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0 0 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE 1 <br /> TYPE OF ACTION ❑ I.NEW PLAN 2.CHANGE OF INFORMATION Mel <br /> PLAN TYPE 041MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. maz <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) _ _ <br /> FACILITY NAME 1L `k "TYQI.tI 1' -611. 16 ' Mm. <br /> FACILITY SITE ADDRESII%_38C�2eL�i M0"' CITY ��. No <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensprs,probes,line leak detectors,etc.)be performed in mob <br /> accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED % 1.ANNUALLY ❑ 99.OTHER(Specify): M0'' <br /> III. MONTTORMG LOCATIONS <br /> This monitoring plan must include a Sita Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, <br /> 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 <br /> form Hazardous Materials Business Plan ma .etc.)which shows all required information include it with this plan. <br /> IV. TANK MONITORING <br /> �M(ONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) mill I,CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS: ❑ &D:R1Y.,.74 b.LIQUID FILLED ❑ a UNDER PRESSURE ❑ d.UNDER VACUUM MD' <br /> PANEI,MANUFACTURER: \J¢ed�r CxvT�^^� Mrt MODE,#: _I—S— STS U13 <br /> LEAK SENSOR MANUFACTURER: 0 EY T-J- �- MM' MODEL#(S): -W--t{'—Q <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USEDTO MONITOR SINGLE WALL TANK(S) <br /> PANEL MANUFACTURER: Mt6MODEL#: M17 <br /> IN-TANK PROBE MANUFACTURER: MIM' MODEL#(S)'. M19 <br /> LEAK TESTFREQUENCY. ❑ ..CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY Mm. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): M31 <br /> PROGRAMMED TESTS: ❑ .0.1 g.p.h. ❑ b.0.2 ri h. ❑ e OTHER(Specify)' Mu. MD. <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 Ma" <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M15 <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ .ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26 M9 <br /> ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY/awd.a ycnryappavdl <br /> ❑ 99.OTHER(Specify): Mon <br /> V. PIPEMONITORI NG <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Moo <br /> AI.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)?RENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENq IS: K a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.TINDER VACUUM St" <br /> PANEL MANUFACTURER: leder T�� M72. MODEL 0: TLS- 3SI� sus. <br /> LEAK SENSOR MANUFACTMT19 'e-r RQC:-F MN MODEL#(S): 5 - rs' <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? W& <br /> &YES [Ib.NO sn" <br /> WILL FAILURFIDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMA'T'IC PUMP SHUTDOWN? &'a.YES ❑ b.NO mvr' <br /> 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND �n RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK LS QETF.�'TER \ /�T. Mas. MODEL q(S): ( r Mlv. <br /> MLLD MANUFACTURER(S): �L _L <br /> ❑ 3.ELECTRONIC LINE LEAK DEITiCTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> ELLD MANUFACTURER: M-o' MODEL 0: M01 <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ .MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1&p.h. mat <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M°r' <br /> 1 WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ❑ b.NO Moa' <br /> ® 4.INTEGRITY TESTING <br /> ((" TEST FREQUENCY: a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ C.OTHER(Specify) MR' Mau <br /> S.VISUAL MONfI'OR11gG DONE: a.I)AILY [3 b.WEEKLY- C.MIN.MONTHLY&FACH TIME SwDeM OPERATED.- M-7. <br /> O 451.t70SkE' Qlt �'Q.-�'1 <br /> alI"I -"droa iaawe•] ••nnowd mr momigmw a wli oe�sme.w and ww'a mtytat rrsc 6152111 5(b)(3)6.PIPING IS SUCTION P PING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) <br /> [.�7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> ❑ <br /> 99.OTHER(Spectly) mos. <br /> SJCEHD-d(07203)-1/4 0721/07 <br />