JOSEPH BOOKOUT ENVIRONMENTAL COMPLIANCE SPECIALIST Arco 02133,Belshire Environmental Services