COMPLIANCE INFO_2000-2009 - Laserfiche WebLink

Home Browse Search

d d R UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- (Pae 1 of 2) TYPE OF ACTION kf 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1, PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1. BUSINESS NAME(Same as Facility Name or DBA) 3. CACs vyy BUSINESS SITE ADDRESS` 103 CITY loa. II. 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 b the equiEment manufacturers'instructions,or annually,_whichever is more frequent_Such work must beperformed by qualified personnel[z3 CCR§2632,z63a,z63a,2641 MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 4�3y III. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634, 490-4. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) th(Check all ❑ 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490.5. WITH AUDIBLE AND VISUAL ALARMS.123 CCR§2632,26341 SECONDARY CONTAINMENT IS: 14 a.DRY ❑ b-LIQUID F LED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6. PANEL MANUFACTURER: �' Ca 490-7. MODEL#: 7-e-S _-)X-0 S 490-8. LEAK SENSOR MANUFACTURER: 490-9. MODEL#(S): 490-10. ----------------------------- ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 490-11. PANEL MANUFACTURER: 490-12' MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 492-la. MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-M ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. El b. b.0.2 g.p.h. _ ❑ c.OTHER(Specify): _ago-I9. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1, avo-zo. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 4904.2221 ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.11 490-23. TEST FREQUENCY: ❑ a.ANNUALLY b.BIENNIALLY C] a OTHER(S ecif 0-90-20-. 490-26. ❑ 99.OTHER(Specify): 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) haheack-" ❑ I.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [23 CCR SECONDARY CONTAINMENT IS: _t a.DRY El b.LIQUID FILLED C1 c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. §2636, PANEL MANUFACTURER: V,ez ®-y' 490-32. MODEL#: 7 "5' 9 7x490-31. LEAK SENSOR MANUFACTURER: /f 490-32. MODEL#(S): `7 _ aC: 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ,EP a.YES ❑ b.NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES ❑ b.NO 490.35. --------- ------ - ---- --- -------------------- ----- ----- --- [ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND REST 3 S OR SHUTS OFF 490-36. PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§ 361 2 (, <1-V �Y a9a3s. MLLD MANUFACTURER(S): 0-90-3 ( MODEL#(S): _ ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)T T ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§26361 B 490-39. ELLD MANUFACTURER(S): 492-40. MODEL#(S): U"- 490-41. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM&4ONTHLY 0.2 g.p.h. C3b.MINIMUM ANNUAL 0.1 g.p.h. ago-az. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49043. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49044. ---- ---- --- - - ------------- --- ---------- --------------..._._..--- ❑ 4.PIPE INTEGRITY TESTING. 49045. 490-46. _ TEST FREQUENCY: E_a_ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) _490-47_ ❑ 5.VISUAL PIPE MONITORING. 4904& FREQUENCY: pipi a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" 490-49. Allowed for monitoring of unburied-qr-y_semamor fuel ngonly per HSC§252M. (bM3) __ ❑ 6.SUCTION PIPING MEETS EX PTION CRITERIA.[z3 CCR§2636(a)(3)1 - a9aso. -------------------- --------------------- ---------- --------------- ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. _ o-s490-52. --_ ❑ 99.OTHER(Specify)----_--- -- --- ----------- 493. UPCF UST-D(12/2007)-1/4 www.unidocs.org