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J UNIFIED PROGRAM CONSOLIDATED FORiM UNDERGROUND STORAGE TANK NIONITORING PLAN — (Page 2 of 2) VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING alappll hat a l y. UDC N40NITORING IS PERFORMED USING THE FOLLOWING METHOD(S) N 1. CONTINUOUS ELECTRONIC MONITORING ❑ 2. FLOAT AND CHAIN ASSEMBLY [] 3. ELECTRONIC STAND-ALONE 490'540-. ❑ 4. NO DISPENSERS ❑ 99. OTHER (Specify) 490•54b LEAK MONITOR iviANUFACTURER: Veeder Root 491-11. MODEL #: TLS -350 490-S& LEAK SENSOR MANUFACTURER: Veeder Root 494-57. MODEL #(S): 0794380-208 490-5s. DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL. ALARMS. ® a. YES ❑ b. NO 490•$9 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. N a. YES ❑ i7. NO 490-61. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. N a. YES ❑ b. NO 490-61 UDC MONITORiNG STOPS TETE FLOW OF PRODUCT AT THE DISPENSER. ® it. YES ❑ b. NO 451 sz UDC CONSTRUCTION IS: ® 1. SINGLE WALL ❑ 2. DOUBLE WALL 490-63. IF DOUBLE WALL: 490-641 UDC INTERSTITIAL SPACE IS MONITORED BY ❑ a. LIQUID ❑ b. PRESSURE ❑ c. VACUUM A LEAK WTTI iIN THF, SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a. YES ❑ b. NO 494-64b VII. PERIODIC SYSTEM TESTING ❑ 1. ELI) TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 494.65. LEAK DETECTION ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. pAccit 2644.tj ® 2. SECONDARY CONTAINMENT COMPONENTS ARF TESTED EVERY 36 N•IONTHS. 444 6G ® 3. SPILL BUCKETS ARE TESTED ANNUALLY. 490.67. VIII, RECORD IMEEPING The following monitoring/maintenance records are kept for this facility: 490-68 N a. ALARM LOGS ❑ b. VISUAL INSPECTION RECORDS ❑ c. TANK INTEGRITY TESTING RESULTS ❑ d. SIR TFSTING RESULTS (and supporting documentation records) ❑ e. TANK GAUGING RESULTS (and supporting documentation records) ❑ f. ATG TESTING RESULTS (and supporting documentation records) ❑ g. CORROSION PROTECTION 60 -DAY LOGS ® h. E UiPkIFNT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING ® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: 490.693 REFERENCE DOCUMENTS MAINTAINED AT FACILITYE (Check all that apply) N THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 494.69b. N OPERATING MANUALS FOR ELECTRONIC NIONI TORiNG EQUIPMENT (Required) 490.69c. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490•69d ❑ CALIFORNIA UNDERGROUND STORAGE "TANK LAV 4W69e ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69f STATISTICAL INVENTORY RECONCILIATION" 491-69K. ❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" ❑ OTHER (Specify): 4 45D.69io.c9;. ® This facility has a "Designated UST Operator' who lies passed the California UST System Operator Exam administered by the International Code Council 490-70. (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. 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. A Nanhe(s) of contact person(s) ror enhergencies and monitoring alarms. X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 490-71. The overfill prevention is a flapper valve set to shut off at 95% XI. PERSONNEL RESPONSIBILITIES The UST O%vncr/Operator is responsible for ensuring that: 1.) the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered _this plan occurs; 2.) all conditions that indicate a possible release are investigated; and 3.) all monitoring records are maintained properly. _b ..._...._ _... - — - -- THE FOLLOWING PERSON(S) ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTFNANCE: NAME: Amanda Appelt 490-72 TITLE: Environmental Manager 440-7 NAME: Matt Walling 490.74. TITLE: Compliance Technician 494-75, The Designated UST 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 (heed follow-up action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION: I certify that the information provided hereht is true and accurate to the best of my tutowledge. AI'PLlG\N'1' SiGNrll'URE DATE: 490.77. 511612012 REPRESENTING: N t. Tank Owner atot 1] 2. Facilit Gttmer 0 erator 3. , t sized R rcscntatim of 6m7w 491-76, APPLICANT NAME (print): 490-78. APPLICANTTITLE: 490-79. Amanda Appelt Environmental Manager UPCF UST -D (12/2007) - 3/4 whviv.unidocs.org