ust monitoring plan

Hazardous Materials Business Response and Contingency Plan

County of Yuba Underground Storage Tank Written Monitoring/Response PlanCertified Unified Program Agency

915 8th Street, Suite 123, Marysville, CA 95901

(530) 749-5450

FACILITY IDENTIFICATION/OPERATIONS OVERVIEW

Facility Name Facility ID# Date

Underground Storage Tank Written Monitoring / Response Plan

Applicability of Plan

Indicate tanks covered FORMCHECKBOX All tanks on-site.

by this monitoring plan. FORMCHECKBOX All Fuel Tanks

FORMCHECKBOX All Waste Oil Tanks

FORMCHECKBOX The following tanks only: Describe

(NOTE: More than one plan is

needed if tanks are

monitored differently.)

Designated Operator for Facility:Name/address: Phone:

Tank Leak Detection Monitoring

Monitoring MethodSpecify Manufacturer /Company NameSpecify Model Number and TypeFrequency of Monitoring

Single-contained Tanks FORMCHECKBOX Continuous in-tank leak detection with programmed leak threshold of 0.2gph.Leak results recorded:

FORMCHECKBOX Daily

FORMCHECKBOX Monthly

FORMCHECKBOX Automatic Tank Gauging with programmed leak threshold of 0.2gph.Leak test performed

FORMCHECKBOX Daily

FORMCHECKBOX Monthly

FORMCHECKBOX Manual Tank Gauging plus annual tank testing.Tank Tester: Gauging Period

FORMCHECKBOX 36 hours

FORMCHECKBOX 60 hours

FORMCHECKBOX Statistical Inventory Reconciliation plus Biennial tank testingSIR Company: Tank Tester:

FORMCHECKBOX Enhanced Leak detection

FORMCHECKBOX Other (Specify)

Double-contained Tanks FORMCHECKBOX Liquid Sensor in Annular Space with audible and visual alarm.Continuous

FORMCHECKBOX Discriminating sensor in Annular space with audible and visual alarmContinuous

FORMCHECKBOX Liquid float sensor in annular space with audible and visual alarm.Continuous

FORMCHECKBOX Vacuum on Annular Space.

FORMCHECKBOX Other (Specify)

Under-Dispenser Containment (UDC)

Dispenser Containment FORMCHECKBOX None- NO dispensers in system FORMCHECKBOX Dispenser Containment

FORMCHECKBOX SW UDC

FORMCHECKBOX DW UDC FORMCHECKBOX Float trips shear valve.

FORMCHECKBOX Sensor connected to audio-visual alarm. FORMCHECKBOX DW UDC monitored by Vacuum sensor

FORMCHECKBOX DW UDC monitored by Liquid sensor.


Underground Storage Tank Written Monitoring / Response Plan-(Continued)

Positive Turbine Shutdown

FORMCHECKBOX None FORMCHECKBOX At piping sump due to leak FORMCHECKBOX At dispenser due to leak FORMCHECKBOX Due to System Disconnect/ Failure

Shut down FORMCHECKBOX at piping sump FORMCHECKBOX at dispenser FORMCHECKBOX When sensed in primary piping

Piping Leak Detection

Monitoring MethodSpecify Manufacturer of Equipment /Company NameSpecify Model Number /Type of Sensors/EquipmentFrequency of Monitoring

Pressurized

SW Piping FORMCHECKBOX Electronic line leak detectors with programmed leak threshold of

FORMCHECKBOX 0.1 gph FORMCHECKBOX 0.2 gph FORMCHECKBOX 3 gph.

with positive turbine shutdownEvery pumping cycle

FORMCHECKBOX Piping test .2gph ORMonthly

FORMCHECKBOX Piping test .1ghpAnnual

Suction

SW Piping FORMCHECKBOX Daily Monitoring and Triennial Piping TestDaily

Triennial

FORMCHECKBOX Exempt from Monitoring

Gravity

SW Piping FORMCHECKBOX Piping Test .1gphBiennial

DW Pressurized

Monitoring FORMCHECKBOX Option 1: Continuous monitoring for UDC.

