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WRITTEN MONITORING PROCEDURES FORM <br />UNDERGROUND STORAGE TANK MONITORING PROGRAM <br />This monitcring program must be kept at the LIST location at all times. The informatics on this monitoring program are <br />conditions of the operating permit. The permit holder must notify (the local aeengy) within 30 days of any changes to the <br />monitoring procedures, unless required to obtain approval before making the change. <br />Required by Sections 2632(d) and 2641(h) CCR. <br />Facility Name: <br />Facility Address: �} w 9',513 <br />A. Indicate the frequency of monitoring: <br />Tank: <br />Piping: 2 <br />B. What methods and equipment, identified by name and model, will be used for <br />performing the monitoring: <br />Tanks: 11E24M— P-07- <br />LLtE .3-5� �'�E'C7"- All <br />Piping: - 1 /Er�.bF <br />C. Describe the location(s) where the monitoring will be performed (facility plot plan <br />should be attached): <br />11Ej&D ffe-- /�T 6TIE#Y�� TW C4aWnyle <br />AypiAtzr �, WS//31-z %'tl TH,E Cold#IrA.P 1,71-L THLr T/ME <br />D. List the name(s) and title(s) of the person responsible for monitoring and/or <br />maintaining the equipment: <br />)Soe-1a&F-T <br />E. Reporting format for monitoring: 7� <br />Tank:"LI_> G7!'.-c�L"��1�✓T-�� �r-�.,vAL /�� =3� <br />Piping: ,Tu2�/a�. �",LS 35C P�/ur-Or.Y <br />F. Describe the preventive maintenance schedule for the monitoring equipment. <br />Note: Maintenance must be in accordance with the manufacturer's maintenance <br />schedule but not less than every 12 months. <br />G. Describe the training necessary for the operation of UST system, including piping and <br />monitoring equipment. <br />611 <br />