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MW UNIFIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING WC MONITORING IS PERFORMED USING THE fOLLOWING METHOD r o 490-54b ..-• a.�,vi.iu.uvva ua.c:�,awvly i�. lvivlvia W-11 l KJ G. CLVt%I A1tliJl,r1A11MAJJC1v1DL Y U J.GLLt, I KU1N11, J 1 AINIJ-ALU1Nt1 ❑ 4. NO DISPENSERS ❑ 99. OTHER ci ): PANEL MANUFACTURER: o j® ago ss MODEL #: fd 490 56. LEAK SENSOR MANUFACTURER 11 i a, gt 457 1 MODEL #(S): 490'59 DETECTION OF A LEAK INTO THE UbC TRIGGERS AUDIBLE AND VISUAL ALARMS a. YES ❑ b. NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN 9 a. YES ❑ b. NO 490-60 FAILURE / DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a. YES [3b. NO 49"] �0,/ UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER YJ a. YES ❑ b. NO 49x62 2. UDC CONSTRUCTION IS J@ 1. SINGLE -WALLED ❑ 2. DOUBLE -WALLED 490.63 IF DOUBLE WALLED: 490.64a UDC INTERSTITIAL SPACE IS MONITORED BY: 0 1. LIQUID 2. PRESSURE 3. VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a. YES ❑ b. NO 490.646 VII. PERIODIC SYSTEM TESTING I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.65. MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR 2644.1 2. SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 JX 3. SPILL BUCKETS ARE TESTED ANNUALLY. 490.67 VIII. RECORDKEEPING RF following monitoring/maimenance records are kept for this facility: Alarm logs 490.68a ❑ Visual Inspection Records 49D -ab ❑ Tank integrity testing results 490-68e SIR testing results (and supporting documentation records). 490.684 EI Tank gauging results (and supporting documentation records). 49o.6se ATG Testing results (and supporting documentation records). 4go-6sr C3Cormsion Protection 60 -day logs 49a6ss ❑ Equipment maintenance and calibration records. 490b8h UL TRAINING ® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490.66% REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 490.696 12 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 49"% CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49"9d CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.690 STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 490.69f ❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 49o•69s ❑ OTHER (Specify): M69k ar69i 10 This facility has a "Designated UST Operator" who has passed the California UST System Operator Exam administered by the International Code Council (ICC). The "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems annually, and within 30 days of hire. This training will include, but is not limited to, the following: • Operation of the UST systems in a manner consistent with the facility's best management practices • The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan • The facility employee's role with regard to spills and overfills as specified in the UST Response Pian • Names of contact person(s) for emergencies and monitoring alarms. 490-70 X. CON MWMS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 490-71 GUAn;c41 E ,q ,0-,`j -fe4 t4 Us ds , M. PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that: I) the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs, 2) all conditions that indicate a possible release are investigated, and 3) all monitoring records are maintained properly. The following person )are r,rsponsible for performing the monitoring and equipment maintenance: !6 NAME rr a 49o-72 TITLE 490.75 NAME of f 490-74 TITLE lc 490-75 The Designated Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator, and inform the owner/operator of any conditions that need follow-up action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION: I certifydiat the information provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE 490-76 DATE: 490-77 — 490-78 APPLICANT NAME (prin2KI APPLICANT TITLE: 490-79 & t UPCF UST -D (12/2007) 314