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05/25/2005 11:47 2099829 5 JOES TRAVEL PLA7A PAGE 05 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH I)EPARTMEINT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 . Mol. TYPE OF ACTION I.NEW PLAN El2.CHANGE OF INFORMATION Mot. PLAN TYPE MONITORING IS IDENTICAL FOR ALL 11$7s AT THIS FACILfIY- (Chec%oneitemonly) THIS PLAN COVERS ONI.YTHE FOLLOWING USTSYSTEM(S): I... FACILITY:INFORMATION rFACILITYDN(Agency Dae Only)NAME ��lCITYsSITE ADDRESS Q H.•EgMPMENPTESTING.AND PREVEN LVE MAIN ITENANC quires that"ting,pmvmtvc maintenance,and cal L)mtion of monitoring equipment(c.g.,sensors,probes,line leak detectors,etc.)he performed in Maa• accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified onncl. Mm. MONITORING EQUIPMENT.1$SERVICED ❑ 1.ANNUALLY 99.OTHER(Specify): i 5 _ III:'MONITORING LOCATIONS:: This monitoring pt=' I't include a Site Plan showing the grncral rook and piping Layouts and the iocanons where monitoring Is pernomned(i.c.,location of each sensor, lint teak detector,monitoring system contort panel,etc J. If you nlreedy have a diagram(c.g.,current UST Monlmring Site Man from a Monitoring System Certification form,Hazardods Materials Business Plan ma ,etc. which ahowa all Tog airs!infOmiatiem,include it with this lam. IV. TANK MONITORING . >. ....' MIs. MMOnn''NITORING IS PERFORMED USING'THE FOLLOWING METHOD(Sy(Check all that apply) TI,CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 1 �.{ d.UNDER VACUUM M11- PANEL CONTAINMENT IS: ❑ s.DRY ❑ b.LIQUID FILLED ql�,e.UNDER PRESSURE U f lCl2 MODELM MD' PANELMANIJFACTIHtER: LEAK SENSOR MANUFACTURER: MIo. MODEL#(S): MIs. ❑ 2,AUTOMATICTANK GAUGING(ATO)SYSTEM USED TO MONITOR a2jLLE WALL MIs MODEL N: Ma PANEL MANUFACTURER: MIT. MODEL#(S): M19. IN-TANK PROBE MANUFACTURER: LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIG14TLY ❑ e.WEEKLY Mxo. ❑ d.MONTHLY ❑ e.OTHER(Specify): M21' Mx2. MCI. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. Q b.0.2 g•p.h. ❑ c.OTHER(Specify): El3.INVENTORY RECONCILIATION C3a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 ' ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 M^3. TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR 12643.1 Mza Mri. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY, ❑ c.OTHER(Specify): (5.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY c" *"comm-!) MIS. 99.OTHER(Spmifj): V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mso. O 'm}1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)1'fRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLEDT�j c.UNDER PRESSURE. � 4.UNDER VACUUM Mgl' PANEL MANUFACTURER: Mia. MODEL#: MIs. LEAK SENSORMANUFACTURER: MX MODELN(S): Mas. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES ❑ b.NO AO6' WILL FAILURVDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mn. ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLAW WHEN A LEAK IS DETECTED MI> MLLAMANUFACTURF,R(s): MIsMODEL#(S): ❑ 3.ELECTRONIC IJNE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORM$3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: 'W- MODEL Mdl. PROGRAMMED LME INTEGRITY TESTS: [] a.MINIMUM MONTHLY 0.2 g.p.h. El b.MINIMUM ANNUAL 0.1 g.p.h. Max. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M°1' WILL ELLD FATLUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M4d ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M43. M46. 5.VISUAL MONITORING DONE: '9a.DAILY ❑ b.WEEKLY' ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" M47. •aegatrev ogenryapprowi ••nllowed far monaaring aflmbaned emagenrygew�w nlel piping only pee ryas:SRsaal.slb%)) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUtREMF,NTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING 15 CONNECTED TO THE UST(s) ❑ 99.OTHER(specify) Mos. $JCEHD4(07103).1/4 07423103