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UNDERGROUND STORAGE TANK )NITORING PLANT -- PACE 2 VT. DISPENSED AONITOR'NG OF AREAS BENEATH DISPENSERS) IS PERFORMED USING THE FOLLOWING METHODS) (Check all that apply) vs ! I. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UAC) PANELMAH(1FACTURER: Veetlerhoot MSI. MUUET N: TL. -:5 Vs1 LEAK SENSOR MANUFACTURER: weeder Root M>3. MUDEL Nis): 794380-209 Ms.. WiLL Gt CM7C TION OF A LEAK DM THE UDC TRIGGER AUDIBLE AND "VISUAL ALAKM57 ® w YES ❑ b. NO Mss. WILL A UDC LEAK ALARM TRIGGER AUTOMA i 1C PUMP SHUTDOWN? 2) a -- b. NO "A56 WILL FAiLunFANSCONNEC i ION OF UDC MONTH ORINQ SYSTEM TRIGGER AUTOMATIC PUMP SHUTDO WN7 2; a. YES ❑ b. NO LI 2. MECHANICAL i_ON 1 NUOUS MGNi rGRiNG (c.&, FLOAT AND CHAIN ASSEMHLi j IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK sasc MANUFACTURER; His. 1.{D13EI. N(S): L1 3.VISUAL MONITORING DONE: ❑ a. DAILY O b. WF FXLY ❑ d NO D1SPFNSERS ❑ yr. OTHER (Spociljt) M! 1 VII. ENHANi'ED LEAK DETECTION ❑ 1. WE HAVE BEEN NOTIMIM BY THE STATE WATER RESOURCES CONTROL BOARD -niAT WE 1 UST PERFORM ENHANCED LEAK DETECTION (ELD) FOR THE UST(S) COVERED BY Ti-ItS Pi_AN. PER 23 CCR J2644.1. ELD 1S PERFORMED EVERY 36 MON T IIS AS REQUIRED VIII. TRAINING - REFERENCE DOCUMENTS MAINTAINED AT FACTLTrY (Check all the[ apply) - Nan 1. 13 THIS UrlDERGROtrNM STORAGE TkNX MON171MRING PLAN (Brgalltd) 2. 1@ )P.PRATiNG MANUATS FOR ELECTRONIC MONrMRING EQUIPMENT (Hagairad) , 3. ® THE PACILTrY'S BEST MANAGEMENT PRACTICES (Rceltdred at o(January 1, 3005) 4. ❑ CALIFORNIA UNOEIiGROUNUSTORAGE TANK REGULATION1 5. ❑ CALIFORNIA UNDERGROUND STORAQETANK LAW 6. ❑ SfA'11- WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: '9[ANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWPCB PUBLICATION: 11WE �ALY MANUAL T :,N'K CAUCINNC FOR SMLALL LIN DERG ROUND STORAG ETANK S" mop 99, ❑ OTHER (Specii4): PMana?! with UST !a milorir g ve"mibilities ere familiar with all of the above documents relevant to ihcfr iob duties and can access those docummis when nccded. By January I, 2005, This facility will have a "Designated UST Operator' who lets pasted the Caillbrula UST System Operator &am administocd by Lhe Iniernanonal Code Council (iCC). By July 1, 2005, and ammally tbereafte, Uie "Dyw4ated UST Opantw" will linin fscillity a mptoyeas In rF.e proper opemimn anti mhlasenancc at the USI systuos. This trainiaa will in.^.hsdc, Irtt isnot llmli d to. the fo!lowin: D rme mf inn e f the UST awte s; in a manncr cons!ste:at with the hcility's beat man itemeat Practices. > The facility employee's rote wish regard to the leak dawtoo equlpmens. i p Tha faei:iity earp'toyne'a role with regard to apilla and ovtrtilta. > Whom In cmuci for emergencies and leak deteelion alemm For facility employees hired an oT alter July 1, 2005, the Initial ualninr wili be conducted within 3D days or the date of hire. I`I t - IX, COMWNTS/ADDITIONAL INFORMATION PLraie !tee ON& sestina to include any additional UST system monitoring -related In lbrmstion (e.g., additional inrarmstion required try your local agcocy)-. M is ^JSR Ott D"Vtr-I-TZoN = Aut001U15v4lL ! -+4pfK 7w I X. PERSONNEL RESPONSIBILITIES f AS OF JANUARY 1, 2005, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION IIi OF THE CURRENT UST OPERATING PERMIT APPLICATION FACILITY FORM WILL HAVE ULTIMATE AUTHORTI'Y FOR PERFORMNO THE MONiTORM0 ACTIVITIES AND MAINfAiN(NG IX -AK DET—ECTION El1UiPMENT COVERED EY THIS PIAN Tr11LE 23 L'CK $ 271 S(c1. A`NC'NILL PE.RPDRM AND DOC! IMEAfr MINIMUM MONTHLY ViSUM rNSPECTiONS OF 711E PAC[LITY'S UST SYSTEMS IN ACCORDANCE W rrH 23 CCR !j 2715(c). XI. OWNER/OPE R SIGNATURE C R FICA7'I N: ! certify t L_ InfornrLMMal p7aliallydherein is a and accorato to the best of my kuowledge. olli OP StONA E REPRESENTNQ ® Owner etta DATE: f / /'7 < o CJ I O'6t1 1 OWN�tVGPLrRAT0RNA:-.4E Mn OWNERtLPERATORIlT!L': MBs 14 LITT—L I^ C; Use ally) This ptlan has(beeen rcv!awed and: Approved ❑ Approved With Conditions E] Disapproved Local Agency Signature Iy ` qC 5 u^alo: Ike ( o �O ICommonisJSpecial Conditlons: invfwrc-d (9!24!04) - U4