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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION htot' PLAN I'YPP. MONITORING IS IDENTICAL FOR ALL USTs ATTHIS FACILITY. A13= Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID d(Agency Use Only) FACILITY NAME Country Market Cardtock h+O' FACILITY SITE ADDRESS 1524 Fresno Ave M6S CITY Stockton Mos. 1I. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Slate 1"V requires that testing.preventive maintenance,and calibration of monitoring equipment(e.g,sensors,probes,line leek detectors,etc.)be performed in 1,106. accordance With the equipment manufacturers'instructions,or annuall, ,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED I.ANNUALLYhu'7 ❑ 99.OTHER(Specify): III. MONITORING LOCATIONS This monitoring plan must include a Site Plan slwwing the general tank attd piping layouts and the lorati0as Where monitoring is performed(Le.,local ion ofeach scasor. OCI line leak detector,monitoring system control panel,etc.). If you already have a diagram(c-g.,current UST Monitoring Site Plan from a Monitoring System Certification co form,HazArdaus Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING N MONITORING IS PERFORMED USING THE FOLLOWING A4ETHOD(S):(Check all that apply) MO cMn 1.CONThIUOUS ELECTRONIC MONITORING F TANK ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) o SECONDARY CON'T'AINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM z \ PANEL MANUFACTURER: Gilbamo h1L2 MODEL4: 0346014-100 h+t3 LEAK SENSOR MANUFACTURER: Gilbarco h1t4 MODEL k(S): P A 0 2 5 5 1 14 4 0 0 0 ti+ts M ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USEDTO MONITOR SINGLE WALL TANKf5) N PANEL MANUFACTURER: but MODEL 4: t+17 IN-I ANK PROBE MANUFACTURER: hits MODEL 9(S): '+Is LEAK TrS'r FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYIN[GHTLY ❑ c.WEEKLY a:c M ❑ d.MONTHLY ❑ e.OTHER(Specify): N21 N PROGRANIMEDTESTS: 81_0.1 g.p.h. ❑ b.0.2g.p.h, ❑ c.OTHER(Specify): o ❑ 3.INVENTORY RECONCILIATION ❑ a_MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 OCR§2646.1 W4 N ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS nes. ❑ 5 INTEGRITY TEST]NG PER 23 CCR§2643,1 z TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify); ht26 N77 _ ❑ 6.L'ISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(aaquirnrym,-yipprod} o ❑ 99.OFFIER(Specifvl: hies w V. PIPE MONITORING Vii(NITORING 1S PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) "13d l.CONTINUOUS ELECTRONIC MONITORIN,_G,/OF PIPING SUMP(S)TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONLyTAINMENT]S: a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑C/id.UNDER VACUUM ht3t PANEL MANUFACTURER: G c I b,_r�o E l,(,( C_ MODEL 4: Sit. A133 LEAK SENSOR MANUFACTURER: r 11' ..-Co M34 MODEL#(S); 7--os, M113` WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? 14 a.YES ❑ h.NO ht3E WILL FAILUREID[SCoN VECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? fiaja.YES ❑ h_NO Mai 2.S4ECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED �SLI.DMANUFACTt1RER(s}:_ao*-!sake!- Vµ4 h+re. MODELA(S): 9? LQ — Zoea .3, ❑ 3.17.ECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0it.p.h.LEAK TESTS EL 1.D MA14 U FACTU RE R: hf40. MODELIp': b1i1 PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINlhlUh!MONTHLY 0.2 g.p.h. ❑ b.\41N[4tUM ANNUAL 0.1 g.p.h. WILL ELLD DETECTION OF.A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO x'47 WILL ELLD FAILUREID[SCONNECTIONTRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a-YES ❑ b.NO '114 ❑ 4.INTEGRITYTESTING TEST FREQUENCY: ❑ a ANNUALLY ❑ b.EVERY 3 YEARSNos 'A46b ❑ 5.VISUAL MONITORING DONE: ❑ a DAILY c.OTHER(Specify) ❑ .WEEKLY6 c.MIN.MONTFQ.Y&EACH TIME SYSTEM()E'ERATED'« M41'Regi,-ap—y apprc,.yl "Allo»dfa mmiu.ioa of unbuied emerVncy BMeraw fA piping*,dy per HSC 125281.5(b)(3) ❑ 6-PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 13 CCR§2636(ax3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONN ECTEDTO THE UST(s) ❑ 99.OTHER(Specifv) h+4s. O SJ('VIIIDA(07!03)-114 07123I03