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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION Mal PLAN TYPE t9 MONITORING IS IDENTICAL FdR ALL USTs AT THIS FACILITY. (Check one item only) [ITHIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): Moz FACILITY IDH(Agency Use Only) I. FACILITY INFORMATION FACILITY NAMEy_ � Mo3. � YLsv.7 FACILITY SITE ADDRESS l tr(0 La�rc,2 4 M04, CITYRA EP e- Mos II. EQUIPMENT TESTING ANIS PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in Moo accordance with the equipment manufacturers instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED X ].ANNUALLY ❑ 99.OTHER(Specify): Mol III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, .g.,current UST Monitoring Site Plan from a Monitoring System Certification line leak detector,monitoring system control panel,etc.). If you already have a diagram(e form Hazardous Materials Business Plan map,etc. which shows all required in g., include it with this plan. IV, TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) I- " OK 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAU SECONDARY CONTAINMENT IS: �J a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE I ❑ d.LENDER VAC PANEL MANUFACTURER: G1IbP{cc bwC' M12. MODEL#: 26-(zzoliOoope LEAK SENSOR MANUFACTURER: _ ©o} M14. MODEL#(S). 2t] ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16. MODEL#: MIT IN-TANK PROSE MANUFACTURER: MIS. MODEL#(S): M19 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20. ❑ d.MONTHLY ❑ c.OTHER(Specify): M21. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify);SP eci M22. M23 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: Ka.ANNUALLY ❑ c.OTHER(Specify): M26 M27, 6.VISUAL MONITORING DONE: % a.DAILY 0 b`BIENNIALLY [Requires agency approval) ❑ 99.OTHER(Specify): M29, V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) M30. (A 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: 19 a,DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31 PANEL MANUFACTURER: ' M32. MODEL#: M33. LEAK SENSOR MANUFACTURER: V M34. MODEL#(S): Mas WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? a.YES ❑ b.NO M36. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? X a.YES ❑ b.NO M37 tq 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED MLLD MANUFACTURER(s): M" Mae. MODEL#(S): M39. ❑ 3. ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: Moo MODEL#: M41 PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1gP NO h. Mae ❑ a WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ bM43. WILL ELLD FAILUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? .YES . M44 4.INTEGRITY TESTING © a.YES C1 b.NO TEST FREQUENCY: pL a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46 ❑ S.VISUAL MONITORING DONE: ❑ a.DAILY Q b.WEEKLY* ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. .Requires agency approval "Allowed for monitoring of unburied emergency generator fuel piping only per HSC§252111.*)(3) 0 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) NI-13 SJCEHD-d(07103)-114 07/23/03