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03,i09/2010 14:34 12099438661 CHP STOCKTON PAGE 08/15 UNWIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN—(Psze 2 of 21 (Check all VI. UNDER DISPENSER CONTAINMENT(T�MONITORING fhX oply) UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) I,CONTINUOUS ELECTRONIC MONITORING 0 2,FLOAT AND CHAIN ASSEMBLY 3.ELECTRONIC STAND-ALONE 00-34n. 490-55. LEAK MONITOR MANUFACTURER: MODEL#: _F1.5 LEAK SENSOR MANUFACTURER: XMI&I-996 MODEL#(S):Dal 4 350— DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. Ra a,YES E] h,NO UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. YES b,No 410-611- FAI LUP.&iD[SCONNFCTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. YES b.No UDC MONITC)RING STOPS THE FLOW OF PRODUCT AT THE DISPF.NSERYES b.NO UDC CONSTRUCTION IS: LSINGLE WALL rl 2.DOUBLE WALL LF DOUBLE WALL; UDC INTERS,rITIAL SPACE IS MONITORF.D BY: LIQUID b.PRESSURE VACUUM A LEAK WITHIN THF SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. YES [:1 b.1NO 49D-64b, VIT. PERIODIC SYSTEM TESTING C1 1, FLD TESTING: HIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENjj6NMD 490-&' '�CONTAINMENT COMPONENIS ARE TESTED EVERY 36 MONTHS. K-DF-T TION(ELD)M ST HE PF.RFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE9UTRED.F23 CM J2644.11 2.SECONDAR 490.0 3.SPILL BUC�ETS ARE TESTED ANNUALLY, 40"7 1 VIII. RECORD KEEPING The rollum-ing munijorin&/maintoriance records am kept for this facility; 44*.611 a.ALARM LOdS E] b.VISUAL INSPECTION RECORDS c.TANK INTEGRITY TESTING RESULTS d.SIR TESTING RESE.R.TS(and supporting documentation records) c.TANK GAUGING RESULTS(and supporting documentation records) E] f An,TESTING RESULTS(and supporting documentation records) CORROSION PROTECTION 60-DAY LOGS b.EQUIPMENTMAIN-i-ENANCE AND CALIBRATION RECORDS IX. TRAINING Personnel with IIST monitoring responsibilitici are familiar with all ofthe following documents relevant to theirjob duties: 490*Aa, RETERFNCE DOCUMENTS MAINTAINED AT FACILITY(Check all fhat appty) 0 THIS UNDERG ROUND STORAGE TANK MONITORING PLAN(Required) 49(1-6011. M OPHRATINC,IV ANUALS FOR LLWTRONiC MONITORING EQUIPMENT(Required) 490.6% E] CALIFORNIA INDERGROUNDSTORAGE TANK REGULATIONS 4W.69d. CALWORNIA I INDERGROUND STORAGE TANK LAW M4190. STATE WATER RESOURCES CONTROL BOARD (SWRCB) PU13LICATTON: "HANDBOOK FOR TANK OWNERS - MANUAL AND 49049r. STATISTICAL NVFNTORY RECONCILIATION" SWRCR PUIBLIbATION:"UNDERSTANDING AUTOMATIC,rANK GAUGING SYSTEMS" 49"9g, This recility has i"Designated UST Operator"who has passed the Califbrnia UST System Operator Exam administered by the International Code Council 490-70 (ICC) The "CA ftnaled us*r Operatar"will train facility employees in the pmper operation and maintenance ofthe USTsyslcms annually,and within 30 days ofbirc.Thi,i training will include.but is not limited to,the f0owing: )0 Opvrution aft ic UST systems in a mannerconsimnt with the racilfty's best management practices. > The fiacility ci iployce's role with regard to the monitoring equipment as.gpcciflcd in this UST Monitoring Plan, )b The fpcility ev iployce's role with regard to spills and overfills as specified in the racility,s us,r Response Plan, )o Name(%)ofc#tact person(s)roaremer-scricics and monitoring alarms. Provide adilffional comments here or indicate how many palges with additional information on specific monitoring procedures am attached to this plan, 490-71, FLAPP6115 Sfif Al R5 ,, XI. PERSONNEL RENPONSIMILIUES The UST Ownerlo�rewr is rcapDnsible for ensuring that: 1.)the daily/rotiline UST monitoring activities avid maintenance of UST leak detection equipment covered TI IE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AVD EQUIP?4ENT MAINTENANCE: The:Designated US' operatnT Shall perform a monthly visual inspection orthe facility.provide a report to the owner/operator.and inr*Tm the owncr/operator ofany conditions that need flow-upaction. XIL OWNER/OPERATOR SIGNATURE CERTIFICATION,- I certify that the Information provided herein is true and accurate to the b-ast of my"owledge. APPLICANT SIGNATURE I DATE: 490-77 APPLICANT NAMU(primt): 490-79 APPLICANT TITLE! 4W79.