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J_n tifi YYIJd U'o: Lj 20SdbW,13c FIFTH �LOCW. P;;GE 'I'D SAN JO IN COUNTY ENVEko IIENTAI,HEALTHROWARTMENT UNDERGROUND STORAGE TA.'ZK MONITORING PLAN—PAGE 1 TYPE OF ACTION I.NEW PLAN ❑ 2CIIANGEOF INFORATION . MCI,TTJUNENTICARAaATTHUSMFACILITY - M4a (Check one+km rnly) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S), FAcILIry ro s(ngaey use ay,J ,tom„, -- FACILITY NAME j� Y aiI . aroa. FACILITY SITE ADDRESS B � C !v�nrl �- S�' � c1TYEcSC GG '✓ ,r¢ -`75 a'" "' ' II I;EQITIPII'tE1VT TEST�IVIG ANIY'PRE'6tE 1�-, State law rcquims that ces[mg,p eventivc rnaL�talance,and calibration of plwnilaring equipment(e.g.,sensors,probes,line leek demcwrs,etc.)oe pe omd,n/ " ... acror ce wsN Che aµsipment nanufactnrcls'IIIs[ructiops,or:atnaat(y,whschever is mate frequent Such work must be rlarmed MONITORING UIPMLNT IS SERVICED ci 65'qualified persorml. .` ❑ 99 OTHER(Spcafy) MOT 1.ANNUALLY III. MO NTORING I;OCATIOnts This matvranng plan must's elude a Site Plan Lhow-ng th yrneral ism and piping wyouts and rhe IocaUona where ttl0nnonng ss perftsnrsed(f ,location Of each rentor, lute Irak detector mnnrtonng syakm control panel,elc.). tt'yba alrtadylnve adiagnm(a g curttnt UST Mqa Wring Sit,Plan Cram a Mongering System Ce'EfieanNl form.Ho=dous m,—I-ElgsiMba Pian ma ele. which 3:tows all re ulna irBamAUun,mcb.dc tt wish this plan, IV'. A1NKM0Nlx0RING MONITORING IS PERFORMED USING THE FOLLOWN0 METHOD(S):(Check all tint apply) nuo ❑ I,CONTINUOL'SELFCTRONICMONITORIN 'OFTANKANNULAR(INTERSTITW.)SPACE(S)ORSECONI)ARYCONTAINhIENTVAULT($) SECONDARY CON'7AINMENT IS a.DRY ❑ b.LIQUID FILLED ❑ a UNDER PRESSURE ❑ d.UNDER VACUUM Mn• PANEL MANUFACTURER: 6c� I Sar LD IFM"Ci _ IIIc MODELM MIs. LEAK SENSORMANUFACT=-R: XPA.9-4t 6,4 1, MI' MODEL O(S) MIs ❑ 2.AUTOMATIC TANK GAUGING(AIG)SYSTEM-USED TO MONITOR SINGLE WALLTANK(Sl PANEL MANU'FACTU'RER., 416' MODEL a: MIT. 114-TANK PROBE MAN(JFACTLIRER: MIs MODEL M(S): Msr. i LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY„NIGHTLY ❑ c.WEEKLY Wo ❑ d.MONTHLY ❑ e.OTHER(specify): Mai. PROGRAMMED TEST'S: Ll a.0.1 g.ph ❑ b.0.2 g.p.b. Q e.OTHER(Specify): l.us. res. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUALPF,R23CCR§2646 ❑ b,STATISTICAL PER 23 CCR§2646.1 Mac ❑ 4.W-EKLY MANUAL TAMC GAUCENG(MTG)PeR 23 CCR§2645 TESTING PERIOD. ❑ t.36 HOURS ❑ b.60 HOURS Ma: C 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ 4.ANNUALLY ❑ b.BIENNIALLY ❑ C.OTHER(Specify): C1 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY fan mm 99 OTHER(Specify). egercy acwo p 9 hL'a —:. NT0IITOAINGIS PERFORMED USING: V- 1f THE FOLLOWING METHOD(S)(Check a»that apply) Wo ❑ 1.CONTINUOUS MECTRONIC MONITORING OF PIPING SUMP(Sy'FRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: Aa.DRY ❑ b.LIQUfDPILLED ❑ c.UNDER PRESSURE ❑ d.UNDERVACUUM WIL PAN ELMANUFACTURER: sox MODELM. WE. LEAK SENSOR MANUFACTURER: M:i. MODEL?I(S): MIS WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(I.e.,TURBINE)SHU7DOWN7 ❑ a.YES ❑ b.NO WILL FAiLURE/DISCONNECTiON OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWW... ❑ a.YES ❑ b NO Map. 2..MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 1.0 g.p,h. LEAK TESTS AND RESTRICTS OR SHUTS OFF j PRODUCT FLOW WHEN A LEAK IS OE,I:�C'IEp � �* MIb MLLDMANUPACTURMs): �(,C,.CJ _ - 9SODEL#(Sy ❑ J.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS f ELLD Iv NUFACTURER: I'll. bIODL•L PRCK',R4MNIED LINE INTEGRITY TESTS: Do,MINLMU.M MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANn'UAL 0.1 g.p.h. M4.. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ In NO Mas WILL ELLD FAILURr/DISCONNECTION TRIOUER AUTOMATIC PUMP SHUT'DOWN7 ❑ a.YES ❑ b.NO K4.INTEGRITY TESTING TEST FREQUENCY: (al]��7.a.ANNUALLY [Ib,EVERY 3 YEARS ❑ C.OTHER(Specify) Mos Mac. ❑ 5.VI$UAL MONITORING DONE: L3 a.DAILY 131p.WEEKLY- C3 c.MIN.111011MYLY&EACH TIME SYSTIN OPERATED” alr'1. •Ryuim;glnap,y.Fnrd "Allows rxmaaap"'rtsafurWaed r'rcraarn>xwnaarLelplpi„a$'ParLISC aarea:S@N'1 [36.PIPING 15 SUCTION PIPING MEETING ALL REQUIREML•NT'S FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE USTkr) ❑ 99.OTHER(Specity) Mne SJCEND-d(07/03)-1/4 07123/§3