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s MF UNIFIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN-(Page I of 2) TYPE OF ACTION ❑1.NEW PLAN JIR 2.CHANGE OF INFORMATION 490.1 PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(')• L FACHJff WFORMTION FACILITY ID#(Agency Use Only) - - BUSINESS NAME(Same as FACILITY NAME) PS 3. BUSINESS SITE ADDRESS Z c)� (A) (®p 10i. CH�, e/ o�t j 104. H.EQUIPMENT TESTING AND PREVMWE MAPMMANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR§2632,2634,2638,2641 490.3a MONITORING EQUIPMENT IS SERVICED t.ANNUALLY [199.OTHER(Specify): 490-3b III.MONITORING LOCATIONS ❑L NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. M-L SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)494D-4 IV.TANK MONITORING IS PMFORbED USING:THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: 10 a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 49" PANEL MANUFACTURER: nJCV,✓ 49° MODEL#: -U_,550 490-9 LEAK SENSOR MANUFACTURER: T=j C.p^J a�9. MODEL#(S): E c-S 490-10 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKIS).(23 CCR$2643) 490.11 PANEL MANUFACTURER: a9°11 MODEL#: C 450-13 IN-TANK PROBE MANUFACTURER: PJ 66 AJ 490.14. MODEL#(S): 490.15 LEAK TEST FREQUENCY: ® a.CONTINUOUS ❑ b.DAILY/NIGHTLY ® c.WEEKLY 490-16 d d.MONTHLY ❑ e.OTHER(Specify): 49D-17 PROGRAMMED TESTS: ❑ a.0.1 ❑ h. ❑ S 490.18 g.p.h. b.0.2&P• c.OTHER( P�fY): 490.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490"20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ &36 HOURS ❑ b.60 HOURS 422 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 4W23 TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNIALLY [I a 490-24 OTHER(Specify}: 490,25 490-26 ❑99.OTHER (Specify): 490.27 V.PIPE MONffORMG IS PEWO USING THE FOLLOWING METHODS)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE!PIPING SUMP(S)AND OTHER SECONDARY CONT NT WITH AUDIBLE AND 4� VI UAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: DRY ❑b.LIQUID FILLED [3c.PRESSURIZED ❑d UNDER VACUUM 490 PANEL MANUFACTURER: .2NC,VAJ 450.30 MODEL#: S- () 490-31 LEAK SENSOR MANUFACTURER 490'32 MODEL#(S): L 490.33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. goa.YES ❑b.NO 4W34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. aa.YES ❑b..NO 49033 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 gph.LEAK TESTS AND RESTRICTS OR OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CR 490.36 MLLD MANUFA S): 37 MODEL#(S): i r� �� 90 38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)T*At2OtftfNELY PERFORMS 3.0 g p h.LEAK TESTS (23 CCR§2636) 490.39 ELLD MANUFACTURER(S) 490110' MODEL#(S): 490.41 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.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 FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490.14 4.PIPE INTEGRITY TESTING 49445 TEST FREQUENCY a.ANNUALLY K b.EVERY 3 YEARS 0 c.OTHERS i 49046490.47 El 5.VISUAL PIPE MONITORING. 490.48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49 Allowed for ami of unburied fud p:aping ordy per HSC§25281. 3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§ aX3),. 49050 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 49492 ❑ 99.OTHER(Specify) 450-93 UPCF UST-D(17/2007)1/4