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D PROGRAM CONSOLIDATED FORW UNDERGROUND STORAGE TANK MONITORING PLAN-1jage 2 of 2 VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING all UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) I.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALC E 490'54a• ❑ 4.NO DISPENSERS ❑ "-OTHER(Specify) 490-54b. LEAK MONITOR MANUFACTURER: a�ss- MODEL#:_T / ! 490-56. LEAK SENSOR MANUFACTURER: 4W57. MODEL#(S): l 490-39. DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. a YES b.NO 490.59: UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES ? b.NO 490.60. FAILUREiDISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES b.NO 490-61. UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER a YES b.NO 4"-"' UDC CONSTRUCTION IS: i.SINGLE WALL ❑ 2.DOUBLE WALL 490-63. IF DOUBLE WALL: 490.648. UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ c.VACUt I A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES { b.NO 440.646. VII. PERIODIC SYSTEM TESTING 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT EW iN D 490.65• 0LEMN MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.I23 LTR I i4.1 ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. ? 4 90-66. ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67. VML RECORD KEEPING The following monitoring/maintenance records are kept for this fruity: # 49068. ® a.ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY TESTING RESULTS 1 ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentatio ccords) ❑ E ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS b.E PMENT MAINTENANCE AND CALIBRATION RECORDS TRAINING Personnel with UST monitoring responsibilities are fitmiliar with all of the following is relevant to their,pb duties: j 490-69a. REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORINGPLAN(Required) 1ate. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT ) ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490- ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.69. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANU 'L AND 490.69E STATISTICAL INVENTORY RECONCILIATION" ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490.695. ❑ OTHER(Specify): a This facility has a-Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Co( :Council 4W70. (ICC). The -Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,ant jithin 30 days of hire.This training will include,but is not limited to,the following. A Operation of the UST systems in a manner consistent with the facility's best management practices. A 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. ➢ Name(s)of conte s)for emergencies and monitoring alarm. X' COM14724MADDITIONAL INFORMATION Provide additionalis here or' low many with in€otmatio o specific moni to this pla 1 4 -71. t m e Otr "70411 99-60 XI. PERSONNEL S NS 'IES The UST Owner/Operator is responsible for ensuring that: 1.)the daily/routine UST monitoring activities and maintenance of UST leak detection. aipment covered by this plan occurs;2. all conditions that indicate a possible release are investigated,and 3. all mon records are maintained properly. THE FOLLOYNG PEVON(S),Off RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT . NAME: LAI2-1 s ....1 �-- 491rz. TITLE: 490-73. NAME: 490-74• TITLE: 49D-75. The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a repot to the oww/operator,and inform the owl operator of any conditions that need fodlow-u action. XII MIOPERATOR SIGNATURE CERTIFICATION:i that herda Is true and accurate t0 the best of I1t APPLICANT SIGNATURE DATES: 44077. R ENTn4C.: i.Tmk OwacdOperemw El 2.XOMW OwmmCbmW W3.Audwdzed afowner 490-76. 490.79. APPI, NT NAME(print): APPLICANT TITLE: UPCF UST-D(12/2007)-314 www.unklocsore