County of Yuba
Certified Unified Program Agency
Underground Storage Tank Written Monitoring/Response Plan
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
by this monitoring plan.
All tanks on-site.
All Fuel Tanks
All Waste Oil Tanks
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 Method
Singlecontained
Tanks
Specify Manufacturer /Company
Name
Specify Model Number
and Type
Leak results
recorded:
Daily
Monthly
Leak test performed
Daily
Monthly
Gauging Period
36 hours
60 hours
Continuous in-tank leak
detection with programmed
leak threshold of 0.2gph.
Automatic Tank
Gauging with programmed
leak threshold of 0.2gph.
Manual Tank Gauging
plus annual tank testing.
Statistical Inventory
Reconciliation plus Biennial
tank testing
Enhanced Leak detection
Frequency of
Monitoring
Tank Tester:
SIR Company:
Tank Tester:
Other (Specify)
Doublecontained
Tanks
Continuous
Liquid Sensor in
Annular Space with audible
and visual alarm.
Discriminating sensor in
Annular space with audible
and visual alarm
Liquid float sensor in
annular space with audible
and visual alarm.
Vacuum on Annular
Space.
Other (Specify)
Continuous
Continuous
Under-Dispenser Containment (UDC)
Dispenser
Containment
Page 1
NoneNO
dispensers in
system
Dispenser Containment
SW UDC
DW UDC
Float trips shear valve.
Sensor connected to audio-visual
alarm.
UST Monitoring Plan
DW UDC monitored by
Vacuum sensor
DW UDC monitored by
Liquid sensor.
10/04
County of Yuba
Certified Unified Program Agency
Underground Storage Tank Written Monitoring/Response Plan
915 8th Street, Suite 123, Marysville, CA 95901
(530) 749-5450
Facility Name
Facility ID#
Date
Underground Storage Tank Written Monitoring / Response Plan-(Continued)
Positive Turbine Shutdown
None
At piping sump due
to leak
At dispenser
due to leak
Due to System Disconnect/ Failure
Shut down
at piping sump
at
dispenser
When sensed in primary
piping
Piping Leak Detection
Monitoring Method
Pressurized
SW Piping
Suction
Specify
Manufacturer of
Equipment
/Company Name
Specify Model
Number /Type
of
Sensors/Equip
ment
Frequency of
Monitoring
Electronic line leak detectors with programmed
leak threshold of
0.1 gph 0.2 gph
3 gph.
with positive turbine shutdown
Piping test .2gph OR
Piping test .1ghp
Every
pumping
cycle
Daily Monitoring and Triennial Piping Test
Daily
Triennial
Monthly
Annual
SW Piping
Exempt from Monitoring
Gravity
SW Piping
DW
Pressurized
Monitoring
Page 2
Biennial
Piping Test .1gph
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. AND
Continuous monitoring for the pressurized piping
located outside the UDC that is fail safe and shuts
down the pump when a leak is detected .AND
A line leak detector (mechanical or electronic) that
detects a 3 g/h release from the primary
containment.
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.
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 0.1gph
Dispenser:
Continuous
Tank Sump:
Dispenser:
Continuous
Tank Sump:
Annual
Continuous
Dispenser:
Tank Sump:
UST Monitoring Plan
Annual
10/04
County of Yuba
Certified Unified Program Agency
Underground Storage Tank Written Monitoring/Response Plan
915 8th Street, Suite 123, Marysville, CA 95901
(530) 749-5450
Facility Name
Facility ID#
Date
Underground Storage Tank Written Monitoring / Response Plan-(Continued)
DW Suction
Vent Piping
Continuous
Sloped back to collection sump and
monitored with audible and visual alarm.
DW
SW Sump Containment
Vacuum Sensor
Liquid Sensor
Continuous
Overfill Prevention
Check type
of system.
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.
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
External alarm
OR
Flow Restrictor
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.
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.
Ball float valve and
external alarm.
Fill tube valve
/flapper.
