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NICK ARBABIAN 2QQ4729584 p.2 fo _9 UNIFIED PROGRAM CONSOLIDATED!FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC}MONITORING 1. UDC MONITORING IS PERFORMED USING THE F9�16LOWING METHOD a�s4b 490-516 ❑ 1.CONTINUOUS ELECTRONIC MONITORING Er2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS 099.OTHER(Specify): — -PA_NEL MANUFACTURER: 49U-M.'L(- O LEAK SENSOR MANUFACTURER: MODEL#(S): 49rssa DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES 0;6 NO 496.59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN YES ❑b.NO 491-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E0--.3<' �YES ❑b.NO 'ter UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. is a.YES ❑b.NO 490-62 2.UISC CONSTRUCTION IS []I-SINGLE-WALLED 2.DOUBLE-WALLED " IFDOUBLE WALLED: 41904" UDC INTERSTITIAL SPACE IS MONITORED BY:__ i.LI UID_-2.PRESSURE _2 VACUUM �A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a.YES ❑b.NO 490k-64b VII.PERIODIC SYSTEM TESTING 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-e5. -_—_LM&DETE�QN(ELD�MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUtRED_�CCR§267d� ❑2.SECONDARY CON_TAINMENT_COMPON_ENT_S ARE TESTED EVERY 36 MONTHS. —-- —— — _ —�_-- 49D" ❑3.SPILL BUCKETS ARE TESTED ANNUALLY. — —�— 4�67 VIII.RECORDKEEPING The Wowing monitonng/main ante records are kept for this facility: ,-, [Maim logs 490-6ft isual Inspection Records 490-Rxb g-�ank integrity testing results 49o-6rc ❑SIR testing results(and supporting documentation recordS). 490-69d ❑ Tank gauging results(and supporting documentation records). 4w-6" ❑ATG Testing results(and supporting documentation records).490-6sf ❑ Corrosion Protection 60-day logs 490-css quipment maintenance and calibration records. 4%4,sh IX.TRAINING ersonnel with UST monitoring responsibilities are familiar with all ofthe following doctanents relevant to their job duties. 490ar,% REFERENCE DOCUMENTS MAINTAINED AT FACILITY((Check all that apply) IS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)49o4% Q,PERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49o-wc ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49-34M ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69a ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION-490.69r ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS 49"98 OTHER(Specify):%its*,Mri9i his 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: A Operation of the UST systems in a enranner consistent with the facility's best management practices • The facility employee's Tole with regard to the monitoring equipment as specified in this UST Monitoring Plan A The facility employee's role with regard to spills and overfills as specified in the UST Response Plan A Names of contact person(s)for emergencies and monitoring alarms.490-70 X. COMMENTSfADDITIONAL INFORMATION Provide additional comments here or indicate how marry pages with additional information on specific monitoring procedures are attached to this plan.49D-71 XI.PERSONNEL RESPONSIBILITIES The UST OwnedOperator is responsible for ensuring that:I)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 property. The followi persons,are sible for perf Ing the monitoring and equipment maintenance: NAME 1 v1 490.72 TITLE ekJA 490-73 '_NAME 49o-74 TITLE 490-75 The Designator!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. XIL OWNERIOPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE 490.76 DATE: 42-/9 jr`p 4wFT7 r. APPLICANT NAME(print): 49(F78 APPLICANT TITLE: a9oa9 UPCF UST-D(1.2/2007)34