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D PROGRAM CONSOLIDATED FO 1 <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN a e 1 of 2 <br /> TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490.1. <br /> PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490'2- <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> L FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Eptly) 3 1. <br /> i I I <br /> BUS NAME(Same as Facility Now or DBA) 3. <br /> sus S SITE ADDRESS 103. CITY <> 1 104. <br /> II EQUIPMENT TESTING AM PREVENTIVE MAINTENANCE <br /> Testing,preventive and calibration of ttmnit -g equipment(e.g.,sensors,probes,line leak as,etc.)nuist be performed at tht ':equency specified <br /> by the equipment manufactumis'instructions or annually,whichever is more fmquent.Such work must be perfomwd by qualified personnel.123 CCIY32.2634,2634, 11 <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 4W3b. <br /> i 490.3b. <br /> M. MONITORING LOCATIONS <br /> 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/mAP PREVIOUSLY SUBMITTED [23 c 1,§2632.26341 490.4. <br /> IV TANK MONITORING IS PERFORMED USING TM FOLLOWINGTHC i(S) (c kali <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(s)OR SECONDARY CONTAINMEm, +AULT(S) 4W5 <br /> WITH AUDIBLE AND VISUAL ALARMS.123 ccR§2632,26341 <br /> SECONDARY CONTAINMENT IS: &DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDEI �ACUUM ago 6- <br /> PANEL MANUFACTURER: r 490-7. MODEL#: `r L <br /> A 490.8. <br /> LEAK SENSOR MANUFACTURER ®c q' MODEL#(S): 4'� asw lo. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 ccR§2643] 490.11. <br /> zl <br /> PANEL MANUFACTURER. 490-11 MODEL#: i 490-13. <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): awls. <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEK}.:- 490-16. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify). 490-17. <br /> PROGRAMMED TESTS: ❑ a.0.1 . .h. ❑ b.0.2 . .h. ❑ c.OTHERS i 49814. <br /> ( P� )' 4sa.19. <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 ccR§2646.11 ago u'. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 ccR§26451 TESTING PERIOD: 4W22.❑ a.36 HOURS ❑ b.60 HOI ' 22. <br /> 'S <br /> ❑ 5.TANK INTEGRITY TESTING PER p3 CM§26a3.1] 490.23. <br /> 490-24. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify)- 490.25. <br /> 490-26. <br /> ❑ 99.®TREK(Specify): 490-27. <br /> V. PIPE MONITORING IS/PERFORMED. USING FOLLOWING O S) hat eckalt <br /> I.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL. xARMS. - <br /> 1237 -29.90 <br /> SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FELLED ❑ c.PRESSURIZED ❑ d.UNDEI 'ACWM a <br /> PANEL MANUFACTURER: • • 4 -30. MODEL#: 490.31. <br /> ,�1 <br /> LEAK SENSOR MANUFACTURER .�tr a90-32. 4W33.MODEL#(S): <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. \❑ a YE ❑ b.NO 4 .34. <br /> FAILURE/DISCONNECIION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMPS WN. a.YE, [❑ b.NO 490-35. <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g p.h.LEAK TESTS AND RESTRICTS OR.. {UIS OFF 4 .36. <br /> PRODUCT FLOW WHEN A LEAK IS D CTED.[23 ccR§26361 <br /> MLLD MANUFACTURER(S): �- 4 -37. MODEL#(S): a�3s. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p.d.LEAK TESTS.123 cm#26361 490-". <br /> ELLD MANUFACTURER(S): 49040. MODEL#(S): 490,41. <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g p h. ❑ b.MINIMUM ANNUAL 0.1 '),IL 490-42. <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YE; i❑ b.NO 490.43. <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES, b b.NO 49oa4. <br /> ❑ 4.PIPE INTEGRITY TESTING. 490-45- <br /> 4". <br /> TEST FREQUENCY: ❑ a ANNUALLY [3b.EVERY 3 YEARS ❑ c.OTHER(Speft 49047. <br /> ❑ 5.VISUAL PIPE MONITORING. I -4 ._ <br /> FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM C :RATED- 4W49• <br /> •Mowed f)r nwnftmw ofunbmmd merswey gomw abd m 251.5(b)(3) <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 ccR¢2636(a)(m 49&50_ <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTE. %^ 490-51. <br /> 490-52 <br /> ❑ 99.OTHER(Specify) s 490-53. <br /> ,l <br /> i <br /> 3'(i -1/4 www.usidocs.org <br /> `i <br />