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UNIFIED PROGRAM CONSOLIDATED F UNDERGROUND STORAGE TANK MONITORING PLAN - (Page 1 of 2) TYPE OF ACTION ❑ 1. NEW PLAN R2. CHANGE OF INFORMATION 490.1 PLAN TYPE IWT 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 1. FACHXff INFORMATION FACILITY ID # (Agency Use Only) BUSINESS NAME (Same as FACILITY NAME) R S -(- j�-:lO1 A e O 1 Lr 63 f1f P94 EKLUJ00 UI 69 } O 6 3 �i BUSINESS SITE ADDRESS rAj, f 103. CITY "�f�! 3 0� 0 04' 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 2632 2634 2638 2641 MONITORING EQUIPMENT IS SERVICED a 1. ANNUALLY ❑ 99. OTHER (Specify): 4�3b III. MONITORING LOCATIONS ❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. W2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634)9aa IV. TANK MONITORING IS PERFORMED USING FOLLOWING METHOD(S): 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: CH a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490.6 PANEL MANUFACTURER: � � TLS 35-0 490.7. MODEL #: -7-L S 3 5-0 490-8 LEAK SENSOR MANUFACTURER: 1,s 490-9. MODEL #(S): 2R p 490.10 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) 490.11 PANEL MANUFACTURER: 490-12 MODEL #: 490-13 IN -TANK PROBE MANUFACTURER: 49014' MODEL #(S): 490-15 LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490.16 ❑ d. MONTHLY ❑ e. OTHER (Specify): 490.17 490.18 PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g p.h. ❑ c. OTHER (Specify): 419 ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION (23 CCR §2646.1): 490.20 4. WEEKLY MANUAL TANK GAUGING G) (23 CCR §2645). TESTING PERIOD: a. 36 HOURS b. 60 HOURS °�y231 5. TANK INTEGRITY TESTING (23 CCR §2643.1): 490-23 TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): 424 Q 490.25 ❑ 99. OTHER (Specify): 490-27 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) 1. CONTINUOUS MONITORING OF PIPE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.28 VISUAL ALARMS. (23 CCR §2636) SECONDARY CONTAINMENT IS: F$a. DRY ❑b. LIQUID FILLED ❑c. PRESSURIZED ❑d. UNDER VACUUM 49x29 PANEL MANUFACTURER: 05-"E-9- T 490.30 MODEL #: IS 35-0 490-31 LEAK SENSOR MANUFACTURER 7- 490.32 1 MODEL #(S): 2- OR 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. 10 a. YES ❑ b. NO 49x34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. JR a. YES ❑ b. NO 49x35 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 263 490-36 MELD MANUFACTURER(S): V"} ®®12 490-37 MODEL #(S): LV % 66 ® 4W38 ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) 490-39 ELLD MANUFACTURER(S) 49040' MODEL #(S): 490.41 PROGRAMMED IN LINE LEAK TEST: ❑ 1. MINIMUM MONTHLY 0.2 g.p.h. ❑ 2. MINIMUM ANNUAL 0.1 g.p.h. 442 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 490.44 4. PIPE INTEGRITY TESTING 490-45 TEST FRE UENCY 0 a ANNUALLY 0 b. EVERY 3 YEARS c. OTHER (S2Eif490.46490-47 5. VISUAL PIPE MONITORING. 490.48 FREQUENCY ❑ a. DAILY ❑ b. WEEKLY ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED' 49049 " Allowed for rnonitonag of tmbnied enaetor find p!ping only HSC 25281. 3 ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA [23 CCR §2636(a)(3)1. 490-50 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490.51 ❑ 490-5 99. OTHER (Specify) 490-532 UPCF UST -D (12/2007)1/4