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<br />SAN .TOAQt, iN COUNTY ENVIRONMENTAL HEALT . DEPARTMENT
<br />UNDERGROUND STOP-,kGE TANK
<br />(MONITORING PLAN - PAGE 1
<br />n'PE OF ACTION ❑ 1. NEW PLAN E 2, CHANGE OF INFORMATION MO1
<br />PLAN TYPE MONITORRJG IS IDENTICAL FOR ALL USTS AT THIS FACILITY.
<br />Ch`ck nt,e iron anly) ❑ THIS PLAN COVERS UNLY THE FVLLOt.'4'ING UST SYSTEM(S)'
<br />_
<br />FC[LIT INFC1Ih14TIC]N
<br />FACILITY ID 4 (Agency i 'se On1�s1
<br />FACILITY NAME
<br />FACILtT r" SrrE ADDRt Ss .� r F' (� `�-L�(� rf��
<br />CITY `'�-. ��' I� •' Mai.
<br />9-'T1�1G:° 1'DTwwi--�ETi1'"'i'XxVIl I IATNT
<br />El &VISUAL MONITORINGDONE: ❑ a. DAILY ❑ b.VdELFtiLYrlAquir4sn�eneynppu,vnU
<br />,tate law Tequlms Sh,'a reStyng, preventive 'ttlaituenancc. and Calil)ration of nionitorhig equipment (e,g.� Sensors. PT(kbe5. Ilene Irak dctcctC,rs. cic.) b,r prrf(,rtnM in h([Y.
<br />accordance with the equipment manufacturers' insuticrions, or annuaifv, whichever is more frequent. Such work must be perfvrmcd by qualified persunnel.
<br />MONITORING EQUIPMENT IS SERVICED JW1 _ ANNUALLY ❑ 99.OTHEk (Specify):
<br />� , ! ,, �„ �IX�I +7VIC)NXj',C?RIiY.G L�;,t+ �'TIt?.�75 � �!, •.; �' � iii 1,
<br />This mouitci'iug plan must include a Sitc Plan showing the general tank and piping layouO and the locations (('here monitoting is performed (i.e., location of tach scnci,r,
<br />line 1cak dctKctor, moniroring system �onvol panel etc,), If you already have a diagram le.g., current UST Monitoring Site Plan from a Monitoring System Certification
<br />t:,— rd--„dni,c M teriklc Phnci—ee Plun man rte I vehirh k— 'll it uirF, rliic e,l�
<br />I� ` +ANK NSONITUI NG _
<br />h'IO "(TOR N11S PERFORMED USING THE 1=OLLOR'ING METHOD(S): ((:heck all that applyl rnn,
<br />W1. CONTINUOUS ELECTRONIC MONITORNG ()F TANK ANNULAR (TNI -EP :TITTAL) SPACE(S) OR SECONDARY CONTAINMENT V,A,ULT($)
<br />SECONDARY CGNTAfNIvIFNT IS: ❑ a. D Y e1b. LIQUID FILLED( ❑ C, UNDER PRESSCRI3 [:1d. UNDERNrACUUM Fill.
<br />PANEL NIANLTFACTURER: Ge `itz. MODEL P; I -'LS - 31,60ril3.
<br />LEAK SENSOR NIANUFACTLTRER: jjee44tir `i l' MODEL #(S i: MIS.
<br />❑ 2, A- 1-70 IATIC TANK VAUt rlNG (ATO) - YSTFAI UJED TO MONITOR 5C, LE )L. LL TANKS)
<br />PANEL MANUFACTURER: _ NMODFL M+7
<br />JN-TANKPROBeMANUkACTORER; _ mix, MODELit(S): Y nit9.
<br />LEAD TEST FF.EQ1JBNCY: ❑ 3.c ONTW.IOUS ❑ b, DAILY/NIGFIT'LY tj c, WEEKLY Mea.
<br />© d, MONTHLY ❑ e. OTHER (Specify), slat.
<br />PROGRAMMED TESTS: ❑ a. 0,1 g,p.h. ❑ 1,. 0.2 g.p.h. ❑ c. OTHER ISpecifYl: ;+72'2.
<br />1+12:1.
