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05/30/2007 12:22 2094669518 VALLY ARCO PAGE 04/06
<br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />UNDERGROUND STORAGE TANK
<br />MONITORING PLAN — PAGE 1
<br />TYPE OF ACTION ❑ 1. NEW PLAN ltK CHANGE OF INFORMATION
<br />PLAN TYPE. ONITORJNG IS IDENTICAL FOR ALL USTs AT THiS FACILITY,
<br />(Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S):
<br />I• )FACU= MORMATION
<br />FACILITY TO # (Agency Use On)vJ
<br />FACILITY NAME
<br />FACILITY SiTE ADDRESS
<br />le
<br />CiTY SW
<br />ia_ tVUIYMENT TESTING AND PREVENTIVE MAM MNANCE
<br />State law requires that testing, preventive maintenance, and calbmcion ofmonitoring equipment (c&, sensors, probes, line Irak detectors, etc.) be performed in Mol,.
<br />accordance with the equipment manufacturers, instructions, or annually >Wchevcr is more frequent. Such work must be performed by qualified personnel.
<br />MONITORING EQUIPMENT iS SERVICED ®/f ANNt tALtY ❑ . 9.OTNER (Specify): MOT
<br />M. MONITORING LOCATIONS
<br />This monitoring plan must include a Site Plan showing the general tank and piping tayoul, and the locations where monitoring is performed (i.e., location of each scnaor,
<br />line leak detector, monitoring ey:tern control panel, etc.). Ifyou already hc.•e a diag,urn (e,K., r Unent UST Monitoring Site Plan tram a Monitoring System Certification
<br />fOrnl, iawdous Materials Business Plan maD. etc.) which shows all reouired itire ,,,,r;r r a„rt„ to n wl,ti .t l� re
<br />IV. TANK MONITORING
<br />MONiT
<br />RING IS PERfORMLO USING THE FOLLOWING ME7HOD(S); (Check all that apply)
<br />o.
<br />CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACF49) OR SECONDARY CONTAINMENT VAULT(S)
<br />SECONDARY CONTAINMENT iS; ly a. DRY ❑ b. LIQUID FILLED ❑ C. UNDER PRESSURE [14. UNDER VACUUM
<br />MI 1.
<br />PANEL MANUFACTURER: iV E- 4 CK ADd 7` M'Z MODEL #: em -S^ /
<br />M13,
<br />LEAK SENSOR MANUFACTURER;-(/E_JZLM14 MOREL U(S): 71 q 9 10
<br />MiS.
<br />❑ 2, AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR 5IN0,E WALL TANK/31
<br />M36.
<br />PANEL MANUFACTURER; M'6- MODEL #:
<br />M17•
<br />TN -TANK PROBE MANUFACTURER: Mtit, MODEL #((;);
<br />M19.
<br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS i1 b. DAILY/NIGHTLY ❑ C. WEEKLY
<br />Mm.
<br />❑ d. MONTHLY ❑ c, OTHER (Specify); M=1•
<br />❑ 3. ELECTRONIC LINZ LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS
<br />PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 02 g.p,h, ❑ c. OTHER (Specify): Mu
<br />Mn.
<br />❑ 3 INVENTORY RFCONr_ILiATION ❑ a, MANUAL PER 23 CCR §7.f•46 ❑ b. STATISTICAL PER 23 CCR §2646,1
<br />Mz,.
<br />❑ 4, WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR $2645
<br />WiLL ELLD DETECTION OF A PiPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO
<br />TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS
<br />Mss,
<br />❑ 5, TNTLGRITY TESTiNO PER 23 CCR §2643,1
<br />❑ 4, INTEGRITY TESTING
<br />TEST FREQUENCY: ❑ a. ANNUALLY Q b. BIENNIALLY ❑ e, OTHER (Specify): M26.
<br />M27.
<br />❑ 6,VISUAL MONITORING DONE: ❑ a, DAILY ❑ b. WEEKLY (aeq,+im aearc., approval)
<br />❑ $.VISUAL MONITORING DONE: ❑ a. DAiT.Y ❑ b. WEEKLY* ❑ c. MIN. MQTrMLY 4t EACH TIME SYS t tM UPt:RATgp--
<br />❑ 99. OTHER (Specify):
<br />MYa,
<br />V. PIPE MONITORING
<br />MONIT R1NC 1S PF.RFOR WD USING THE FOLLOWING METHODS) (Chock all that apply)
<br />�1so
<br />1, CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SVTRENCH(ES) AND OTHER SECONDARY CONTAINMENT
<br />SECONDARY CONTAINMENT 1S; bo a. DRY ❑ b. LiQUiD FiLLED © C. UNDER PRESSURE d, UNDER VACUUM
<br />M31
<br />PANEL MANUFACTURER: ,rJ F oc. 0 = M3: MODEL #: N3 D q
<br />M93.
<br />�%
<br />LEAK SENSOR MANUFACTURER: W jolo 6 7— M34_ MODEL #(S):
<br />Mas,
<br />WILL A PiPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i,e„ TURBINE) SHUTDOWN? oli-- YES ❑ b, NO
<br />M36.
<br />WILL FAILURE/D15C0NI4kl.: I ILN OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? 9?'8. YES [] b. NO
<br />Mar,
<br />❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTWELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF
<br />PRODUCT FLOW WHEN A LEAK I$ DETECTED
<br />MLLD MANUFACT=P,(s): "^" MODEL #(S):
<br />M39.
<br />❑ 3. ELECTRONIC LINZ LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS
<br />ELLD MANUFACTURER: MO,MODEL #:
<br />M41.
<br />_ PR17GItAmM1rD LINE INTEGRITY TESTS;d a. MINIMUM MONTHLY 0,2 g.p.h. [3b, MINIMUM ANNUAL 0.1 g.p.h.
<br />Msx•
<br />WiLL ELLD DETECTION OF A PiPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO
<br />M41
<br />WILL ELLD FAILURE/DiSCONNECTION TRJGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO
<br />M4
<br />❑ 4, INTEGRITY TESTING
<br />TEST FREQUENCY; ❑ a, ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) M45.
<br />M44.
<br />❑ $.VISUAL MONITORING DONE: ❑ a. DAiT.Y ❑ b. WEEKLY* ❑ c. MIN. MQTrMLY 4t EACH TIME SYS t tM UPt:RATgp--
<br />M47.
<br />• Regaira aaenry• aPVMr l •• 4ttaot4 for rmnlionna orinMmed emereah• aenvmor n,d )tipmA anh' per H$C ft52at.Nh)(3)
<br />❑ 6. PIPING iS SUCTION PiPiNG MEETING ALL REQUJRF,MENTS FOR EXEMPTION FROM MONITORING
<br />PER 23 CCR F2636(a)(3)
<br />❑ 7. NO PRODUCT OR REMOTE PILL PIPING 1S CONNECTED t0 THE UST(s)
<br />Y, V IHLK (Speelfy)
<br />H_e
<br />S.TCBHD-d (09/03) - 1/4
<br />07!23103
<br />
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