Laserfiche WebLink
UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE 2 <br /> VI.DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M50, <br /> P I.CONTINUOUS ELECTRONIC MONI/TORIN,CJ�OF UNDER DISPENSER CONTAINMENT(UDC) -T �} <br /> PANEL MANUFACTURER: y+ edc �lykt) + ms1, MODEL#: IL-J'��57�) M52. <br /> LEAK SENSOR MANUFACTURER P(CIE 1 PCIct mss' MODEL#(S): '1I-I - UfC m14. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? Uj a.YES ❑ b.NO <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? (!ra.YES ❑ b.NO ms6. <br /> WILL FAILUREMISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? r a.YES ❑ b.NO mn. <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: Msa. MODEL#(S): M59 <br /> ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(RW,. maw. <br /> ❑ 4.NO DISPENSERS <br /> ❑ 99.OTHER(Specify) M61_ <br /> VII. ENHANCED LEAK DETECTION <br /> ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M70 <br /> DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> VIII. TRAINING <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) M60- <br /> I. ['THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. 9�OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. ❑ THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1101/2005) <br /> 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> S. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br /> 99. ❑ OTHER(Specify): Mal. <br /> Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to theirjob duties and can access those documents when needed. <br /> By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By <br /> January 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. <br /> This training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br /> ➢ The facility employee's role with regard to the leak detection equipment. <br /> ➢ The facility employee's role with regard in spills and overfills. <br /> ➢ Whom in contact for emergencies and leak detection alarms. <br /> For facility employees hired on or after January 1,2005,the initial training will be conducted within 30 days of the date of hire. <br /> IX. COMMENTS/ADDITIONAL INFORMATION <br /> Please use this section on include any additional UST system monitoring-related information(e.g.,additional information required by your local agency): Mss. <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS OF 111105, THE"DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION- <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THIN MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2715(b). <br /> XI. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> QWNER/OPERATO/SIIIATU E REPRESENTING DA M91 <br /> Owner mw <br /> ❑Operator <br /> WNER/OPE TOR NAME(print 1"W. WNER/OP RATOR TITLE: M93 <br /> �.�I�'l tet__LC_c <br /> (Agency Use Only) This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑Disapproved <br /> Local Agency Signature: Date: <br /> Comments/Special Conditions: <br /> SJCEHD4(07/03)-3/4 07/23/03 <br />