Cathodic Protection
Type of
system
None
Impressed
Current
Sacrificial
Anode
Galvanic
System
Location
Servicing Company
Describe Maintenance
Tested triennially
Impressed current
reading every 60 days.
Other
Other Monitoring
Visual Inspection
Daily
Weekly
of
Monthly
Fills
Sumps
Dispenser Pans
Other-Specify
Responsibility for Monitoring and Maintenance
Name/Title
1.
2.
3.
Page 3
Duties
routine
monitoring
equipment
inspections &
record keeping
routine
monitoring
equipment
inspections &
record keeping
routine
monitoring
equipment
inspections &
record keeping
scheduling annual equipment
certification / testing
maintenance of monitoring
records
problem & alarm / leak reporting
Other: Specify
scheduling annual equipment
certification / testing
maintenance of monitoring
records
problem & alarm / leak reporting
Other: Specify
scheduling annual equipment
certification / testing
maintenance of monitoring
records
problem & alarm / leak reporting
Other: Specify
UST Monitoring Plan
10/04
County of Yuba
Certified Unified Program Agency
Underground Storage Tank Written Monitoring/Response Plan
915 8th Street, Suite 123, Marysville, CA 95901
(530) 749-5450
Facility Name
Facility ID#
Date
Underground Storage Tank Written Monitoring / Response Plan-(Continued)
Reporting Format/Monitoring Reports / Record Keeping
Type of Report/Record Kept
Daily Stick Readings
Daily pump readings
Alarm Log (Required)
Repair and Maintenance Log (Required)
Spill Log (Required)
Unauthorized Leak Report
Used for
Where kept
Provided to CUPA
at inspection
at inspection
at inspection
at inspection
at inspection
24 hours initial notification; 5
days for written report.
at inspection
Provide to CUPA
Visual inspection records
Owner/Operator Agreement (Required, if
applicable)
Third-party Verification of monitoring
equipment (Required-Attach to this plan.)
Monitoring Tapes / Printouts
Annual Monitoring Summary Reports
(SIR, ATG, etc.)
Certification reports
Other: Specify
Provide to CUPA
at inspection
annually within 30 days of end of
report period
within 30 days of testing
Certification/ Maintenance Schedule
Item
Leak Detectors
Electronic
Equipment/ATG
Sensor Probes
Spill Containment
Corrosion Protection
System
Secondary Containment
system
Tank Lining of Upgraded
Tank
Compliance Inspection
Freq. Required/
Anniversary Date
Annual/
Service Provider
Name
Address
Phone
Environmental
Health Division:
CUPA
915 8th Street,
Suite 123
Marysville, CA
(530) 749-5450
Annual/
Annual/
Annual/
Every three year/
Every three years/
Every 5 Years/
Annual—to
coincide with
Monitor
Certifications
Note: All certification reports must be submitted within 30 days to the CUPA.
Page 4
UST Monitoring Plan
10/04
County of Yuba
Certified Unified Program Agency
Underground Storage Tank Written Monitoring/Response Plan
915 8th Street, Suite 123, Marysville, CA 95901
(530) 749-5450
Facility Name
Facility ID#
Date
Underground Storage Tank Written Monitoring / Response Plan-(Continued)
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.
Review monitoring
/ inventory records.
Conduct tank /
piping test.
Initial abatement
activities/ removal of
hazardous materials
from secondary
containment.
Remove contents of
tank/ containment.
Determine if release
to environment has
occurred.
Check equipment
used in monitoring and
ensure proper operation.
Have tank system
inspected.
Contact service
provider to provide
assistance.
Other
Other
Other: Describe
Training
Describe training program for UST operators/owners.
State Certified owner/operator training program –REQUIRED
Training conducted by UST service provider/manufacturers representatives.
Training provided by on-the-job-training.
Training provided by
Training plan is attached.
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.
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.
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.
Certify by signing that
this has been
completed.
Date completed.
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:
Page 5
Date:
UST Monitoring Plan
10/04