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IMIFIED PROGRAM CONSOLIDATED FdW <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- (Page 2 of 2) (Check all <br /> VI. UNDER DISPENSER CONTAINMENT(UDC)MONITORING that apply) <br /> UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> [:1 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-54a. <br /> ED 4.NO DISPENSERS ❑ 99.OTHER(Specify) 490-54b. <br /> ........................................................................................................................................... ............................ <br /> LEAK MONITOR MANUFACTURER: 490-55. MODEL#: 490-56. <br /> LEAK SENSOR MANUFACTURER: 490-57. MODEL#(S): 490-58. <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. [I a.YES El b.No 491-59. <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. El a.YES 0 b.No 410-60. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E3 a.YES 0 b.NO 490-61. <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. El a.YES [] b.No 490-62. <br /> .................................................................................................- .................. ...............­­............................................................................................................................................................................................................................................................................ ........................... <br /> UDC CONSTRUCTION IS: n 1.SINGLE WALL El 2.DOUBLE WALL 490-63. <br /> IF DOUBLE WALL: 490-64a. <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: E] a.LIQUID F1 b.PRESSURE 0 c.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. El a.YES 0 b.NO 490-64b. <br /> VII. PERIODIC SYSTEM TESTING <br /> n 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. <br /> LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.[23CCR§2644.1] <br /> 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66. <br /> 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67. <br /> VIII. RECORD KEEPING <br /> The following monitoring/maintenance records are kept for this facility: 490-68. <br /> 0 a.ALARM LOGS [] b.VISUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY TESTING RESULTS <br /> F1 d.SIR TESTING RESULTS(and supporting documentation records) 0 e.TANK GAUGING RESULTS(and supporting documentation records) <br /> [:1 f,ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS <br /> 0 h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS <br /> IX. TRAINING <br /> 0 Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: 490-69a. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> 0 THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-69b. <br /> OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 490-69c. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e. <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69f. <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-69g. <br /> ❑ OTHER(Specify): 490-69h.490-69i. <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council 490-70. <br /> (ICC). The "Designated UST Operator"will train facility employees in the proper operation and maintenance of the LIST systems annually,and within 30 <br /> days of hire.This training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br /> )0- The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. <br /> )o The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. <br /> > Name(s)of contact person(s)for emergencies and monitoring alarms. <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 490-71. <br /> Mechanical Overfill Protection Device set to stop overflow at 95%of tank capacity <br /> XI. PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that: 1.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered <br /> ..bythis plan occurs;2.)all conditions that indicate a possible release are investigated;and 3.)all monitoring records are maintained properly. <br /> ......................................-................i............................................................. ­­­........­­_..investigated;............_­­................................................................................................................................!Y...................................................................................... <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br /> NAME: Darryl Gardner 490-72. TITLE:Chief Engineer 490-73. <br /> NAME: 490-74- TITLE: 490-75. <br /> The Designated UST Operator shall perform a mwthlyction of the facility,provide a report to the owner/operator,and inform the owner/operator of any <br /> conditions that need follow-up action.,-, �vi P� <br /> X19. O**EWOPERATOR SIGNATURE <br /> CERTIFICATION:I certify t. t the I form tion o de herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE DATE: 490-77. <br /> 8/29/2011 <br /> 0., <br /> REPRESENTING:[11.Tank ner Operain Q Jer/Operator Q 3.Authorized Representative of Owner 490-76. 1 <br /> APPLICANT NAME(print): - 490-78. APPLICANT TITLE: 490-79. <br /> Darryl Gardner Chief Engineer <br /> UPCF UST-D(12/2007)-3/4 <br />