<br />3. INVENTORY RECONCIL.LATION ❑ a. MANUAL PER 23 CCR ,*2646 ❑ b. STATISTICAL PER 23 CCR §264E.1
<br />�a
<br />❑ 4. WEEKLY MANUAL TANK GAUGING (MTGI PER 23 CCR §2645
<br />TESTING PERIOD: Ela. 36 I OURS ❑ In. 60 HOURS
<br />1,Tr5.
<br />❑ 5, TTI I k.URITY TESTING PER 23 CCR 1+2043.1
<br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ h. BIENNIALLY ❑ c, OTHER (Specify): niac.
<br />rx�.
<br />El &VISUAL MONITORINGDONE: ❑ a. DAILY ❑ b.VdELFtiLYrlAquir4sn�eneynppu,vnU
<br />❑ 9)) . OTHER. (SpcciG
<br />PIpE I1!�!41URYG
<br />h10ITORING IS PE .FI
<br />RFr7IthiLi7 USI -;G THE F+ LLGV I:dG hILTH1Diti) (Chock aiitharapply)
<br />P 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SLTMP(S)iTRENCH(E,S) ,AND OTTIER SECONDARY CONTAINMENT
<br />eECONDARY Cr7NTAINMENT IS: a. Dk ' b, L1QU1D FTI.LED ❑ c, UNDER PRI SSURE ❑ d. LfNDERVA<'UUM
<br />hail'
<br />PANEL MANU'FACTUTRER:d MODEL I=: 71,S —
<br />LEAK SENSOR NIA:N11FACTl_TRER: f ntla. MODEL (S1: TJ'+ 3
<br />1 Ls.
<br />WILL A PIPING LEAK ALARM TRIGGER Al1TONIATIC PUT -11' (i.e„ TURBINE) SHUTDOWN? ❑ a. YES ❑ 6 -'NO
<br />/ WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERAUTOMATIC PUN•1P SHUWU.
<br />TDON” YF5 ❑ 11, No
<br />V=- MECHANICAL LINE LEAK DETECTOR (NiLT.TI I THAT ROUTINELY PERFO,RNTS 3.0 e,p,h. LEAK 'f£S'rS AND RESTRICTS OR C,HUIS
<br />OFF
<br />PRODUCT FLOW WHEN A LEAK ISETE "TED
<br />r
<br />MLLD MANUFACTURF-R(s): 'Tc. 't/ MODL-L #(S):
<br />❑ 1 ELECTRONIC LINE LEAK DETECTOR IELT_DI THAT ROLITINELY PERFORMS 3.0 tt.p.h. LEAK TESTS
<br />ELLD NIANUFACTIJRER: Mai1- MODEL P:
<br />Mai.
<br />PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.I g,p.h,
<br />Ma=.
<br />WILL ELLD DETECTION OF _2 PIPING LEAK TRIGGER .AUTOMATIC PUMP SHUTDOV, N" ❑ a. YES ❑ h. NO
<br />MO.
<br />WILL ELLD FAILUR.E,'DISCONNFCTlON TRIGCTFR AUTOMATIC PUtvIP SHUTDOWN? ❑ a. YES ❑ b. NU
<br />12/4. INTF-GPITY TESTING
<br />�
<br />TEST FREQUENCY: I , a. ANNUALLY Q b. EVERY 3't''PARS ❑ c. OTITER (Sl ccify) alas.
<br />❑ $,'VISUAL MONITORING DONF: ❑ a, DAILY ❑ b. WEEKLY' ❑ c.1111N MONTHLY & EACH TIME SYS IEt] d UPcR+',TED"
<br />Mai.
<br />i(eyuire5 nacr ry r,;,pm al -Allowed fr,r winiloring of unburied ennersenep genera —fuel piping; auly per HSC k252E 1.S(bl(3)
<br />❑ r, PIPING IS 51_ICTION PIPING MEETING ALL REQUIREMENTS FoR EYENIPTICIN FROM M01111TORING PER 23 CCR §2636(x)(3 y
<br />e7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE LIST(s)
<br />❑ 99. OTHER (Spccifyl
<br />Mas.
<br />SJC EHD-d (071031-1/4
<br />07123/03
<br />-Cl aCIMA HiAIA '�;_I=;,_ :F, 0 170Cl„/c,-/T(1
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