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D PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN-(Pae 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN C9 2.CHANGE OF INFORMATION 490-1. PLAN TYPE �$ I.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. BUSINESS N (Same as Facility Name or DBA) 3. S Ui f UQkJtX 11134c- BUSINESS SITEADDFESS 103. y 104. i " , ft ELIDA) II. 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'mstructions,or annually,whichever is more frequent Such work must be performed byqualified personnel.123 ccf§2632,2634,2638,26411 MONITORING EQUIPMENT IS SERVICED �y 1.ANNUALLY 99.OTHER(Specify): 490-30- Wl ❑ ( P �Y)= 490-36. III. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN X 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED490-4[23 CCR§2632,2634) IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that apply) 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 49x5. WITH AUDIBLE AND VISUAL ALARMS.[23 ccR§2632,2634j SECONDARY CONTAINMENT IS: ❑ a.DRY J§ b.LIQUID FILLED ❑ a PRESSURIZED ❑ &UNDER VACUUM 490-6. PANEL MANUFACTURER: C 490-7. MODEL#: ,/ L�-%,C"0 490-8. LEAK SENSOR MANUFACTURER: �"A /Q b O' ' 490-9. MODEL#(S): fi� S 3.� 490-10. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 190-11. PANEL MANUFACTURER: 490-12. MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: a. . . . .2 c.OTHERc' 490-18. _ � 01 g.p.h. b0 � _ $�P•h.. ❑ (Specify): 0-90-19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.11 490-20. ........._._......_ . ❑ 4 WEEKLY MANUAL TANK GAUGING(MTG)123 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 190 7.t. .._.. ....... _...._........ _.. 0-90-22. ...... _.......... ....-49 --._._. El 5.TANK INTEGRITY TESTING PER[23 CCR§264311 49x23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER490-24. _.. __..... (_SP��')�... a90-7.s. ❑ 99.OTHER(S ec' ): 490-26. 49427. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (h heack I 0 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [§26361 SECONDARY CONTAINMENT IS: N3 a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d_UNDER VACUUM 49429. PANEL MANUFACTURER: V F jQ&,4, 49430. MODEL#: �1 L 3 S0 490-31. E DS LEAK SENSOR MANUFACTURER: VEA b Y'" 490-32. MODEL#(S): RLI R 49433. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. Do a YES ❑ b.NO 49434. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN, log a.YES ❑ b.NO 490-35. 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 MLLD MANUFACTURER(S): YM 49437. MODEL#(S): �q GQ (� 49438. (� ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§26361 490-39. ELLD MANUFACTURER(S): 490-40. MODEL#(S): 490-41. PROGRAMMED IN LINE LEAK TEST: ❑ a.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 49443. 1-1.11 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49444. ❑ 4.PIPE INTEGRITY TESTING. 490-45. TEST FREQUENCY: ❑ a.ANNUALLY 490-46. _.... ❑ b EVERY 3 YEARS ❑ a OTHER(SPcei__)... 0-90-0-7. ❑ 5.VISUAL PIPE MONITORING. 49448. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049. Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281.5(6x3) El 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(0-x3)1 0-90-50. ❑ 7 NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ..... . .............. ❑ 99-OTHER(Specify) _._.494'2. 49453. UPCF UST-D(12/2007)-1/4 www.unidocs.org