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SAN JOA(,'%,. i COUNTY ENVIRONMENTAL HEALTH 1, .ARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE I TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2 CHANGE OF INFORMATION Mol, PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Mm. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) FACILITY NAME 2-A Mas. FACILITY SITE ADDRESS 033 Lo , C 1CLy_j-ef Lsf A Ma. CITY SfoC. (.>�6M05, II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE J State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06 accordance with the equipment manufaclmers'instructions,or annwlly whichever is mon:frequent Such work most be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): M07. III. MONITORING LOCATIONS This monitoring plan most include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(Le.,location of each sensor, 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 foray Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plaa. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) MIO. 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 's\ SECONDARY CONTAINMENT IS: L .DRY [Ib.LIQUID FILLED ❑ a UNDER PRESSURE ❑ &UNDER VACUUM MI t PANEL MANUFACTURER: V E��E� 8P77�"C MIS MODEL#: `rSL 3570 MII, LEAK SENSOR MANUFACTURER: b-T M14. MODEL#(S): - 9 M15. ❑ I AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16. MODEL#: M17. IN-TANK PROBE MANUFACTURER: Mts. MODEL#(S): Mls. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYMIGHTLY ❑ c WEEKLY Mo. ❑ d.MONTHLY ❑ e.OTHER(Specify): M21 PROGRAMMEDTESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c-OTHER(Specify): M2z Mn. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS Mu. RITY TESTTNG PER 23 CCR§2643.1 N o TEST FREQUENCY: a.ANNUALLY ❑ b.BIENNIALLY ❑ c,OTHER(Specify): Mea W7. • l' 6.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY(Regoha agmcyappmvr) ❑ 99.OTHER(Specify): Mea V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check a0 that apply) Ms0 RL 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyTRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: � a.DRY 1 [Ib.1JQU,ID FILLED ❑ e UNDER PRESSURE ❑ L UNDER VACUUM Mst. PANEL MANUFACTURER: C'eC�J e-`( F�JYI Msz MODEL# Ms3. LEAK SENSOR MANUFACTURER: __VP:eCjQC TTI MJ°' MODEL#(S): ZFISZ Mas. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? &YES [Ib.NO Mme' WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? 'Skaafl a.YES ❑ b.NO Mn ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.b. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK I E CTED �! _ MILD MANUFACTURER(s): P '.ICIC Ac�+ �,.�/N l Mss MODEL#(S): IV O S Mss. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(EL )THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLDMANUFACTURER: ��F.K �1n� Moo MODEL M; --Es [_ 3.S M41. PROGRAMME)LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42 WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? 6A-a.YES ❑ b.NO Mu. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? �Q a.YES ❑ b.NO Ma. ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑j aa.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46. ❑ 5.VISUAL MONITORING DONE: MM a.DAILY ❑ b.WEEKLY- ❑ c,MIN.MONTHLY&EACH TIME SYSTEMOPERATED" M47. 'RN.�Vpa '*Allowed fum<Xd ry ofsdwi m,agmry'amaffim fkI Nein, IyP 16C 925281 5(b)(3) ❑ 6.PPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(aX3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) Moa SJCEHD-d(07/03)-114 0723A3