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12/26/2004 19:01 2098319' I TRAN5PORTATION PAGE 05/07 <br /> WRS�TEN_,V3.ONz'TORLN AND RESPONSE pLAy <br /> UN-DERGROUNND STORAGE TANK MON:T'OR .ti G PR0GR4,-Nj <br /> Tnis monilorin;program must be kept at the UST location at aII tiz es-"the information on this monitoring prograut are <br /> conditions of the overating permit.Tlse p=mit holder must notify F vixanzoeO,tal Health Depastmenr, (209)468-3420 <br /> within 30 days of any changes to tke Monitoring procedures,unirss rcguircd to obtain appravaZ Or a pccrrat before mat�it g <br /> the change.Required by CCR 2632(d)and 2641 (t�)- <br /> FACILE"" NA '�, 1 I L1ATE / . <br /> FACILITY A.DDRES S_ a .5 ►. _, _ u� ;t E w e +P <br /> 1.Narae(s) and Title(s) of the people responsible for performing the monitoring and/or mainterance <br /> 2 Describa the frequency of performing the mosaitoz�xlg for: <br /> TANKS PTPNG <br /> 3.1 <br /> y)escnbe the locadon(s) of where the mo6toring will be performed. ie:loca.ron aj'sertsors <br /> 4.Describe the followring equipment fPr each under.ound storage tank <br /> Name and Model of Monitoring Panei ria,. 7�$ <br /> Name and Model of Lire I_.eak Detectors <br /> Name and Model of Annular Seniors - <br /> Name aad Model of Piping Sensors ?nQ <br /> Name and Model o2 Dispe=nses Sensors ,, <br /> r <br /> Tyne of overfill prevention r ](' f(� C"}_ _ <br /> 5.Do the Tubiiie Sensors and Dispenser Pan Sensors shut down the turbine? Yes❑ No J� <br /> Does the-mrbiae shut dovrn if a sensor is disconnected? Yes d No,a <br /> Does the turbine snot clown is the rnortitoring vamel loses nowcr? Yes 0 NO'm <br /> 6.'Row <br /> l w-iE the alaamn history a-zd subsequent maintenance be recorded? r <br /> 714faintenance of the monitoring equipmerit must be-performed at least once every 12 months. <br /> I)c5cribe tl?e preventive maintenance schedule and reco-idina for the monitoring equipment.What month will <br /> annual monitoring certificatioc be performed in? s i <br /> Notes For new installations the secondary containment must be tested b months after installetion-ll.seenndary eortainrnent systems <br /> must be rested once every 36 months wish irui¢I testing p&2-,*rmed before January 1,2003- <br /> 8.Describe tlae training neccssary for the operation of UST system,including pipicg,and the monitoring <br /> equipme7lLn_ � 4 cr.r 7 MG. r F ro n s SA 1�l `7i+ -t lJ <br /> i unW=t -;c+USTlmonitoringptan.doc <br /> 7/1612002 <br />