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l SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN -PAGE I Mgr. TYPE OF ACTION E] 1.NEW PLAN 2.CHANGE OF INFORMATION MOP. PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one iteln only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Ilse 17r11v) - M03. FACILITY NAME J N104. CITY + f ✓� Mas. FACILITY SITE ADDRESS r+ LL II. EQUIPMENT TESTING AND PRFtVFNTIVE MAINTENANCE State Saw requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in Mab. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. Moa MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): III. MONITORING LOCATIONS This mmtitoring plan must include a Site Plan slowing 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 fano a Monitoring System Certification form,hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING M10 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 VAULTS) MI I. SECONDARY CONTAINMENT IS: E�a. RY F1b.LIQUID FILLED E] c.UNDER PRESSURE Eld.UNDEkVACUUM M12. MODEL#: (� M13. PANEL MANUFACTURER: V 1P f� t_ LEAK SENSOR MANUFACTURER• M1a. MODEL#(S): MIs. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) I q 3 gj>--ya 0 M1a, PANEL MANUFACTURER: M", MODEL#: MIs. MODEL#(S); M20. IN-TANK PROBE MANUFACTURER: LEAK TEST FREQUENCY: [I a.CONTINUOUS ❑ b.DAILY/NIGHTLY F1 c.WEEKLY Mzo. El d,MONTHLYe.OTHER(Specify): Met. M22. M23, PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): ❑ 3.INVENTORY RECONCILIATION [3a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 Mza. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 hf25 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY El b.BIENNIALLY El c.OTHER(Specify): Mzb. 11127. 6.VISUAL MONITORING DONE: K a.DAILY ❑ b.WEEKLY(Requires agency approval) Mzs. 99.OTHER(Specify): V. PIPE MONITORING M30, MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) IF. 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)rrRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT 1S: a.DRY b.LI -UlD FILLED ❑ c.UNDER PRESSURE ❑ d.UND"E-R�,VACUUM M31. PANEL MANUFACTURER: Ve 1412- MODEL#: �C./ Mai. LEAK SENSOR MANUFACTURER: r 1,,114. MODEL#(S): �1 "' M WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? [ a.YES ❑ b.NO M"'WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? t4a.YES ❑ b.NO Mia' 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 DETE EDj. r- MLLD MANUFACTURER(s): e 'k f-Q� M3$ MODEL#(S): M3q, ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TCSTS ELLD MANUFACTURER: M40. MODEL#: Mal. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTI ILY 0.2 g.p.h. [Ig�P� b.MINIMUM ANNUAL 0.I h. Maz. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43' WILL ELLD FAILURE/D[SCONNECTFON'FRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) MaS. Mab. [$ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. 1 *Requires agency approval ""Allowed or monitoring of unburied emergency generalar fuel piping onty per HSC§2528t.5(b)(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) 1,k48. ❑ 99.OTI4ER(Specify) S.ICEHD-d(07103)-1/4 07123103