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

Singlecontained
Tanks

Monitoring Method

Specify Manufacturer /Company

Name

Specify Model Number

and Type

Frequency of
Monitoring

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.

Tank Tester:

Leak results
recorded:
Daily
Monthly
Leak test performed
Daily
Monthly
Gauging Period
36 hours
60 hours

Statistical Inventory
Reconciliation plus Biennial
tank testing
Enhanced Leak detection

SIR Company:

Other (Specify)
Doublecontained
Tanks

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)

Tank Tester:

Continuous

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

Pressurized
SW Piping

Suction
SW Piping

Monitoring Method

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

Monthly
Annual
Daily
Triennial

Daily Monitoring and Triennial Piping Test

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
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

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

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/
Annual/

Service Provider
Name

Address

Phone

Annual/
Annual/
Every three year/

Every three years/

Every 5 Years/

Annualto
coincide with
Monitor
Certifications

Environmental
Health Division:
CUPA

915 8th Street,

Suite 123
Marysville, CA

(530) 749-5450

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

Facility Name

Page 4

Facility ID#

Date

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

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.

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

Other

Initial abatement
activities/ removal of
hazardous materials
from secondary
containment.

Remove contents of
tank/ containment.
Determine if release
to environment has
occurred.

Contact service
provider to provide
assistance.

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