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JUN-24-2005-FRI 07:29 AM pAli
<br /> SAN JOAQLIN COUNTY ENMONNSNTAL HEALTH DEPARTMENT
<br /> UNDERGROUND STOR.4,GE TAINK
<br /> MONITORING PLAN-PAGE I
<br /> TYPE OF ACTION El 1,NEW PLAN [D 2.CHANGE OF WFORMATION Me).
<br /> PLAN TYPE ❑ MONITORING IS IDENTICA.1,FOR ALL USTs AT TXS)FACILITY. MOL
<br /> (Check one item only) ❑ TkUS PLAN COVERS ONLY T131 FOLLOWING UST SYSTEM(S):
<br /> AG M:,77.7 777777
<br /> -rim.
<br /> FACILITY ID#(Agatay Use Only)
<br /> FACILITY NAM2
<br /> FACILITY SITE ADDRF'SS
<br /> mv
<br /> 911STIA 5,11153r,'i
<br /> Stat"1aw requires ilut lostin9,preventive maintetencr,and calibration DfrTIOUit0ritIg 8qUipMeut(2.g.,Sensors,probe%line Juk dewcmxs,etc.)be perfo=ed in NX
<br /> Dr(IMCE With the eq11jpWBjj( jriSftiw4i ons,or armuelly,whichever is more frequent. Sueb work must be performed by qualified permonW.
<br /> MONITORING EQUIPMENT is SERVICED It 1.ANNUALLY El 99.OTIMR(Specify):
<br /> .10.'1_ --"'-,0' '.R ARE,
<br /> hl��r ;. .�;.�'i;i!
<br /> This monitoring plan must include a Sim Plan sitiowing the general'tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor,
<br /> hoe leak detector,mortaring system oDutrOl P104,Etc.). If you 11rasdY bave a diagmn(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification
<br /> form,Hazardous Materials Business Plan map,c(c.)which shows all reguired infounatim,include it with this plam
<br /> '91 ��"Mwi
<br /> MONITORING IS PURFORI SD USING THE FOLLOWING METHOD(S):(Check 01 that apply) M10.
<br /> 7L1.CONTINUOUS ELECTRONIC MONIT'QR.L\'Cj OF TANK ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTARey1E:NT VAULT(S)
<br /> SECONDARY CONTAMTNE-NT IS: tp a DRY [] b-LIQUID FILLEn ❑ c UVDFTtPF_FSSURE El d.UNDER VACUW wl-
<br /> PANE1 NLOANLTACTURER_- V2�� MODEL 0: M13,
<br /> LEAK SENSOR NLWUFACTURER; k=1 M14- MODEL#(S): '7 WS.
<br /> El 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SWOLL WALL 'JK(S)
<br /> ?A,ML MANWACTURER: V-16- MODEL#: W7.
<br /> W-TANKYROBE MANUFACTURER; M11- MODFr-#(S): M9.
<br /> LEAK TEST FREQUENCY: 0 a.CONTINUOUS ❑ b.I)Amy/NiGErmy D Co.W=Y
<br /> ❑ 4.MONT13LY ❑ e.OTHER(Specify):
<br /> PJkOrjR,AYWZD TESTS: El a-0.1 g P-h 01 S p-b E3 c.OT TER(Specify)! Mme' M
<br /> Ej 3,INVENTORY RBCONCMLAnON 0 a-MANUAL PER 23 CCR§2646 LJ b.STATISTICAL PER 23 CCR§26461 M14.
<br /> El 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR t2645
<br /> TESTING PERIOD; Ej EL 36 HOURS ❑ '6.60 FOURS M25,
<br /> F 5.INTEGRITY TESTING PER 23 OCR§21543.1
<br /> TEST FREQUENCY. a ANNUALLY El b.BIENNIALLY ❑ c,070JER(Specify):
<br /> 6XISUAL MONITORING DONE: -IS a.DAILY 0 b.WEEKLY(TtqLdmnm,y.pp.,a1)
<br /> El 99.OTHER(Specify): M29.
<br /> MONITORING IS PERFORMED USING TEE FOLLOWING METHOD(S)(Check WI that apply)
<br /> I.comnmcms FLFc7poNic mo?,7roRjNrj OF )ANT OTHER SECO-AMARY CONT_AJN',�MNT
<br /> SECONDARY CONTAINMENT 1�; to ..DRY El b.LIQUID FILLED F1 c.UNDER PRESSURE El d.UWVACUUM
<br /> PANG MANUFACTURER. gL — Q.,;= I' MODEL 0, :a 4; — �C�
<br /> LEAK SENSOR MANWACTURER: H134. MODEL O(S); CY*Y'3 W
<br /> WILL A PIP11465 LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBR;E)SHUTDOWN? IQ.a.YES ❑ b.NO
<br /> WILL FAIL=-DISCONNECTION OFTRE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? tj 3°YES ❑ b.No 1,37.
<br /> 12.MECHANICAL LM LEAK DZIECTOR OalD) THAT FQTJTBqELY PERFOJILMS 10 g.p.b. LEAK TESTS AND RESTRICTS OR SUUTS OFF
<br /> PRODUCT FLOW WREN A LEAK IS DF-TECTED
<br /> ki-LD MANTUFACTURER(s): e—'& ImaJ
<br /> MODEL 4(S); T1tN M39.
<br /> ❑ dL
<br /> 3.ELECTRONIC LM LEAK DETECTOR(ELLD)T14AT ROUTINELY PERFORMS 3.0 g.jp.h.LEAK TESTS
<br /> ELLD M,'J�WAUTURER: MO. MODEL#: M41.
<br /> PROeR,101o"ED LINIS INTEGRITY TESTS: C3 a.MTNUaW MOIN71-U-Y 0,2 g.p,b. ❑ b.MINDAUM ANNUAL 0.1 jq.b, M42.
<br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SRUTDOwN? Ej a.YES El b.NO
<br /> WILL ELLD FAILUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? E] &YES [I b.NO
<br /> T4,INTEGRITY TESTING
<br /> TESTM-QUENCY: [If a.ANNUALLY 0 b.EVERY 3 YEARS C c.OTHER(Specify) b451
<br /> 5.VISUALMONITORUNC3 DONT;: a,DAILY El b.WEEKLY" [7 0.MN.MONTMY&BALH 7WE SYSTEM 01FERATjF!D-- W7°
<br /> *RNUI"a,,ncyVpuy,1 11 AlIwO for wor6tofing ofwAndtJ Mill S(b)(3)
<br /> ❑ 6.PrPNG IS SUCTION PIPING MEETING ALL REQU02MENTS FOR B)MMPTION FROM MONITORINO PER 23 CCR§2636(aX3)
<br /> ❑ 7,NO PRODUCT OR REMOTE FILL PIPING IS CONNECTEI)TO THE UST(3)
<br /> ❑ 94,OTTER(Specify)
<br /> SICEB)M(07/03)-V4 07/7.3/03
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