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11/02/2010 09:11 2093675424 BAGLEY ENTERPRISES PAGE 02/02 s s UNIFIM PROGRAM COMOLYDATED FORM UNDERGROUND STORAGE TANK MONITORING FLAN- P C 1 of 2) TYPE OF.ACTION C31.NEW PLAN 2.CHANGE OF INFORMATION 490-1 "LAN TYPE ❑ 1.MONITORING IS IDENTICAL 17OR ALi„USTS AT THIS FACILITY. 490.2 :heck one item only) 14 2.THiS PLAN COVERS ONLY 714E FOLLOWING UST SYSTEM(4,,L L FA,CIiLITY INFORMATION FACILITY ID#(Agency Use Only) - t ~BUSINESS NA.MF(Same es FACILITY NAME) t ,j b+46LI`fti �i�4s HUSINESSSUEADDRESs 7t90Cr� IT /� 103 CY I 104. II.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,Iron leak,detectors,cic.)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more f+equent,and that such work most be perfbrmed by qualified persormel. (23 CCR 263 2634 2638 2641) MONITORING EQUIPMENT IS SERVICED 0 L ANNUALLY ❑ 99-OTHER(Specify); 4Q0,a avo-;Ip, III.MONITORING LOCATIONS 1.NEW SITE PLOT PLAWMAP SUBMITTED WITH THIS PLAN. go 2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR 12632, 2634 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING MiETHOiD(S): 1.CONTINUOUS FI.ECTRONIC TANK MONITORING OF ANNULAR(INTIE RS'Y MAL)SPACES)OR SECONDAt2V CONTAiNMFN,T 4"-9 VA(1LT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT iS: PC a.DRY_❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM ----------- _PANELMANUFACTURER: T �� _.�� ..� ' MODEL iI: _ fr `�_ '[ - TSg LEAK SENSOR MANUFACTURER: . 49o.s. i MODEL tl(S): - L,o 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM I ISED TO MONITOR M(;I.E WALL TANK(8).(73 CCR§z ) PANEL MANUFACTURER: MODEL 9: 13 ___...-...................................................- "-• 490.13 IN-TANK PROBE MANUFACTURER: _ ° �a r MODEL#(S):- LF-AK TI;$T FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAtLYiwGFITTLY ® c,WEEKLY 49p 16 ® d.N40NTI617,Y ❑ eOTRE _ 49o-17 -_- ------- PROGRAMMED TESTS' ❑ a.0.1 g.ph. ❑ b•0.2 g p.h. ❑ C.OTHER(Specify)- 490-19 3.MONTHLY STATMTiCAL INVENTORY RECONCILiATION(23 CCR§2646.1): 406-20 ❑ 4.WEEKLY OD AL TANK GAUGING(MTG)(73 CCR§26457. TESTING PERI : ❑ a.36 HOURS ❑ b.60 HOURS 4490-,22 ❑ S.TANK iNTECBTTV TESTING(23 CCB¢2643.1): 490.23 TEST FREQUENCY: ❑ a-ANNUALLY [jb.BIENNIALLY ❑ c.OTHER(Specify): X25 ❑99,OT15ER (Specify): _ 490.20 __ a90.z7 . V.PIPE MONITORING IS PERFOR ..,D USING THE FULLOWING N[ETIIOD(S)(Check all that apply) 1.CONTTNitOUS MONITORING OF P•FFE/PIPINC SUMV(S)AND OTHER SECONDARY COWAYWENT WiTIR AUDIBL9 AND 490.2@ VISUAL ALARMS. (23 CCR§263 SECONDARY CO NTAINMENT IS: .DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 ...._................. � ff'-7 � 440.SO •••••_.........._.___.. -_.- '-- 490.31 PANEL MA..nT CTU1tER: I I MODEEi, 7 �{`/�,� _ _LEAK SENSOR M,ANUFACTUREk (� v90 32 M0131EL�Sr�`�-.9....._.........._.- 490-s3 PIPING LEAK AiLARM TRIGGERS AUTOMATIC PUMP(i.e..TURBINE)SHUTDOWN. ❑a.YES ❑b.NO 490,3a I'AILURE/DISCC68CTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑n.YES ❑b.NO 4'.91"3' ❑ 2.MECHANICAL,LINE LEAD DETECTOR(MLLD)TFIAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RE CTS OR SHUTS OFF PR01)EFCT FI,bW WfIkT1 A LEAK IS DETECTED 03 CCR$2636) --............_............................ 490.36 MLLD ACTURER(S): 490.37 MODEL#5); 49n-,IR ❑ 3.EL ONi( LINE LEAK DETECTOR(ELLD)THAT ROUTIN7ELY PERFORMS 3.0 gip.L LEAK TESTS_ (23 CCR§2636)_---- 49WO r® aao.ELLD MANUFCTU-RER(S) M-O..D._E..L...#.5?L......................-..... ---_----_A4p�t PROGRAMMI;IbIN L1 NE LEAK I EST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. [32.MiN1MUM ANNUAL.0.1 g.p.h. a9oaz ELLD DETEC ,I ON Of A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a-YES ❑b.NO A0o"13 ELLD FAILURElDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑n.YES ❑b.NO 40044 1.PIPE INTEGRITY TESTING,..., TEST FRE UENCY ❑ a,ANNUALLY °L] ..EVERY 3 YEARS ❑ c.OTHER(S ecif 490-4649D-47 5.VISUAL PIPE MONITORING. 49a411 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY [:3,-MiN,MONTHLY&EACH TIME SYS'T'EM OPERATED® 490.49 ,Anowed for momteAtl ofa6Wcd amSmcy mmqmior Mol m!y per HSC PS29 IS 3 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(x)(3)), 490-50 j 7.NO REGULATED PIPING PER HEALTH AND SAF ETV CODE,DIVISION 20,CFTAPTFIR 6.7 iS CONNECTED TED TO TIiT TANK SYSTEM 490-52 ❑ 99.OTHER(Specify) UPCF UST-D(12!'E007)I/4