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UNIFIED PROGRAM CONSOLIDATED UNDERGROUND STORAGE TANK MONITORING P -Ltg.1 of 2) TYPE OF ACTION ❑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) BUSINESS NAME(Same as FACILITY NAME) Oki Sin M 3. BUSINESS SITE ADDRESS 7 io[C) ®SQyYI �� 103. CIfY 104. H.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'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR 2632,2634 2638 2641 MONITORING EQUIPMENT IS SERVICED &--r,ANNUALLY ❑ 99.OTHER 490-34 (S P�dY)� 490-3b III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBNHTTED WITH THIS PLAN. 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49o-4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): ❑ 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WTIH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) 90-6 SECONDARY CONTAINMENT IS: ❑ a.DRY [Ib.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 4 PANEL MANUFACTURER LEAK SENSOR MANUFACTURER: -490-9. s MODEL#(S): - -490-10 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKISI.(23 CCR§2643) 490-11 PANEL MANUFACTURER 490-12 MODEL#: 490-13 ---- -------------------------- _IN-TANK_PROBE MANUFACTURER: ago-14. moD_EL#S: 490-15 - LEAK TEST FREQUENCY:-❑ a CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-6 ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 490-18 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: a.36 HOURS [Ib.60 HOURS 4 22 ❑ 5.TANK INTEGRITY TESMG(23 CCR§2643.1): 490-23 TEST FREQUENCY: a.ANNUALLY E] b.BIENNIALLY El c.OTHER(Specify): 425 ❑ 99.OTHER (Specify): 490-26 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) ft1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-2i- UAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:❑a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 PANEL MANUFACTURER: 490-30= MODEL#: - - 490-31 LEAK SENSOR MANUFACTURER 490-3z MODEL#(S): - --_- 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES ❑b.NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-35 ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 gp.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR ----------------_----------------------------------- 490-36 MLLD MANUFACTURER(S): 490-37 MODEL#(S): 490-38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 gp.h.LEAK TESTS (23 CCR§2636)- 490-39 ELLD MANUFACTURER(S) _ate_OMODEL#(S)_ ------ - --�490-41 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49044 ❑ 4.PIPE INTEGRITY TESTING 49x45 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHERS 49046490-47 ❑ 5.VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490.49 °Allowed for moniwipg of unburied enimpmq geneMor fuel pipLmg only HSC§2528L&Q3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(a)(3)l. 490-50 ❑ 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) 490.52 490 53 aa=f a UPCF UST-D(12/2007)1/4