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SAN JOAQUIWpTY ENVIRONMENTAL HEALTHAWARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE 1 TYPE OF ACTION 1. NEW PLAN PLAN TYPE❑ 2. CHANGE OF INFORMATION -❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): FACILITY ID # (Agency Use Only) 1. FACILITY INFORMATION rACILITY NAME I I �.-� � et.1 FACILITY SITE ADDRESS p t51 II. EQUIPM State law requires that testing, preventive maintem accordance with the equipment manufacturers' inst MONITORING EQUIPMENT IS SERVICED This monitoring plan m line leak detector, monitust include a Site Plan show oring system control panel, form- Ha -d...... a_.- - - . _. and ca Ins, or III. tin.Dh ----••• •^s w��P��=�� I, g., sensors, probes, line leak detectors, -etc.) be perform I whichever is more frequent. Such work must be performed by qualified personnel. I. ANNUALLY ❑ 99.OTHERS OTHER(Specify) (P fY): 1ITORING LOCATIONS eneral tank and plp You already have a current UST Monitoring Site M07. ----- • ....a„ml ur each sensor, from a Monitoring System Certification rLEAK MSENSOR ED USING THE FOLLOWING METHK MONITORING �IICCK all that apply) RONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) NTAINMENT IS: �a. DRY ❑ b. LIQUID FILLED CTURER: n " ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM ANUFACTURER:n Mlz. MODEL#: S`"�L-fir . El 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE W_ ALL M 1 MODEL#(S): TgNKIS1 PANEL MANUFACTURER: . IN -TANK PROBE MANUFACTURER: M16 \41 9, MODEL #: MODEL #(S): LEAK TEST FREQUENCY: EDa. CONTINUOUS - ❑ d. MONTHLY ❑ b. OTHERDAILYRIGHTLY ❑ c. WEEKLY PROGRAMMED TESTS: ❑ e. OTHER IS a 'C MI1. M13. MIS Mn. M19. M20 LVISUALMONITORfNG ORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 P Cl y) ML. M23. MANUAL TANK GAUGING (MTG) PER 23 CCR §2645❑ b. STATISTICAL PER 23 CCR §2646.1 M±4ING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS M25. TY TESTING PER 23 CCR §2643.1 FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER(Specify): M26. M,ZONITORING DONE: '1'a.DAILY ❑ b. WEEKLY(aequlm agency app,...ab (Specify): M28. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHODS) (Check all that apply) El M30. L CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyTRENCH(ES)AtuD OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ❑ a. DRY ❑ b. LIQUID FILLED ❑ C. UNDER PRESSURE ❑ d. UNDER VACUUM M31. PANEL MANUFACTURER: M32. MODEL #: M33. LEAK SENSOR MANUFACTURER: Mia MODEL #(S): Mas. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? El a. YES El b. NO M36. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO M32 ❑ 2, MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF rRoaucr Pt.OW WHEN A LEAK IS DETECTED MLLD MANUFACTURER(s): Mae. MODEL #(S): M39. ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS ELLD MANUFACTURER: M40. MODEL #: M41. PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. Msz. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO Mai. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ Ela. YES 4. INTEGRITY TESTING ❑ b. NO M44. TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) M45. M46. ❑ 5 -VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY' ❑ C. MM. MONTHLY & EACH TIME SYSTEM OPERATED" Mar. or 6. PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FORYEXEMPTION FROM MONITORING PER 23 CCRe 26361a(piping only per HSC §252815(b)(3) )(3) NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) § O(3 ) ❑ 99. OTHER (Specify) M43. SJCEHD-d (07/03) -1/4 07/23/03