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wRTI'I'EN MONITORING AND RESPONSE PLAN <br /> UNDERGROUND STORAGE TANK MONITORING an X'ROGRAIVI <br /> t be kept at the UST location at all times. �ta alth l)ep monitoring <br /> t�2 g�program9- ore <br /> This monitoring program mus t The permit holder must notify <br /> conditions of the operating permi• Procedures,unless required to obtain approval or a permit before snaking <br /> within 30 days of any changes to the monitoring <br /> the change,pequired by CCR 2632(d)and 2641(h) <br /> y DATE - <br /> FACILITYNAM.p <br /> FACILITY ADDRESS <br /> 1.Name(s)and Title(s)of the people responsible for performing <br /> the monitornag and/or maintenance <br /> 1 . o. <br /> 2.Desc'be the frequency of performr. <br /> ing the monitoring fo / <br /> PIPING <br /> TANKS <br /> 3.Describe the location(s)of where the monitoring will be performed ie: location of sensors <br /> 4.Describe the following equipment for each underground storage tank <br /> Name and Model of Monitoring Panel <br /> Name and Model of Line Leak Detectors r <br /> Name and Model of Annular Sensors <br /> Name and Model of Piping Sensors <br /> Dispenser Sensors L �. - /. <br /> Name and Model of Disp n <br /> Type of overfill prevention <br /> 5. es 0 No <br /> Do the Turbine Sensors and Dispenser Pan Sensors shut down the turbine? Yes❑ No❑ <br /> Does the turbine shut down if a sensor is discor Panellosesower? yes 0 No❑ <br /> Does the turbine shut down is the monitoring p P <br /> 6.How will the alarm history and subsequent maintenance be recorded? <br /> C .n <br /> 7 Maintenance of the monitoring equipment must be performed at least once every 12 months.What month will <br /> Describe the preventive maintenance schedule and recording for a monitoring equipment. <br /> annual monitoring certification.be performed in? <br /> 2003. <br /> Note-For new installations the secondary containment must be tested 6 months afrer installation.All secondary containment sys e <br /> must be rested once every 36 months with initial testing performed before j)ecember3l, <br /> S.Describe the training necessary for the operation of UST system, including piping and the monitoring <br /> equipment. <br /> 1;\nytemi-le\U571moniwringplan.doe . <br /> 127/2002 <br />