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WRITTEN MONITORING AND RESPONSE PLAN <br /> UNDERGROUND STORAGE TANK MONITORING PROGRAM <br /> This monitoring program must be kept at the UST location at all times.The information on this monitoring program are <br /> conditions of the operating permit.The permit holder must notify]Environmental Health Department,(209)468-3420 <br /> within 30 days of any changes to the monitoring procedures,unless required to obtain approval or a permit before making <br /> the change.Required by CCR 2632(d)and 2641 (h). <br /> L . U V r�J � ��, <br /> FACILITY NAME L DATE <br /> FACILITY ADDRESS 0 lr d <br /> 1 Name(s) and Title(s) of the people responsible for performing the monitoring and/or maintenance <br /> C/U� s t� Gct7d C <br /> 2 Cts S,S- UW <br /> 2.Describe the frequency of performing the monitoring for: <br /> TANKS PIPING <br /> 3.Describe the location(s) of where the monitoring will be performed. ie: location of sensors <br /> 4.Describe the following equipment for each underground storage tank. <br /> Name and Model of Monitoring Panel V <br /> Name and Model of Line Leak Detectors <br /> Name and Model of Annular Sensors <br /> Name and Model of Piping Sensors <br /> Name and Model of Dispenser Sensors <br /> Type of overfill prevention <br /> S.Do the Turbine Sensors and Dispenser Pan Sensors shut down the turbine? Yese' No❑ <br /> No❑ <br /> Does the turbine shut down if a sensor is disconnected? yewYes,E� No❑ <br /> Does the turbine shut down is the monitoring panel loses power? <br /> 6.How will the alarm history and subsequent maintenance be recorded? <br /> ry Uµ G cflvj <br /> 7.Maintenance of the monitoring equipment must be performed at least once every 12 months. <br /> Describe the preventive maintenance schedule and recording for the monitoring equipment.What month will <br /> annual monitoring certification be performed in? <br /> Note:For new installations the secondary containment must be tested 6 months a erallation.All secondary containment systems <br /> must be tested once every 36 months with initial testing performed before January1,2QD <br /> 3. <br /> 8.Describe the training necessary for the operation of UST system, including piping, and the monitoring <br /> equipment. �w <br /> >✓�=lkr� (.Liv�f"r S �'�-�.� r"l /. � c .5 /�cae <br /> I.0nstemi-Ie\usT\Tnonitoringplan.dac 2. f;�!c`f` 1 S�rM+cl f��W � � �l!� � `' i"iy �i u / <br /> 7/16/2002 �-- <br />