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006/0!1 <br /> f , <br /> fUJVTPIED PRO CONSOLIDATED l�'ORM <br /> UNDERMIMUND STORAGE TANK <br /> MONITORING PLAN (Page Z ofz) <br /> -vL UNDER CONTAIN (UDC MOMTOIRING <br /> I. UDC MO r oORRVC, WM EMING THE FOIdAW9NG MVPHOD <br /> Q 1.CONTINUOUS ELECTRONIC MONITORING Q a.FLOAT AND CHAIN ASSEMBLY 3.ELECTRONIC STAND.ALONE 49044 <br /> L.104 4.M DISIMWSERS 17 99.OTHER S <br /> PANSL M&NUFACi'C9RSR: moss MODEL e9: wo st <br /> LBAK MSOR MANUFACTURER: MODEL aI(S): <br /> N OFA IS"INTO TIE UDC AUDIBLE AND 1051.4 L ALARMS <br /> :UMC0knWXn0N <br /> EAKALARMTRIGGERSAU'TOMATDCPUMPSFEtTi)OWN Ya ®b.IVOE/DIScaDNN8CTION11i'UDC MOMTORIAJO SYSTEM q YES E]b.NO . <br /> G STOPS THE PLOW OF PRODUCT AT THE D€SPENSER. UTOMATIC Pt)MP SI#t!T>7OWN. a YES C]b Iyp dobe <br /> 1 J.S)NGLBrWALI.Ep Q 2 DOU$LE WALLED YES D b.NO ata <br /> W V <br /> UbC TTI fAL SPAC$!g MONUTQRBD BY: 1. ID 2.PRESSURE 13 3.VACUt3M <br /> A L9?AK WITT4INTIE SECONDARY CONTAINMENT OF THE UDC TR9GMS AUDIBLE AND VISUAL ALARMS ®a.YES ❑b, <br /> VII.PERIODIC MTEX IN(; <br /> J•T=AVFd.D TOW. THIS FACILITY tiA3 BP.Etef NOT9FI6D BY THE STATE WATER ii 11i RCbS CONTROL.80A1tD THAT psoas <br /> — MLMU$T HE P)SRPORI►fED. P);RIODUC EGD LS P$RFORMfrDY 36 AS tt&O. 23 OCR 26Q4.9 <br /> SEMNDAQY C0N TA COI►f ARE TEST D EVERY 36 MONTHS, y <br /> 3.3P1LL 8 ANNUALLY. <br /> Tha f�I ' <br /> Ahtrm 1pgs 13 ympDaian kept fort{tfs foc99iEy: <br /> Records <br /> SIR t=ads(sodsee Tank inta8tltY results�aso.M <br /> ®ATQ Testes rosttJs(and records), asro s� T'ardt p""resines(and Ampo:rinB tiort records). M-0. <br /> tsscprds)AM48t 9 Corrosion Protc0lon 60aiay logs 490 <br /> ft <br /> O Egai6o>:ttrt era end eel records s <br /> IX.TRARMG <br /> with UST monitaft respottsuias aro familiar with an of the fo99m tg downgrus w1c am to thw job dudes. 49"% <br /> )'sRENC)3 DOCUMENTS MAINTAINED AT FAGILITY(Chak all that apply) <br /> THIS UNDEWROUNID STeORAGTs TANK MORITORM PIAN( 9 <br /> OPERAiIrTG MANUALS FOR ELECTRONIC MONITORING EQU[FMBNT(Required)40-ft <br /> CALWORNBA UNDERGROUND STORAGE TANK ROGULATIONS <br /> CAUIMNW UNOMMOUND STORAGE TANK LAW <br /> $TATE WATMt RESOURCE'S CONTROL BOARD ( ) PUBLICATION: ~HANDBOOK FOR TANK OWNERS . MANUAL AND <br /> STATISTICAL 04MTO,RY RECONCILIATION"Oso <br /> SWkM MDLICATION,"UM)EPSTANbINGAUTOMA'TICTANKQAUGINQ SYST&M^s"ash <br /> CSpoefE}'):tush.aaeat <br /> This has a"be' UST OWs bed'"who Ras passed Celt UST System P.-nt ' HWered by the International Code <br /> tlS l will faeftgono ra�h>Yeee is the proper oPa:aJatt aeai nmimmance of the UST sysurrm annusl9 ,and within 30 <br /> ftkft Will but 9lartiteci to.ttw fogowh>g: y dM of him This <br /> > oBt9us UST 9n a ma0tero0nalskm wall the 6dlity's ben <br /> ➢ 1Y 's Talo wilts tzgard for the rtmaito ft e4eriFMO as spaifiesd in this UST Monbring Plan <br /> The ftft 's WIc with regard M spins and overfills as skein ed in the UST Response Plan <br /> N10060 orcoribmt PSK)for ea4cW and rezaat Oft shun L W-7e <br /> X. COMMOnVADDITIONAL WFORMATION <br /> gliAlK <br /> �+e ' +Y IRBes with Addit al infogtudon on speeaftc otottito <br /> Tin$prooedMM are attached to this plan.49W <br /> VE-Fill }?f24 feeh6lqc cL- <br /> XI.IWANONNEL RESPONSISILI'1'IES <br /> PP ops,2)42 t l hat 1)the llrv"ttum UST moei:ory g ativitics and mWmmanog of UsT Ink dowdon <br /> are hrv"t*A*Nd 3)ell nMiooria8 records ane ' met covens!by <br /> The fWjMWng PMOKs)aro Ude for . the mnaitorFnS MW equiWent>raai»tatanco: fly <br /> NAME 4a72 TITLE <br /> NAME 400,1® TITLE 690-73 <br /> no Designated Operator shall paribrm a monthly viseaal i 4�as <br /> corwhions that nxd failow.up Utica ORM"oa of the Iheility,penvide tor,and inform the of nary <br /> XII-OWNWOPERATOR SIGNATURE <br /> CA'I ION:[testi the ieafptmationproyided herein' psae arRl to the bast of my ktaow0ed <br /> APPLICANT 3IONATURI3 X76 DATE: <br /> 4swrr <br /> Mft <br /> APPLICANT NAME(Ptbtl}: 's APPLICANT TITLE: 4W <br /> 7#] <br /> UPCF[I$'I°-D( 314 <br /> Ed Wd8b:ZO 8002 TZ 'sad b89b PEE 60Z : 'ON XlJJ idUW I N I W 9WU–U WOZIA <br />