Shuts down the pump OR

Stops the flow of the product at the dispenser when a leak is detected in the UDC. ANDContinuous monitoring for the pressurized piping located outside the UDC that is fail safe and shuts down the pump when a leak is detected .ANDA line leak detector (mechanical or electronic) that detects a 3 g/h release from the primary containment.Dispenser: Tank Sump: Continuous

FORMCHECKBOX Option 2: Continuous monitoring for both pressurized piping and UDC that activates an audible and visual alarm OR Stops the flow of the product at the dispenser when a leak is detected. AND

A line leak detector (mechanical or electronic) that detects a 3 gph release from the primary containment. AND

An annual piping test @ 0.1gph.Dispenser: Tank Sump:

Continuous

Annual

FORMCHECKBOX Emergency Generator: Continuous monitoring for both pressurized piping and UDC that activates an audible and visual alarm OR stops the flow of product at the dispenser when a leak is detected.

AND

Monitoring system is checked at least daily, by either remote access or on-site visual inspections with documentation logs

AND.

Annual piping test 0.1gphDispenser: Tank Sump: Continuous

Annual



DW Suction FORMCHECKBOX Sloped back to collection sump and monitored with audible and visual alarm.Continuous

Vent Piping FORMCHECKBOX DW FORMCHECKBOX SW Sump Containment FORMCHECKBOX Vacuum Sensor FORMCHECKBOX Liquid SensorContinuous

Overfill Prevention

Check type of system. FORMCHECKBOX System alerts transfer operator when tank is 90% full by restricting flow into tank or triggering an audible and visual alarm. Does not allow for manual override.

FORMCHECKBOX External alarm OR

FORMCHECKBOX Flow Restrictor FORMCHECKBOX System provides positive shut-off of flow to tank when tank is filled to no more than 95% of capacity. Does not allow for manual override.

Fill tube valve/flapper FORMCHECKBOX System restricts delivery of flow to tank at least 30 minutes before tank overfill. Does not allow for tank override. Flow restriction occurs when tank is 95% of capacity, and activates audible alarm five minutes before tank overfills.

Ball float valve and external alarm. FORMCHECKBOX System provides positive shut-off of flow to tank so that none of the fittings located on top of the tank are exposed to product due to overfilling. Does not allow for manual override.

Fill tube valve /flapper.

Cathodic Protection

Type of systemLocationServicing CompanyDescribe Maintenance

FORMCHECKBOX None

FORMCHECKBOX Impressed Current

FORMCHECKBOX Sacrificial Anode

FORMCHECKBOX Galvanic System FORMCHECKBOX Tested triennially

FORMCHECKBOX Impressed current reading every 60 days.

FORMCHECKBOX Other

Other Monitoring

FORMCHECKBOX Visual Inspection

FORMCHECKBOX Daily FORMCHECKBOX Weekly FORMCHECKBOX Monthly of FORMCHECKBOX Fills FORMCHECKBOX Sumps

FORMCHECKBOX Dispenser Pans FORMCHECKBOX Other-Specify

Responsibility for Monitoring and Maintenance

Name/TitleDuties

1. FORMCHECKBOX routine monitoring

FORMCHECKBOX equipment inspections & record keeping FORMCHECKBOX scheduling annual equipment certification / testing

FORMCHECKBOX maintenance of monitoring records FORMCHECKBOX problem & alarm / leak reporting

FORMCHECKBOX Other: Specify











Reporting Format/Monitoring Reports / Record Keeping

Type of Report/Record KeptUsed for Where kept Provided to CUPA

FORMCHECKBOX Daily Stick Readingsat inspection

FORMCHECKBOX Daily pump readingsat inspection

FORMCHECKBOX Alarm Log (Required)at inspection

FORMCHECKBOX Repair and Maintenance Log (Required)at inspection

FORMCHECKBOX Spill Log (Required)at inspection

FORMCHECKBOX Unauthorized Leak Report24 hours initial notification; 5 days for written report.

