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UNDERGROUND STORAGE TANK ONITO G PLAN- a e 1 of TYPE OF ACTION (1 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490'1. PLAN TYPE Cff I.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. FACILITY INFORMATION FACILITY ID#(Agency Use Only) TT7 ' 1. BUSINESS NAME(Same as Facility Name or D A) 3. C044TAVMA-4 Is f-F"-D �BBUSINESS SITE ADDRESS ! !�/�- �� Th 103. CITY 'A C-r7� A �q J r3'74 loa. J .7� IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,tine leak detectors,etc-)must be performed at the frequenc specified Y� by the equipment manufacturers'instructions,or annually,%-hichever is more frequent.Such work-must be performed by qualified personnel.123 CCR§2632,2634,2639,26411 490-3a. MONITORING EQUIPMENT IS SERVICED Qj 1.ANNUALLY ❑ 99.OTHER(Specify): 490-36 ffi. MONITORING LOCATIONS 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26341 IV. TANK TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (check I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) -- WITH AUDIBLE AND VISUAL ALARMS.12�3 CCR§2632,26341 SECONDARY CONTAINMENT IS: AD a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 49"- PANEL MANUFACTURER � (LCIS.T" 490'3 MODEL#: TL-,j- 3 5-0 490.8. LEAK SENSOR MANUFACTURER: *00T 490-% MODEL#(S): 771Y B LIZ O 4110. 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 Ccit§26431 4v011- PANEL MANUFACTURER: _ 4�12 MODEL#: d 490.13. IN-TANK PROBE MANUFACTURER: +° _ r 490-14. MODEL#(S):•" 490.15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-13. 490-I8. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.❑ 490-20. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS4 421. ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1' 490-23. TEST FREQUENCY: ❑ &ANNUALLY ❑ b.BIENNIALLY [Ie.OTHER(Specify): 490-25.490-24. 490.26. ❑ 99.OTHER(Specify): a 2�. V. PIPE MONITORING IS PERFORMED USING FOLLOWING THOD(S) eta all appW 1.CONTINUOUS MONITORING OF PIPE/PtPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. §26361 SECONDARY CONTAINMENT IS: 9 a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d UNDER VACUUM 490-29 PANEL MANUFACTURER 1-PP el 'r 490-30. MODEL#: \,!r-S j S-0 � 490-3t. LEAK SENSOR MANUFACTURER: �isi D,if(L Kao T" 490-32 MODEL#(S): I Q 4 31 a r 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. A a.YES ❑ b.NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. J& a.YES ❑ b.NO 490-35- 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h-LEAK TESTS AND RESTRICTS OR SHUTS OFF 490.36- PRODUCT FLOW WHEN A LEAK IS DETECTED.123 CCR§2636 MLLD MANUFACTURER(S): Fz� M 490-37. MODEL#(S): S° T17- 3. P3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§2636[ 39. ELLD MANUFACTURER(S): 490.40. MODEL#(S): 490.41. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490.42. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490.43. ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49044. ❑ 4.PIPE INTEGRITY TESTING. 49045. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49046. r ® ❑ 5.VISUAL PIPE MONITORING. 490.48 FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ e.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" 490-49- *Allowvd for nwnitoring of unburied ernagency generator fuel piping adv per HSC 1232813(b)(3) ,� ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.123 CCR§2636(aX3)j 490-50. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490.51. ❑ 99.OTHER(Specify) 490-92 490-53. UPCF UST D(12/2007)-1/4 www.unkloes.org -