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SAN JOAQUWOUNTY ENVIRONMENTAL HEALTIWPARTMENT <br />UNDERGROUND STORAGE TANK F I M � E 1-1 <br />l'/ <br />MONITORING PLAN - PAGE 1 ll �/ lt_- <br />TYPE OF ACTION L NEW PLAN ❑ 2. CHANGE OF INFORMATION JUL 2 1 ZUU4 <br />PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />ENVIR�NM_ Nf_AL I I1 <br />`10-- <br />(Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />1 1 <br />I. FACILITY INFORMATION - <br />FACILITY ID # (Agency Use Onh) - - <br />FACILITY NAME LOV.& C,0 K SSft,4- O .2.23 <br />Mos. <br />FACILITY SITE ADDRESS 15S-3 C(� OI OK O q d M04.CITY <br />; pw, <br />Mos <br />II. EQUIPMENT TESTING AND PREVENTIVE MAIN ENANCE <br />State law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in <br />M06. <br />accordance with the equipment manufacturers' instructions, or annuallll 'whichever is more frequent. Such work must be performed by qualified personnel. <br />MONITORING EQUIPMENT IS SERVICED 1. ANNUALLY ❑ 99. OTHER (Specify): <br />M07. <br />III. MONITORING LOCATIONS <br />This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed (i.e., location of each sensor, <br />line leak detector, monitoring system control panel, etc.). If you already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification <br />form, Hazardous Materials Business Pian map, etc.) which shows ail required information, include it with this plan. <br />IV. TANK MONITORING <br />MSO%t ITORFNG IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) <br />X110 <br />�y 1. CONTINUOUS ELECTRONIC MONITORINGO� TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) <br />SECONDARY CONTAINMENT IS: Era. DRY b. L�.QUID FILLED ❑ c. UNDER PRESSURE [3d. UNDER VACUUM <br />Mr I. <br />PANEL MANUFACTURER: i I0 c.o (V -04v- 1`y4 M" MODEL #: IrL S* - 3 SIC) <br />M13 <br />t <br />LEAK SENSOR MANUFACTURER: i16,, CO M14, MODEL #(S): L- 1Z1 9 f 3 90 ' l 7-40 <br />M15 <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANKS) <br />PANEL MANUFACTURER: M16. MODEL #: <br />Mn. <br />IN -TANK PROBE MANUFACTURER:. M18. MODEL #(S): <br />M19 <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY <br />M20 <br />❑ d. MONTHLY ❑ e. OTHER (Specify): <br />PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): >+". <br />M23 <br />❑ 3. INVENTORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 <br />M24 <br />❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 <br />TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS <br />M25 <br />❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 <br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): M26. <br />M27. <br />❑ 6.VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY (Requires agency approval) <br />❑ 99. OTHER (Specify): <br />M28. <br />V. PIPE MONITORING <br />TORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />M3° <br />VM <br />1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT <br />SECONDARY CONTAINMENT IS: L`e'a. DR�b. LIQU D Fll LED ❑ c. UNDER PRESSURE El d. UNDER VACUUM <br />[I b. <br />1131 <br />PANEL MANUFACTURER: Glk6o"Co v M32MODEL#: ITL S"3Sb <br />h133 <br />LEAK SENSOR MANUFACTURER: ► i90.1Co 44 --' Mao MODEL #(S): L'I 7 44 3 r O' --O l <br />M35. <br />WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? a. YES ❑,� NO <br />F36 <br />WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? [I a. YES LTJ b. NO <br />M37. <br />2/2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS <br />OFF <br />PRODUCT FLOW WHEN A LEAK IaS DETECTEEX LO PJAJ <br />J Vtj�:a_1_k13 Mas. MODEL#(S): PLO P/w/ (llopl�o'S <br />A1j9 <br />MLLDMANUFACTURER(s): -a l4l <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS L0- 7-400 <br />S Tom- M LO - 0 <br />Mao. <br />ELLD MANUFACTURER: MODEL #: <br />Mal <br />PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. <br />r.142. <br />WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO <br />Mai <br />WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO <br />M44 <br />❑ 4. INTEGRITY TESTING <br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) ++as <br />n+ab <br />❑ 5.VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY" ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED" <br />N147 <br />• Requires agency approval •' Allowed for monitoring of unburied emergency generator fuel piping only per HSC §25281 5(bx3) <br />❑ 6. PIPING 1S SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR §2636(a)(3) <br />❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br />❑ 99. OTHER (Specify) <br />AfaS <br />SJCEHD-d (07/03) -1/4 07/23/03 <br />