FORMCHECKBOX Visual inspection records at inspection

FORMCHECKBOX Owner/Operator Agreement (Required, if applicable)Provide to CUPA

FORMCHECKBOX Third-party Verification of monitoring equipment (Required-Attach to this plan.)Provide to CUPA

FORMCHECKBOX Monitoring Tapes / Printoutsat inspection

FORMCHECKBOX Annual Monitoring Summary Reports (SIR, ATG, etc.)annually within 30 days of end of report period

FORMCHECKBOX Certification reports within 30 days of testing


Certification/ Maintenance Schedule

ItemFreq. Required/

Anniversary DateService Provider Name AddressPhone

FORMCHECKBOX Leak DetectorsAnnual/

FORMCHECKBOX Electronic Equipment/ATGAnnual/

FORMCHECKBOX Sensor ProbesAnnual/

FORMCHECKBOX Spill ContainmentAnnual/

FORMCHECKBOX Corrosion Protection SystemEvery three year/

FORMCHECKBOX Secondary Containment systemEvery three years/

FORMCHECKBOX Tank Lining of Upgraded TankEvery 5 Years/

FORMCHECKBOX Compliance InspectionAnnualto coincide with Monitor CertificationsEnvironmental Health Division: CUPA915 8th Street, Suite 123 Marysville, CA(530) 749-5450

Note: All certification reports must be submitted within 30 days to the CUPA.



Site Map: Provide a site map with the following items:

Location of tanks

Location of all monitoring equipment: leak detectors, sensors, monitoring consoles.

Show ID numbers for sensors that correspond to the ID numbers on tape printout (if applicable).

Location of piping sumps and dispensers, emergency shut-off valves, and location of spill containers.

Response to Unauthorized Release

Methods used to confirm unauthorized release. FORMCHECKBOX Review monitoring / inventory records.

FORMCHECKBOX Conduct tank / piping test.

FORMCHECKBOX Check equipment used in monitoring and ensure proper operation. FORMCHECKBOX Have tank system inspected. FORMCHECKBOX Other

Initial abatement activities/ removal of hazardous materials from secondary containment. FORMCHECKBOX Remove contents of tank/ containment.

FORMCHECKBOX Determine if release to environment has occurred.

FORMCHECKBOX Contact service provider to provide assistance. FORMCHECKBOX Other

Other: Describe

Training

Describe training program for UST operators/owners.

FORMCHECKBOX State Certified owner/operator training program REQUIRED

FORMCHECKBOX Training conducted by UST service provider/manufacturers representatives.

FORMCHECKBOX Training provided by on-the-job-training.

FORMCHECKBOX Training provided by

FORMCHECKBOX Training plan is attached.Certify by signing that this has been completed.Date completed.

FORMCHECKBOX Facility personnel with UST monitoring responsibilities have been familiarized with all aspects of monitoring the tank system at this facility and are familiar with the laws and regulations.

FORMCHECKBOX Personnel responsible for maintaining UST monitoring records (i.e. logs, test reports, etc. 0 have been instructed that most records must be maintained on site for a minimum of three years, and some for 61/2 years.

FORMCHECKBOX Personnel responsible for performing visual or other inspections are trained to document inspections in a thorough manner. They are trained to distinguish proper equipment function, in proper procedures for reporting alarms, leaks equipment failure, and other problems.

Certification

I have reviewed this Underground Storage Tank Monitoring and Response Plan and have determined that it accurately describes monitoring of the designated underground storage tanks at this facility.

Owner/Operator Signature: Date:

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UST Monitoring Plan 10/04

ust monitoring plan

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