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Received: 6/25/04 10:22; 707 274 8410 TIME OIL CO; Page 3 FROM JACKPOT FOODMART 04165 • FAX NO. : 707-274-8410 Jul. 25 2004 09:35AM P3 UNDEW4110 JND STORAGE TANK MONITORING PLAN — PAGE 2 DISPE .6EA`.-MpNITURING.:' I"h9Oyln.'OWNG UFARGS BENEATH MSPF..NSER(S)IS PERFORMED USING THE FOLLOWING METHOD($)(Check all[hat apply) I.CONTNUOIA ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT L M�) MODEL$: MS' a Ms+. PANELMANUFACTURER ♦,tli� _ 3t13. MODEL)HS): S a LEAK SENSORMANUFACTiie'v,is: ---r a.YES ❑ b.NO Mss WILL DETECTION OF A IX--AK INTO THE UDC TRIGOERAUDIBLE AND VISUAL AI.�RM57 M36 � a YES Q h.NO i WILL A UDC LEAK ALARM TWGGERAUTOMATTC PUMP SHUTDOWN'! .YES 0 b.NO Mal I WILL PAILURE/DISCONNECTION OFUDC MONITORING SYSTEM TRIGGERAUTOMVALATIVE PUMP SHUTDOWN? ❑ µs. 2.IvIC•CHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)'N UDC TRIPS SHEAR VALM EL4 ):IN CASE OF LEAKM� I ASSEMBLY MANUFACTURER: DONE: ❑ L rp: .WEEKLY WWI-Macy SOV-1 �3•ViSUAL MiyN1TORINC s. M61. NSEItS -- ❑ M70 ........ .. BOARD O 1.we 1'rgVE BEEN NOTIFIED By THE STATE WATER RES PLAN. R 23 CC §2W.I. 7HAT WE MUST @APLEMENf ENH-4NC , COVERED BY TFlTS PLAN•PER 23 CCR§2644.1,ELD IS PERFORMrD F VERY 36 MONTHS AS REQUIRED US 5 COV DETECTION(ELO)FOR THE TO _ G.•'cr•. ;;.r =:3,. i.I}R,'n:;< ''=:�. ,�.'.;;. `!=-c --•a-' - '` �ITi �"IB?1INAY —.rs^x,� stw. �REFF.-RiENCE DOCUMENTS MAINTAINED AT PACIL.IT'Y(Check all that ePPlYutred 1. THIS UNDERGROUND STORAGE TANTO MONITORING PLAN(Roll ) uired) i 2. OPERATING.MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Req 1, ❑ THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 11112004) 4. ❑ CALIFORNIA UNDERGROUNDSTORAGF.TANKREGULATIONS 9, ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW (,. ❑ STATE WATER RESOURCES CONTROL BOARD(SWRCS) PUBLICATION' "HANDBOOK FOR TANK OWNERS - MANUAL A ND STATISTICAL INVENTORY RE•CONCILIATION" ate 7. G SW'RCB Pl1BLiCATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" i 99.❑ OTHER(Specify): I Perynnne:with UST monil(mms tespZbiliuea ar fatrAliar with all of the above documents tetevont to administered eyed b and can access those de Corm t9 when needed. i By July 1.20( this tbcihty will have: "DcSi;mned UST Operator"who has psssed the operator exam adminisleted by,the Intomo[iona)Code Couneii(ICC). By July I,2004,and annually th:reaftcr,the "Designated UST Oper W will nein Facility employees in the proem operetior.and maintet4lncc o!the UST systems,This (W fining will inelude,but is ntu limited to,the following: i Y OperaI 1 0lrhe VST s)stmis to s mantra cunsiStant with the r'ne"ty's best managemeat practices. i The facilhy cmployeo's rule with regard to the leak detection equipment. j > The facility employee's role with mi erd to spills and overfills, > Whom to contact for emergenetes and leak detach+slants. For iac;lity emp'•oy<ee hired at ar suer 7uly 1,200x.the initial training will be conducted within 30 days of the date of hire. - Ix ;GOM1VfE1�i: S(AllPI1' IONAImlFOR4�I!�X: . _ MIS Please oar this scction to include any acc[uonai UST system trurnitoring-rel¢tod m(otrration(e.g..additional inforrtmtion:equirod by your heal agency): TM,1� .PDN .. ' .-;�::::...,,,;.:.•,:.:::-'::�::r': <�}*�s:•-.-:.,:y1_;� :.:.::-.;:..:�C;..p'�-. O' 3 •AS OF `/1/2004 THE"DESIGNATED I)ST OPERATOR"II]kIVTIFIED OF THE CURRENT L'S'I'OPERATING PERMiI' gPPLICAITON- � FACILITY FORM WILL HAVE ULTIMATE AU'l-HORITY FORPERFORMING THE MONTTORP•YO ACTNY IEVS AND MAINTAINING F TH DETECTION EQUIPMENT COVERED DY THIS PLAN,AND WILL PERFORM AND DOCUMENT M1NTMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST S!'S'fEMS IN aGCORDANCE Wl'CH 23 C(:R 2715(6), ... .... ... ....... c ' "RII�P�Ry4TQR SIGNAI':'�1�'��•;�:: � CERT IFIC-4TION:I certify that the InformstioB rovided herein is true and accnrraateeEto the ben of Iny Rnowtedge•DAT M91 ipWNLIVO RAT RS?NATURE Owner Mso. �a4 A Ae Ale Opmtor "- M93. OWNEWQ-PE TORNAME(print): /Pae ue stsz OWNS PBP 0t;,71TLE: (' J <�JC C// e <J IT (dgemv Use Only) This pian has been reviewed and: [l Approved ❑Approved With Conditions ❑Disapproved Local Agency Signature V CanarK•nu/Spot Condition:: _-_...._........ .._. FPp/ 07R3103 SJCEBD-d(01103)-314