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0IFIED PROGRAM CONSOLIDATED F * UNDERGROUND STORAGE TANK MONITORING PLAN- Pae 1 of 2 TYPE OF ACTION C] 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1. PLAN TYPE ❑ 1.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 NAME v� L�aFacilily e o 1 z i Y 3 BUSINESS SITE ADDRESS Pl 103, CITY 104. C f G,rc ti (c c tock'4o!1 S 2I S 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_mwwfactwers'irAftwionsior_emually,whichever is more frequent.Such work must be performed by qualified personnel [23 CCR§2632,2634,2638,26411 . MONITORING EQUIPMENT IS SERVICED Wl.ANNUALLY 0 99.OTHER(Specify): 490-3a. III. MONITORING LOCATIONS 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED a� ❑ ❑ [23 CCR§2632,2634] IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS "heck oll METHOD(S) that apply) I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,2634] SECONDARY CONTAINMENT �) /IS: ;�a.DRY ❑ b.LIQUIID FILLED [3c.PRESSURIZED ❑ d.UNDER VACUUM 490.6. 6, PANEL MANUFACTURER: (C L1A RC o ( 1'n� C_ 490-7 MODEL#: 490-8. LEAK SENSOR MANUFACTURER: Ori�: .� j 4�9 MODEL#(S): L 0 490-10. __......_ ._ _._..._-.--._______..___..1 .--- _ --- _ ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§2643] 490-11. 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.0.1 h. b.0.2 h. c.OTHERS ci 499. ❑ g.p.h. ❑ g•P• ❑ ( Pe fY) 490-19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.11 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§2645] TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21 490-22 ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490-23. TEST FREQUENCY: ❑ a.ANNUALLY b.BIENNIALLY c.OTHERS ci a90 20-. Q ❑ ❑ (Specify): 49425. 49 99.OTHER(Specify). 490-2x26 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) yCahteack/ll 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 49(1-28. (23 CC] SECONDARY CONTAINMENT IS:rr 1` 0-.fDr RY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED C) d.UNDER VACUUM 490-29. PANEL MANUFACTURER: L'�( \C [`?G X: 0490-30. MODEL 490-31. LEAK SENSOR MANUFACTURER: kr r L 0 (-,-l•.. 490-32. MODEL#(S): 'Z C R- 490-33' PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 490-30-. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. zw YES ❑ b.NO 490-31. .---- - - -- -- - 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.[z CCRJ2636) MLLD MANUFACTURER(S): �/ /' f 490-3 . MODEL#(S): L L C (� 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): 49041. 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 49043. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-44. ❑ 4.PIPE INTEGRITY TESTING. 490-45. 9046. TEST FREQUENCY: ❑ a.ANNUALLY [3b.EVERY 3 YEARS [3c.OTHER(Specify) 49047. ❑ 5.VISUAL PIPE MONITORING. 490-48. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490-49. Allowed fw monitonng of unbuned emergrncy generator fuel piping only per HSC2528 L SLx3Z .... . .... ....._ - [j6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(ax3)] 490-s0. ❑ 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) s rs 4 x9533 sz. UPCF UST-D(12/2007)-1/4 www.unidocs.org