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SAN JOAQ N COUNTY ENVIRONMENTAL HEALTH Dr.PARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 Mot. TYPE OF ACTION ❑ I.NEW PLAN ❑ 2.CHANGE OF INFORMATION PLAN TYPE [I MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Moz. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) M03. FACILITY NAME Jan Cc Tr ve-k Stop FACILITY SITE ADDRESS 1035 W . C 6&-Kt"'" WP Mol CITY S tvr-* o n G Mos. H. EQUIPMENT TESTINAND REVENTIVE MAINTENANCE State law requires that testing,preventive maimmnarim,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in m% accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED [j1.ANNUALLY ❑ 99.OTHER(Specify): Mm. III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,locafon of eacb sensor, line leak detector,monitoring system control panel,etc.). If you already have a diagram(e. ,current UST Monitoring Site Plan from a Monitoring Certification form Ha>erdous Materials Business Plan ma etc. which shows all aired inform n clude it with this plan. IV. TANK ORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(CI=N that: ly) Mto. ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNUL TERST L)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: �'a.DRY ❑ b.L U •LLED [I c.UNDER PRESSURE d. (NDER VACUUM MD. PANEL MANUFACTURER: MI3. MODEL#: M13. LEAK SENSOR MANUFACTURER: M10- MODEL MIs. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USEDIT SINGLE WALL TANK(S Tl PANEL MANUFACTURER: M16. MODE MIT IN-TANK PROBE MANUFACTURER: MIB. MODEL S): Mls LEAK TEST FREQUENCY: [4 a.CONTINUO ❑ b.DAILY/NIG ❑ c.WEEKLY MU, ❑ d.MONT ❑ e.OTHERS WI PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Speci MY1. M]3. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL P CCR§2646 b.STATISTICAL PER 23 CCR§2646.1 MM. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 645 TESTING PERIOD: ❑ a.36 HOURS ❑ O M25. ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: [Ra.A L [Ib.BIENNIALLY C3 c.. R(Specify): mmW7 ❑ 6.VISUAL MONITORING DONE: ❑ a. ❑ b.WEEKLY IavI..m.,yv ❑ 99.OTHER(Specify): n¢s. V. PIPE MONITORING MONITORING IS PERFORMED USING T LL ING METHOD(S)(Check all that apply) M30. ❑ 1.CONTINUOUS ELECTRONIC MONITOG F PIPING SUMP(SyTRENCKES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAIN T IS: a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM ML. PANEL MANUFACTURER. M33. MODEL#: M3a. LEAK SENSOR AC M34- MODEL#(S): Mas. WILL A PIPING LEA RMER AUTOMATIC PUMP(i. TURBINE)SHUTDOWN? ❑ a.YES ❑ b.NO M35. WILL FAIL SCON TION OF THE MONITORING SYSTEAICiER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mat. ❑ 2.MECHANICAL LIN D CTOR (MLLD) THAT ROUTILY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WH A IS DETECTED MLLD FA R(s): 4. Mia. MODEL#(S): ❑ 3.ELECTRONI ELEAK TECTOR(ELLD)THAT ROUTINELY ERFORMS 3.0 g.p.h.LEAK TESTS ELLD MA CTURER: M°0. MODEL#: M41. PROGRAMME E INTEGRITY TESTS: a. INIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M43 WILL ELLD DETE O OF A PIPING LEAK TRIGGER OMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO MI3. WILL ELLD FAILUREIDISCONNECTION TRI ER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Ma. ❑ 4.INTEGRITY TESTING TEST FREQUENCY: �.a.A LY ❑ IS.EVERY 3 YEARS ❑ c.OTHER(Specify) MIs. MI6 ❑ 5.VISUAL MONITORING DONE: ❑ a.D ❑ b.WEEKLY" a MIN.MONTHLY a EACH nMe SYSTEM OPERATED•• Mn. •Ruwre.egcogWil ••Mtowaa r«aw�r«msamemeamws am.+dor f'�,e Pgas Dray e=xsc 4sszets(hN3) ❑ 6.PIPING 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) M4. SJCEHD-d(07/03)-1/4 07/13/03