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SAN JOAQL4..rf:OUNTY ENVIRONMENTAL HEALTH,,..YARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN -PAGE I Mat. TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION Moe, PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Onl}) M03 FACILITY NAME L, r4[, �� M04 MOS. CITY S'/.DC .✓ L FACILITY SITE ADDRESS �D33 I!� CQARXCt L..)rq Ae II. EQUIPMENT TESTING AND PREVENTIVE MAINTENAN State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in mos_ accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. Mor. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 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.,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 form,Hazardous Materials Business Plan ma ,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MIO. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) M"SECONDARY CONTAINMENT IS: QLa.DRY ❑ b.LIQUID FILLED a ❑ c.UNDER PRESSURr�E./�- ❑ d.UNDER NDER VACUUM MI3 J . PANEL MANUFACTURER: l�pP'A fi�('i ` CSLar _ MODEL#: Mts. LEAK SENSOR MANUFACTURER: / SL-- -�S ./ e _ _ ]Z�7,_ M14. MODEL Y C/ - 35'7 A2.AUTOMATIC TANK GAUGING(ATG)SUSEDJOM7NITORSINGLEWALLTAM6ISIM17.PANEL MANUFACTURER: �'e - � aMODEL At: % S)M -r, Mt9. -TANK PROBE MANUFACTURER: v /Zpd7� Mts_ MODEL#(S): t c 3 SZ� �S<-673" M20. LEAK TEST FREQUENCY: a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY d.MONTHLY ❑ e.OTHER(Specify): 1N11 Mzz ruJ. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2&p.h. ❑ c.OTHER(Specify): Mx4 ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 El b.STATISTICAL PER 23 CCR§2646.1 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 m2s. TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 Mee_ mer. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Reynire.ngeney npprovnU mza. ❑ 99.OTHER(Specify) V. PIPE MONITORING MJO. MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyTRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: a.DRY 11b.LIQUID FILLED ❑ c.UNDER PRESSURE E] d.UNDER VACUUM M33 PANEL MANUFACTURER: �� e aR 62ee f _ W2. MODEL#: T5 - 3siJ . LEAK SENSOR MANUFACTURER: l Re'L Leaf- M34MODEL#(S): :S L 3 STJ M" WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? cfa.YES ❑ It.NO Min WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? Er a.YES ❑ b.NO ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED - W9. MLLD MANUFACTURER(s): M36 MODEL#(S): ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS Mor . ELLD MANUFACTURER: M40MODEL#: M42, PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mir. ❑ 4.INTEGRITY TESTING Mos. Moe. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ❑ 5.V ISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY- ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED-- m47 •Requee.agency WProvil '•Mlow for monitoring orunburied encgency gen ntor fuel piping only per HSC§25291.5(6)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Moa. ❑ 99.OTHER(Specify) 07/23/03 SJCEHD-d(07/03)-1/4