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a a UNDERGROUND STORAGE "1 MONITORING PLAN - PAGE 2 I V1. DSf%5ERMON _1T0R1NG:::: . \10 OF AREAS BENEATH DISPENSEF(S j IS PERFORMED USING THE FOLLO WING METHOD(Sl cl,cCk all Thar apply) L7TORING CONTINUOUS ELECTRONIC NIONITOWNG UNPER DISPENSER CONTAINMENT (UDC) PANEL MANUFACTI-RER; Veatz MODEL #: TI -5 - 35b LE %K SENSEPT, IMAIIRHACTURER: n31 MODEL #(S): Tit SAM�� W . WILL DETECTION OF A LEAK INTI) THE UDC -rPI(;(,TFR A(.1.DT31_F_ AND VISU-AL ALARMS? P`�, YEy F1 b, NO .. WILL A UDC LEAK AL1AR314 TRIGGER AT PUMP SHUTDOWN? P1, Yli-s L b, No mu WILL I-AILUP-21DISCONNrECTION Or UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOIVN? 1�YES 0 b. No 2, MECHANICAL ASSEMBLY (e.g.. FLOAT AND CHAIN ASSEMBLY) IN IJDC TRIPS SHEAR VALVE IN Cjx1_4E OF LEAK ASSEMBL)'1%4.eL,NUF.,xCT(JP-F-R: M"- MODEL 9(S): WiQ. ❑ 3.VTSUAL MONTTCIRING DONE: EJ a. DAILY 0 h WEEKLY (Fc,luirrt,iwnqyapproval) h-160. 4.NCIDISPENSERS ❑ 99. OTHER I'Specify) N16t ED:�LEAK DIET C T ---------------- ❑ 1. WE HANT 13 FEN Nr)TIFIED BY THE ST. -,TF AVATER RESOURCES CONTROL BOARD THAT WE NI UST IMPLEMENT ENHANCED LFA K rt FEFE_RNCE DOCUNIF_NTS MATNTATNED AT FACUTY lChcck all that apply) J I Eg,' THIS UNDERGROUND STORAOE TTMONITORING PL -,\N (Rcquired) 2. 2 --OPERATING NIANUA.LS FOR ELECTRON Ir MONITORING EQUIFMENT (Required) a- 0 THE FACILIT)"S BEST MANAGEMI_N_r PR_-V.:TI(:ES (Required as of 7/1/2004) 4. 0 CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE "TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (S*'RCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATiSTJC.41. INVE-NTORY RECONCIUAT)U\1"' 7, ❑ SARCB PUBLICATION: -'TATEKLY NIANU-U. T,,iNK GAUGING FOR SMALL UNDERGROUND STORAGE TANTYS" 914. LJ OTHER i Specify): MEL. Persunnel —ith UST monitoring responsibitiiies are farriiliaT with all of the above documents relevant to (fiefi job duries :uld can Acx:i4 those documcav-z when needed, By JuLv 1.2004. this facility will have a Dcignatcd UST Operator' who has pw=d the operator examadministered by the International Code Council (ICC). 13), july 1. 2004. and annually thereafter. the "Designated UST Operator' will train facility employees it, Lht- proper operation and mainwnanee ofthe UST systems- 7'hl:; ti-Z,11160z, WRI i;KlUdL' but is r10E linuled CO, the 150110wh1g: > Operation of die LIST symems in a manner consiscera wish the facility's best managcnicm pfaCtICeS. The facility employee's YvJe with regard to the leak dctcCtiDn CqUipnienT. The faciliry employee's role with regard To spills and overfills. > Whom to contact for 0MCT-,CnCiC9 and Ical-1cm.crion alarms. F,17 facility employees hired on OT after July 1. 2004. The iriftial Trjiziin,, will be Conducted within 30 days of tate dare of hire. NUTS, �ArD�[TYorrAL Yo FICaSC use this Socdon to include 31))p a0dilk,Etal LIST system moniloting-Tvlutri� informacion ic,g, Adftion-al intOTM41iOn TCqUiTcdbyyc-0r lo)cal agencyj: �'.IRJ, EL RESPONS BIL TIE S:: PEI$IT -:, I1S Or- 7/l/2004, T14L --DPSIGNATE!7D li.S I' 0PEF1,ATOR7 IDENTIFIED IN ql2CTION III OF THE CURRENT UST OPER_)ITTNC, PERMIT APPLICATION — FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMI.I;G THE MONITORING ACTIVITIES AND MAINTAINING L.FAK DETECTION EQUTPMENTCOVERED BY THIS PLAN, AND '"'11L PERFORM AND DOCUMENT MININTUNI MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR § 2715(b). 0"k.k., 6PERAT4k,'S-1,GNATURt /tfRTI FICATTON; I certity that the infoqmation provided herein is true and accurate to the best of my knowledge. aLLLZSS\ l'INIi p rNIaR11PE O SIG TT' [3-Owncr NOr DATE: OperatorCkl *WE- R) 0 4f, NAN.Iji (prier):P n hi �( - r,ANEWOPERATUR TITLE- J) ''i �)i i i ' �c 04.1ja6e r _ r 1,4gen.:.)US!& orth.) This plan has been reviewed 2iIIJ: ❑ Approvcd C1 Approved Witli Conditions ❑ FASapproved Local agcticySignamre: Dare: Commenus;Spev.;ial Cunditions; SJCE HDA (07103) - 34L t-0 3L:t.� �F_110_1_d Hi -JI -d t7:: H'D 17 6 0., 0::-:60 07IZ3103