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MAY-11 -2010 11 :26 AM P. 11 UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE 1 TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION L PLAN TYPE ONITORFNG IS IDENTICAL FOR ALL UST,,AT THIS FACILITY. (Check one one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) I. FACILITY INFORMATION FACILITY ID N(Agency Use On7»I I>7 — — koj BUSINESSNAME(Same esFACILITY NAME) BUSINESS SITE ADDRESS " w CITY Nos, II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANC State law requires that testing,preventive maintenance.and callmation of monitoring equipment(c S_sensors,pro ws,line leak defectors,etc.)be performed at the Otqueney specified by the equipment manufacturers' instructions, or annually, whichever is more frequent, and that Such work must be performed by qualliled pommel MONITORING EQUIPMENT IS SERVICED NNUALLY mos ❑ 99.OTHER(Specify)'. Mol. III. MONITORING LOCATIONS This monitoring plan most include a Site Plan showing the general tank and piping layouts and the loentions Where monitoring is performed(i.e..location of each sensor, Jim leak detector,Irlonhnring system control panel,etc I. if you already have a diagram(a g_current UST Monitoring Site Plan from a Monitoring Svatem Certification form,Harardous Materials Business Plan mop etc.)which shows all required information include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOO(S):(Check all that apply) 1e' CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS I /[Fii:I�DRY A b LIQUID FILLED C] c.PRE$'I IRIZED El d.VACUUM all PANEL MANUFACTURBR: V D iLd (S OA'>` MI1, MODEL 4: TCrS 3r0 N13 LEAK SENSOR MANUFACTURER: ��/K`.T_G/L C'Lnn�' _ bad MODEL N(S)' 1-/0j Mti ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TAIq 6 MP. PANEL MANUFACTURER: M)5. MODEL N' IN-TANK PROBE MANUFACTURER Mts. MODEL NIS), MIs. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ h.DAILY/NIGHTLY ❑ c.WEEKLY Mia. ❑ d.MONTHLY ❑ e.OTHER(Specify), aUl. PROGRAMMED TESTS: ❑ a.0.1 gp.h. ❑ b.02 g.P.h. ❑ c.OTHER(Spccif),)I Mil. fes ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR 82646 ❑ b.STATISTICAL PER 23 CCR,42646.1 Mab ❑ 4 WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR,42643 TESTING PERIOD: [3a.36 HOi IRS El b,60 HOIIRS Mal ❑ 5.INTEGRITY TESTING PER 23 CCR 42643.I TEST FREQUENCY: ❑ n.ANNUALLY ❑ b.BIENNIALLY C) c.OTHER(9pecity)'. Mae' Mar_ ❑ 6 VISUAL MONITORING: ❑ a.DAILY O h.WEEKLY Mia ❑ 99.OTHER(9peelty): V. PIPE MONITORING MONITORING IS PERFORMED USING THEFOLLOWING METHODS)(Check ail that apply) MIS. ❑ 1.CONTINUOUS MONITORING OF PIPING SUUM/p(S)lTRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: [y a.DRY ❑ b.LIQUID FILLED (] c.PRESSURIZED ❑ d.VACUUM K'I PANEL.MANtIFACTURER_ V9,gDoyL 206-6 M" MODEL.N: —My�y'7-��-�'--� ws. LEAK SENSOR MANUPACTURER: Mid. MODELN(S): �QJ Ws WILL A PIPING LEAK ALARM TRIGGER AUTONIATIC PUMP(i.e..TURBINE)SHUTDOWN? ga�a.YES [3 b.NO we WILL FAILURP/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? M^eym ❑ 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 FLOW WHEN A LEAK 19 DETECTED MLLD MANUFACTURER(.,,): Mac. MODEL N(S7Mas : ❑ 3. ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3 0 e.p.h.LEAK TESTS ELLD MANUFACTURER(s): MIs. MODELN(SI: Nel PROGRAMMED IN LINE'TESTING: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h, Moa WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN'[ ❑ a.YES ❑ b_NO Mea' WILL BLLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN^. ❑ o.YES [3 It NO W4 Q 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a. ANNUALLY ❑ b.EVERY 3 YEAR$ ❑ c.OTHER(Specify) afa. Mos ❑ 5.V1913ALMONITORING: ❑ a DAILY ❑ b.WEEKLY ❑ c.MIN MONTHLY R EACH TIME ti YSTEM OPERATED- Mor •Allowed nal V,ama eNv ar AaC ORa IItbO) ❑ 6,SUCTION PIPING MEETS EXEMPTION CRITERIA PER 23 CCR 41636(a)(3) ❑ 1.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(,,) ❑ 99.OTHER(Specify) Mae bwMrc-d(W24/04)-114