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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION M ].NEW PLAN _ ❑ 2.CHANGE OF INFORMATION Mot PLAN TYPE Iff MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Mol_ (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) FACILITY NAME `' r FACILITY SITE ADDRESS y7SI S 14/ PoxI w M00 CITYS7© m°s_ II. EQUIPMENT TESTING AN13 PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in Moe, accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED PO I.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.,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 map,etc.)which shows all required information include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mm. �f 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ❑ a.DRY �,b.LIQUID FILLED ❑ a UNDER PRESSURE ❑ d.UNDER VACUUM Mr. PANEL MANUFACTURER: �IE6ir71Ei? .C�co% T4S-dfD M13. MODEL#: it TLS S.50 M13. LEAK SENSOR MANUFACTURER: M14. MODEL#(S): MI5_ ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: .vZIA M16. MODEL#: M11, IN-TANK PROBE MANUFACTURER: MIa. MODEL#(S): M19. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY Mau. ❑ d.MONTHLY ❑ e.OTHER(Specify): M31. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): Mn. Mn. ve<6k ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 MN ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS mu. 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY c.OTHER(Specify):.1 -f� W6_ Mn ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(aeyui,rs eamcya..man ❑ 99.OTHER(Specify) Mas. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. [� 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SYFRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT I�S, ;,:I a.DRY ❑ b.LIQUID FILLED [I c.UNDER PRESSURE [_1d.UNDER VACUUM M31 (� . PANEL MANUFACTURER* _ 6�6712 1 APQOT M31 MODEL#: TZ-r- U-0 M33' LEAK SENSOR MANUFACTURER: (ZonT MJ6. MODEL#(S): ZfY3G0-208 M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? [A a.YES ❑ b.NO M36. WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? P0 a.YES ❑ b.NO MA. 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 MLLD MANUFACTURER(s): /=G 7ai-2 D Mia. MODEL#(S): S7A. M La M39. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: M4n MODEL#: MU. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M43. 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 M44 ❑ 4.INTEGRITY TESTING TEST FREQUENCY: a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46 ❑ 5.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY" ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** Mor. e Require'.'app w •.Allowed for monimdna of imbw emeswn arnamor fuel pipirt,miy per HSC§3538I.N6X3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) Mae. SJCEHD-d(07/03)-1/4 07/27/03