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Alk UNIFIED PROGRAM CONSOLIDATED FO . UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a 111. CONTINUOUS ELECTRONIC MONITORING JK 2. FLOAT AND CHAIN ASSEMBLY ❑ 3. ELECTRONIC STAND-ALONE 490-54b ❑ 4. NO DISPENSERS 1199. OTHER (Specify): PANEL MANUFACTURER: x90-45 MODEL #: 490-56. LEAK SENSOR MANUFACTURER: R 490-57 MODEL #(S): 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a. YES b. NO —19 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN❑ a. YES IX b. NO 490-60. FAILURE / DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. INr b. NO 49041 &a.YES UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER a. YES ❑ b. NO 490.62 2. UDC CONSTRUCTION IS E'1. SINGLE -WALLED ❑ 2. DOUBLE -WALLED 49043 IF DOUBLE WALLED: 490-64a UDC INTERSTITIAL SPACE IS MONITORED BY: 1. LIQUID 2. PRESSURE 13 3. VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a. YES ❑ b. NO 490.64b VII. PERIODIC SYSTEM TESTING 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49x65. N ELD,J 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 3. SPILL BUCKETS ARE TESTED ANNUALLY. 497 VIII. RECORDKEEPING The following monitoring/maintenance records are kept for this facility: Alarm logs 490.68a ❑ Visual Inspection Records 490.68b ❑ Tank integrity testing results 49048c SIR testing results (and supporting documentation records). 490-68d 0 Tank gauging results (and supporting documentation records). 49a6sc 13ATG Testing results (and supporting documentation records). 4Sb-68r 0 Corrosion Protection 60 -day logs 4904sg ❑ Equipment maintenance and calibration records. 49o -6&h IX. TRAINING IM Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 49o-6% REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 490-69b OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 490.69c CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49o490 ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 49o49f ❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490.698 ❑ OTHER (Specify): M69h, M69i UL 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 Plan ➢ Names of contact person(s) for emergencies and monitoring alarms. 490.70 X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how mangy pages with agddditional information on specific monitoring are attached to this plan. 490-71 gp�rocedures gF LF" / ®'NInc VIILc d /®O e .i d 4 C ,_ XI. 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 on(s) are responsible for performing the monitoring and equipment maintenance: NAME is ir. •.F /VC, H 490.72 TITLE 490-73 NAME M L 4go-74 TITLE C_ 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/openuor of any conditions that need follow-up action. XII. OWNERIOPERATOR SIGNATURE CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATUgR) 490-76 DATE: 490-77 r (� APPLICANT TITLE: 490-79 APPLICANT NAME (print): 44(1.78 UPCF UST -D (12/2007) 3/4