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MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONI PORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a 1.CONTINUOUS ELECTRONIC MONITORING El2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 496-54b ❑4.NO DISPENSERS 099.OTHER(5 ecify) PANEL MANUFACTURER: goo-r -- 496-ss MODEL#: G...5 3SO 490-%. LEAK SENSOR MANUFACTURER E l �L 4' I� 49457 MODEL#(S): 7�3�� --'20� 490 sa DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS fm a.YES ❑b.NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN W a.YES ❑b.NO 490'60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 10 a.YES ❑b.NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER f? a.YES ❑b.NO 4 2.UDC CONSTRUCTION IS L SINGLE-WALLED 2.DOUBLE-WALLED 49063 IF DOUBLE WALLED: J� y UDC INTERSTITIAL SPACE IS MONITORED BY: I"I'T UID 2.PRESSURE 0 3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ffia.YES ❑b.NO 4 VII.PERIODIC SYST"TESTING I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. LEAK DETECTI N LgLDJ 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. 496.66 SPILL BUCKETS ARE TESTED ANNUALLY. 490.67 VIII.RECORD1=PING The following monitoring/maintenance records are kept for this facility: Alarm logs 49o-6aa ❑Visual Inspection Records 490.68b ®,Tank integrity testing results 490-6& SIR testing results(and supporting documentation records). 49o-adTank gauging results(and supporting documentation records). 490. e ❑ATG Testing results(and supporting documentation records).490-68f 0 6aCorrosion Protection 60-day logs 490-as ,Equipment maintenance and calibration records. 490-6sh IX.tkONING ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490.694 REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) 19 THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490.6 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-69e ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 4WW ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e ❑ 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.69g ❑ OTHER(Specify):M69h,M69i JA 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 slams.490.7o X. CONIlk MMADDITIONAL INFORMATION _ Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this pl*49 ) XI.PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that:1)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 follow 'n rson s)are rets nsible r pe rnting the onitoring and equipment maintenance: NAME /��/i1`/ f 490-72 TITLE inL � 490-73 NAME 490-74 TITLE 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.OVVNERdOPERATOR SiGNAT'URE CERTIFICA'T'ION:I certify that the information pro ided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE 490_76 DATE: V 490-77 yvile� R NTtNE, .Tank(huger/ 731737 2..FadjjLyOx neel0 ntM0 1 AuthW&WR sentativ of APPLICANT NAME(Pont): � (� / � 496-78 APPLICANT TITLE: ©/G, �_� 490.79 QCs(AS -�2- U UPCF UST-D(12/2007)3/4 /