Laserfiche WebLink
1 <br /> UNIFiED PROGRAM CONSOLIDATED FORM <br /> UMDERG;ROUND STORAGE TANK <br /> MONITORING PLAN—(PaLe 2 of 2) <br /> E DISPENSER.CONTAINMENT(UDC)MONITO G (CJI <br /> t ora• <br /> Ur :MONITORING IS PRFOKMIiD USING TIiF;FOLLOWING METH()) -. <br /> X1 <br /> C&i.CON'fINIJOIJS ELE,(1'RONIC MONITORIN(t © 2.r LOA''ANt.)CHAIN ASStSMBI.Y ® 3 I?i,It(':TKONIC STAND-Al.. <br /> (,J 4.NO DISPENSERS -' 44M.U0 <br /> ........., <br /> I:FAK MC)Nl'1'OK MAN C TIJRlaR: i`�55 MOUI i.#: <br /> dike•57 49YSli. <br /> LEAK SENSOR MAN FACT URVR: MODF,I..#(S): <br /> DFTEC HON OVA LEA IL UDC' L'KI(i(JI-AS AUUIULL',ANO V'ISUAI:ALARMS. ® AYES ❑ b.NO •5'x0.59 <br /> 1JD LEAK A[.ARM TRIUCiLR.S AUTOMATIC PUMP SITU t• <br /> l'AILUREIDiSCONNI CrION OF UDC MONITORING SYSTEM TRiGGEILS AU'TOMA'I'lC PUMP SHUTDOWN, ❑ a RS Q b.NO <br /> UDC MONITORING STOP"• 7fYrTRt f KjL I A t I HL:Lt Wk,,NSitk. ❑ .YL'i 4` x <br /> _.___.._._..._. _..__....... _........ <br /> 1JDC GUNS1'KUC'ftAN IS: ❑ �SING&�'�WVAALIL ❑ 2.L�UEIBLf•;WAt.I. 4 .0 <br /> iF DOUBLE WALL: 491LW.INTLILSTT11AL SPACF. IQUiD ❑ b.PRF-,CI IRF. ❑ c.VACUUM <br /> A LEAK WiTHIN THE SECONDARY CONTAINMEN•1 OF TI ll?U(X..TRI0GFR-S AUDIBLE AND ViSU_AI,ALARMS. ❑ a.YLS ❑ b.NO r`xi rob' <br /> VII. PERIODIC SYSTEM TESTING <br /> El1.ELI'TFFaTLNCi: 'f1d19 FACILITV HAS BFUN+Nr>'fU tl?ft l2V TiiF RTA'fF WA"I"t{K R1tS(1t1RCFC CONTROL I3UAKll'fIIAT ENHANCED 4x"as <br /> I.FAK DFTF "PIU MI.J.ST BF.PERFURML'D. PER IODiC F.LD LS PERFORMED C NERY 36 MONTHS AS RUQUIRC,D.12aC<,:Rtzraa.it <br /> ® 2.SECONDARY CONTAINMENT COMPONHNI'S ARL i ESTEO FVFRY 36 MONTHS. �^ 4W-66. <br /> IRI 3.SPILL BUCKETS ARETLYI'L'D ANNUALLY. 49w7. <br /> VIII. RECORD KEEPING <br /> The followingmonitoring/maintenance records are kept for this tacility: a9Tas. <br /> ® a.ALARM LOGS ❑ b.VISUAI.INSPI:mON RECORDS ❑ c 'TANK INTEGRITY TESTING RF,SUi.TS <br /> ❑ d.SIR TESTING K13SUL'TS(aid supporting documentation records) Q c. 1 AN&UAUGING f(F ALTS(and supporting dociuminat.iVn tc,umLs) <br /> Q f.ATG TESTING RESULTS(and supporting di timcniation retvrds) ❑ g.CORROSION PROTECTION 60-DAY LOBS <br /> ® h.EQUIPMENT MAINTENANCL AND CA_I.IBRATION RECORDS _ <br /> TX- TRAINIR6 <br /> Personnel with UST monitoring responsibilitics are familiar with all of the following docurncrim rcicvant to their job duties: dun r>oA <br /> REFERENCE DOCUMENTS MAINTAINED AT FA(ALITY((.'heck all that apply) <br /> 'trills UNDFR.OROtIND STORAGECTANK MONITORiNU PIAN(Required) a s9tu9b. <br /> (7�t OftRATING MANUALS FOIL VL,L:C'CItONIC MO NITOKLN<t LiCjtJIgMlL:rd'T'(tictluircii) dVV(A4. <br /> ❑ CALIFORNIA UNDERGROUND S TORA(W..TANK Rli,Ci1JLA'I'IONS 4'hui9d. <br /> ❑ CALIFORNIA UNDERGROUND S'rORA(JF.TANK LAW ax149c. <br /> („ STATE WATER RE-%OIJR(:F,S CONTROL BOARD (SWRCB) PUBI.ICA11ON: "iiANDBOOK FOR 'TANK OWNERS - MANUAI. AND 490-AW <br /> STNYISHCAL INVENI'MY KL:CUNCILIATiON"" <br /> ❑ SWRCII PUBLICATION:"UNDERSTANDiNG AUTOMATIC'TANK GAUGING SYSTFMN" 49hii9it <br /> ❑ OTHER(Specify): 4lU T'At <br /> a91-Gh. <br /> ®This facility has a Ousignutoef UST Orwrato'who hui paesod tho Calif 3min LIST System Operator Cram odminiate ire1 by ihn inietrnAtinnal Code Council 4`!)40 <br /> (ICC). The "Designated UST Operator"will train facility employces in tlx:proper operation and traintenance of the UST systems annually,and within 30 <br /> days of hire.This training will include,but is not limited to,the following: <br /> i Operation of the IJST systems in a mantwr consistent with the Iacilily's best management practices. <br /> $' <br /> The facilily t;misluvt:e:�tuft with iCgdrd to the monitoring cyuipnwnt ua"ifiod in this UST Monitoring Plan. <br /> 9 'S roe wit ruga a <br /> )" Name(s)of 6vntut person(s)for emergc ims artit ttu)tiikwing alae-As. <br /> X_ COMMENTS/ADIDITIONAi. TNFRMATION <br /> Provide additional commmnts here or indicate how many past`s with additional infonnation on specific monitoring procedures are attached to this plan. 4`xi•7i <br /> XT- Pl+RSONNET,RESPONSIBILITIES <br /> Tht LIST Owner/C)lx:t®tor is fesponsitile for ensuring than. I )tau elaily/re)utinc UST tilomnUrilil itC nt cuv�Tu3 <br /> balilan a Cun;2.) <br /> all conditions that indicate a possible release;are;invctt�tcd_;and 3.�all mtmrloring retxrlils.arc maintained properly. _.,_-. - <br /> ............_... .... .. ..,...__. _....-...._...._ ... ............... <br /> 1'Hli FOLLOW! PERSON A SSPONSIB .FUR Pth,RFURMIN(i fl IG MONITORING AND F.QIJIPMLN r MAINTENANCE: <br /> NAME: IYI/r®""�` 41ni-71, 'H'I'LL' <br /> NAME: �®49x74 TITi.F; <br /> The Designated UST Operator shall peri'orm a monthly visual inspection of the facility,(novid`a report to the owner/operator,and inform the owner/operator of any <br /> conditions that need f011OW-Up action. <br /> XIL O ,R/OPERA R SIGNATURE <br /> CERTIFICATION:I certify at the. aratio nvidetl herein is t rid acetlrate to the bestof my Icaowledge. <br /> AYPLLCAWSIGNATURt' � nt� UA(E: 7' <br /> RFPRFCFNTTtxi®).'rant:•Owm/ r 097,.Favdit.•0—v/(!]xra or1.AinhoruMW untanvo ofUamr a•x0ii _ T <br /> APPI.iCANT NAME(prtnt)� � e,'twr-7x' APPLLC.'AN'r TiTI-F.: �y 490.79. <br /> /p?Yd <br /> UPC.'F UST-D(12/2007)-3/4 www•etnidnCx.orR <br />