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UNIFIED PROGRAM CONSOLIDATED FOMgM"' UNDERGROUND STORAGE TANK 1W MONITORING PLAN-(Page 1 of 2) TYPE OF ACTION ❑1.NEW PLAN 2.CHANGE OF INFORMATION 490-1 TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 L)(AJ OZOA;�V eh:::k one item only) 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) I I I - I I I 1 -1 1 1 1 1 1 BUSINESS NAME(Same as FACILITY NAME) _�4AJ Jo4QtJ'AJ QOL)Ad� CW3.L=14+10.U_S CCA#-� BUSINESS SITE ADDRESS 7L,)C)0 M 1464,6C (��I.,S L6 CITY FA604Y Q.4MP CA- 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 42632,2634,2638 2641 490-3a MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY 0 99.OTHER(Specify): 490-3b III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 10 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): Pff 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: a.DRY [I b.LIQUID FILLED El c.PRESSURIZED El d.UNDER VACUUM 490-6 ----------------------------------- 1---- �;--- --- - ------- 490-7. 1 -6- PANEL MANUFACTURER: Vi5i57A i5p, Q 0-r i MODEL#: TkS 08 490-9� 1 LEAK SENSOR MANUFACTURER: MCA!�� a'611- I MODEL#(S): ago 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TAN&SJ.(23 CCR§2643) 90-1 PANEL MANUFACTURER: 490-12. MODEL#: 90-1--. 490-14. IN-TANK PROBE MANUFACTURER: MODEL#(S): -- --------------- --- -------------------------------------- ----------------------------------------------- -------------�J9046 LEAK TEST FREQUENCY: 0 a.CONTINUOUS [] b.DAILY/NIGHTLY n c.WEEKLY ❑ d.MONTHLY 0 e.OTHER(Specify): 490-17 490-18 PROGRAMMED TESTS: E] a.0.1 g.p.h. ❑0 b.0.2 g.p.h. ❑E] c.OTHER(Specif�): 490-19 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): ❑ 90-21 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: [:] a.36 HOURS E] b.60 HOURS 4 490-22 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23490-24 TEST FREQUENCY: F1 a.ANNUALLY [] b.BIENNIALLY E] c.OTHER(Specify): 490-25 0 99.OTHER (Specify): 490.26490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) JM 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR§2636) 490-29 SECONDARY CONTAINMENT IS:Ufa.DRY [1b.LIQUID FILLED []c.PRESSURIZED Eld.UNDER VACUUM 0 ; PANEL MANUFACTURER: k lwr- 1 490-3 431 MODEL#: -ri e - 490-31 490-33, LEAK SENSOR MANUFACTURER: VYS�' MODEL#(S): LI) PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. [I b.NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. [I a.YES El b.NO 490-35 ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR 42630) - 490-36 - - ------- MLLD MANUFACTURER(S): 490.37 MODEL#(S): 490-38_ El 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 ELLD MANUFACTURER(S) 490.40' MODEL#(S): 495l4'1 ' -------------- PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. E] 2.MINIMUM ANNUAL 0.1 g.p.h. 490-42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. El a.YES El b.NO 49043 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. C]a.YES 0 b.NO 49044 1.PIPE INTEGRITY TESTING 49045 TEST FREQUENCY El a.ANNUALLY '13' .EVERY 3 YEARS [] c.OTHER(Specify) 490-46490.47 El 5.VISUAL PIPE MONITORING. 490-48 FREQUENCY [] a.DAILY [] b.WEEKLY [:]c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049 *Allowed for monitoring of unburied emergency gen"E fuel piph%only per HSC§25281.5(bX3) AKE-9 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(.)(3)]. 490-50 77.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490_5 1 El 99.OTHER(Specify) 490-52490-53 UPCF UST-D(12/2007)1/4