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0912812004 09:06 FAX 1 209 957 4163 PAO FFORL A/P 9 005 <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN—PAGE 2 <br /> MONTIORING OF AREAS B04FATH DISPENSER(S)IS PERFORMED USING TIM FOLLOWING NaTHOD(s)(Check all that apply) 7WF.- <br /> ❑ I cols;Tzruous ELECTRONIC mowrralz�Io OF UNDER msp7R CONTAINMENT(UDC) <br /> PANEL MANUFACTURER an,— Liao MD. MQJDEL11:_-rzS- <br /> LEAKSENSORMANUIrACTUREFU V4'dgb,;FA- Vm7- """ MODEL#(S) 3*-140.2 Ms.. <br /> WILL DETECTION OF A LEAr,INTO TIM UDC TRIGGER-AUDIBLE AND VISUAL ALARMS? a-YES El b.NO <br /> WILLA 17DC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTXwN1 A.YEs 0 b.NG MIS, <br /> WILL FAMURMISCObVECTION OF UDC MONITORING SYSTEM TPJGrjtX AUTOMATIC PUMP SHUTDOWN, IS a_YES E] b.No <br /> 0 2-MECHANICAL ASSEMBLY(e-r-FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SWRAA VALVE IN CASE OF LEAK <br /> ASSa1HLY?vL224VFACTVRER- MEL MODEL#(S): cos. <br /> Ll 3VISUALMONITORING DONE. El 1,DAILY Ej b-WL-IIQy <br /> [3 4.NO DISPENSERS <br /> ❑ 99-OTHER(Specify) MR. <br /> .M -i; - z <br /> m <br /> A <br /> ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROLBOARD THAT WE MUST IMPLEMZKr BNH-kNCE0 LEAK <br /> DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN-PER 23 CCR§2644.1,ELI)IS PERFORMED EVERY 36 MONTHS AS Rrqunum <br /> 0 1-11..n <br /> 031 <br /> -TRALTEW <br /> REFERENCEDOCUblENTS NLAINTAINFD ATFACILITY(Cbmck all th;m apply) ME% <br /> I- IE THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2- OPERATING MANUALS FOR mEmomc MONITORING EQUIPMENT(Required) <br /> .3' THE FACII=SBEST MANAGEMENT PRACTICE$(Required As.f 1-)-06 <br /> 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> .5. JE CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. 0 STATE WATER RESOURCES CONTROL HOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL IN76=ORY RECONCILLATION'' <br /> 7 [3 SWFCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS' <br /> 99.0 OTmrx IsFacifyy— mil <br /> Personnel with UST tnommint respoasibilhla am furuilitr with all of the above docu,n=u mje.anl to their jab dulie,and can xe,,s thm,document;-b.needed. <br /> ]3yJ-t --D5.tWs fAcility will have a'Doigmied UST Opermof"who has passed the operasor ezarrr aduxiuistraed by rhe International Code C,oneij(ICC). Byjwy <br /> 1.2004,Wo-0011211Y thcrmfkcr,the 4D@si9Mcd UST Operumr'will train facility employees in the/toper operation and majotgnmee of the UST systems. This <br /> training"ll include,bur is not limited m,the f'hIlvw;nV. <br /> > Operation of the UST systems in a manner consistent with the fhcllltyts t)cst namagomenr Practices. <br /> > The Wliv)r curplay"'$NJC with regard w 5pflis and mErfilts, <br /> > Whom to contact for ernergcncin and Irak detection alaxtrz- <br /> For facility employee hired on or after Il"0,S the iuiti.11 tcuning will be conducted v4on 30 days of the date of hire. <br /> OEM T <br /> Jm. <br /> Mcm. T <br /> Wm!- :.r. 1 ; ,-.. .... <br /> i•i <br /> (eg.,am)13m3lrh2brmtabcnrequited byyour local agency): MS. <br /> lsxzl� in. SP <br /> LIST OF— <br /> L <br /> —AS OFFI- ERATOR7'MWEENTIREN-N -SIECUMON POT—THE CURRENT UST_VY17RINU FEFMIT APPLICATION <br /> FACILITY FORM WILL HA%rE ULTIMATE AUTHORITY FOR ft?-fQRMLN0 THE MONITORING ACTIVITIES AND MArNT.4jNING LEAK DET=N <br /> EQUIPMENT COVERED By THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACH=S <br /> UST SYSTEMS INAOCORGANM WITH 23 CCR§2715 p,.. <br /> A <br /> TGWXU�IRV <br /> CIER7XVk2MN:I a" Th e information pmvlded herein is true and ummte to the best of elly ImqwjedL*. <br /> 0 RS .NA kepll-msr- NG DATE: <br /> Ll O-rwr mso, <br /> L)Operator <br /> OWN"ATURNAM P(print): r--'l OWNER/OPERATOR TITLE: <br /> (AKFACY Use Only) This plan has been reviewed 0 Approved [3 Appro,,cd With Conditions 0 Dmqnr-a�ed <br /> Local Agency&Za=rr: Dam: <br /> catrmleamisp"'.1 conditiong: <br /> SYCEILD-d(07/63)-3/a 07/23/03 <br /> pe mvd ?10074 H-LdJj E6tr699p60t9Z:97 t100Z/LZ/80 <br />