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sw f 0 0 UNIFIED PROGRANJ CONSOLIDATED FORNI UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2of2) VI. UNDER DISPENSER CONTAININIENT (UDC) MONITORING 1. UDC MO',JTORING IS PERFORMED USING THE FOLLOWING METHOD 490-346 0 1. CONTINUOUS ELECTRONIC MONITORING [12, FLOAT AND CHAIN ASSEMBLY C3 3. ELECTRONIC STAND-ALONE 7— 4. NO DISPENSERS [:199. OTFER Specify): -------------------------------------------------------------------------------------------------------------------------- ----------- — ---- - ------------------------ PANEL MANUFACTURER: . .............. 40-5' MODEL# L 490-56. ........ . 1 - -------------------------- 4911-17 MODEL #(S): LEAK SENSOR MANUFACTURER: 490-58 DETECTION OF A LEAK INTO T HE UDC TRIGGERS AUDIBLE AND VISUAL ALARv[S a. YES ❑ b. NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN a. YES ❑ b. NO 490-60. FAILURE / DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a. YES ❑ b. NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a. YES ❑ b. NO 490-61 2. UDC CONSTRUCTION IS [ILSINGLE-WALLED r-12.DOUBLE-WALLED ------------ 490-63 IF DOUBLE WALLED: 490-a a L UDC INTERSTITIAL SPACE IS MONITORED BY: ---- [I 2. -PRESSURE El 3. -VACUUM --------- --- ------------------------------------------------ -------- ---- - __E] -I -.-LIQUID A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS Ela.YES Elb.NO 490-64b VII. PERIODIC SYSTEM TESTING M 1. ELD TESTING, THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65, M MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36MONIHS AS REOUIREP__(3?_CCR_§2644 ------ 1) ........... LEAK DETECTION (E4 ................. 2. SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. ---ANNUALLY. --- __--,- __ 490-66 3.SPILL ---BUCKETS ---`----__--- A --- R_E_ ---TESTED VIII. RECORDKEEPING The following monitoring/maintenance records are kept for this facility: 90 Alarm logs 490-68a a Visual Inspection Records 490-68b El Tank integrity testing results 490-68c El SIR testing results (and supporting documentation records). 490-68d ❑ Tank gauging results (and supporting documentation records). 490-68e ATG Testing results (and supporting documentation records), 490-68f ❑ Corrosion Protection 60 -day Jogs 490-68g ❑ Equipment maintenance and calibration records. 490-68h IX. TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirJob duties 490-69a 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) 490-6% F1 CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d [I CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69t El 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" 490-699 El OTHER (Specify): M69h, M69i 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 many pages with additional information on specific monitoring procedures are attached to this plan. 490-71 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 following per n(s) are responsible for performing the monitoring and equipment i t V) Cq 4'JC! r��K NAME ((:k' 490-72 TITLE fnL, I L ntj 490-73 NAME f�j+�q,-L Gvp I Wvvvvt�( 490-74 TITLE 011y(JI:�-, se ,,fL J4 490.75 The Designated Operator shiall- performi a nionthly visual inspection of the facility, provide a report to the owner/operator, and inform the owner/operdtor of any conditions that need follow-up action. XII. OWNER/OPERATOR SIGNATURE CERTIFICA" I ce if e)nformation provided herein is true and accurate to the best of my knowledge. APPLICANT490-76 DATE: 490-77 'r REPRESENTING: 1. Tank /O-rator FacilityQwner/Operator Q 3( Authorized Representatwe of Owner 490-78 490-79 APP CANT NAME (Ppint), APPLICANT, TITLE: r