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FROM (WED)AUG 30 2006 1 9/$T. 17:33/No. 6843597301 P 7
<br /> UNDERGROUND STORAGE TANK
<br /> MONITORING PLAN—PAGE 2
<br /> ..
<br /> VT.":I)ISPENSERmONITORTNG ;:`..
<br /> MONIT'(ORDC OF AREAS BENFATH DISPENSER(S)IS PERFORMED USING THEFOLI,OWINo MEM-IM97OD(S)(Check all that apply) M .
<br /> ❑ I,CON'NUOUSF.I,ECfRONICMONITORING OF UNDER DISPENSERCONTAINMENT(UDC)
<br /> PWEL MANUFACTURER: M51. MODEL X: Msa,
<br /> LARK SENSOR MANUFACfI.1RFR:' Mss. MODEL#($): Moa,
<br /> MILL DErECf10N OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a.YES ❑ b.NO Mss.
<br /> VIA,A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ❑ b.NO "36-
<br /> V41 FAILURE/DISCONNECTION OF UDCMONTORING SYSTEM'fRtGOFRAUTOMA't'ICPUMPSHtn"[)OWN'1 ❑ &YES E3 b.NO Mn•
<br /> X 2.MOCIkNICAL ASSEMBLY(c.g.,F'I.OAT AND CHAIN ASSEMBLY)IN UOC TRIPS SHEAR VALVE IN CAST.OF LEAK
<br /> ASEMDLY MANUFACTURER: Bravu MsaMODFI..B(S): Use.
<br /> ❑ 3.VISIJA MONITORING DONE; ❑ a.[)At I.Y ❑ b.WEEKLY atqu,w.y appowAl) Mm,
<br /> ❑ 4.NO DlPENSF,RS
<br /> ❑ 00.07HR(Spccify) Mra.'' �. ., E't: ':: Pc.
<br /> ❑ 1.W)F:HIVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THATWF.MUST IMPLEMENT ENHANCED LEAK M70.
<br /> DEI'f3'f10N(ELA)FOR THE UST(S)COVERED BY PHIS PLAN.PER 23 CCR§2644.L FILE,IS PERFORMED EVERY 36M6NTHS AS REQUIRED
<br /> - . , "9LTe:\' ` 'mown
<br /> Xy�dU .f3YaYn � 4( �
<br /> RFFF,REr4QM-)C.'UMENTS MAINTAINED AT FACILITY(Chc*all that apply):'. Mao.
<br /> 1. ® -11A UNDERGROUND STORAGE TANK MONITORING PLAN(Required)
<br /> 2. �' OPIRATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)
<br /> 3. 'IIEFACILITY'S BEST MANAGEMENT PRACTICES(Required"of MV20M
<br /> 4. , 'CALIFORNIA IINURROROUND STORAGE TANK REGULATIONS
<br /> 1. .CAUFORNIA Lrt4DERGROUND STOP AGE:TAN.K LAW
<br /> 6. B .STAFE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND
<br /> 31'AnST.ICALTNVENTORY RECONCILIATION" ....-. ..
<br /> 7. Q...SWICB'PUBLICATION:•"-WEEKLY-MANOALTANK GAIIGINU FOR•.SMALL'UNDERGROLNDSTORAGE TANKS -
<br /> " -
<br /> y9.❑..�071010(Spccify): Mal.. .
<br /> Pcrauanel wit UST momhaimi;mi poasibildies are familiar with dl oftlie abuve dw,rments relevant to thcirjub duics and ovm Wmas#oso dowmcnL%when needed.
<br /> January,1 2005' and annually theresRer the fksignaced UST orator,will tram l�hoilily mapluyvwwa m the proper upmatiwi,aad rtmm,Wianee of the.UST a ) s,
<br /> By January I NOS.this facility will_have ii Designated UST r who has pwod Oto operator exam administered by the I Mematmonal,CDde Council(ICC
<br /> Mosms,
<br /> "Phis Vain,ang will;include,bm ms not'lirmted to.die'fullowing: .
<br /> Y' ()ppradenof"AcUSTsystemsin:n.mannerc6nietift.withthe facility's best managcmctdprectleet.
<br /> D The kBdlityvempleyce 9role with rcgatd:m.thclW4detedionsquipmenL
<br /> D Thofuality'cmployce's role'with.regaid to.apilla'aiid ovcfills, ' '
<br /> Y Whomro contact for emergeacies and lcA&tectionalarms
<br /> i,-
<br /> For facility enployees hired on of abet January
<br /> k a M t .ilJa'M.Yt HIG J +.ro/1a`!1i.. nwill be.cunduced within 30'days of the dam of him, Y hip rt" ;yw
<br /> v "MiIA + hi ,
<br /> Picas:use drirscction to inotude any-additional US'flsystc,m:monhori.ng-telatcd information(e.g..adIdmaonal'informnioa requucd by your local agency): Mu.
<br /> 4 PPq` Ki- d/-
<br /> (!(/d!f'Y71/( 1 I'G(1 GfA�1�Dr+r C �1f'G Jt.l 6t IIS 1 4t4-C C N 1 Csa �. .�y 4
<br /> 1� 1
<br /> > .. �ryyy� .ler rWa} y.',k rh v' iµ a �.+?a�.�' 'O'-s I :o�j'�."�,((.) . �1' ,pNr ,q�,4 ", '.r:;.
<br /> ' ',: V.rid �,M!.+!;^..R^'J'r\'( (w�.Mtr.+�r3" rll�.Rr.•>f � �ri'' " fi41. .i':l !9`+�{..a• I..Qa>Ly�17� � �)lYl�"yKl ��1f�i^�� `CL .>.
<br /> AS OF 1/1 k THE"DESIGNATED UST OPERATOW.' tuEN'cIFIFD:IN'!SHCI'ION`:1B.k* TKIS CURRENT UST OPERATING PERMIT APPLICAT1oN-
<br /> FACILITV FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING TILE MONrrORNG ACplV1T'IES AND,!MATNTAINNG LEAK IjETECPION
<br /> EQUIPMSNTCOVERED BY TFUS-PLAN,AND�WII.4 PFRFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S
<br /> UST SYSTEMS IN�AcCORD,AANCy1EyWITH.2!33 Cl/CpR§2Y77-15 b). j /� �h`r Q�b e!
<br /> x,9 N�2S.Y .7G:Y �a^daiQl PF�7n. :r I 1V,Oi � l% A7AL\.Ts. 3 , ''yt'*K"+' "x �u.. i•l, tiV' ^`i✓$t'� j•:
<br /> CERTIFICATION:Icierfifylhsit the'infoirmition provided,heireinis:true'aid actureteato the bestef my knowledge, '
<br /> OWNHWOP A'I'UR':• DATE: Mat.
<br /> [i' aiDr Maa. lorl27 o L
<br /> OWNWOPERATGRNAME(prim): Mike Fliason Mar.
<br /> UWNER/OPEItATORTITLE: Cardlock Manager MU
<br /> (Agency Use Only) This plan has been reviewed and: Approved ❑Approved With Condition; ❑Disapproved
<br /> local AgWlcy$ignatureDate: /._E—/.�i�.
<br /> Commems/Spcctal Qmditions: .___.
<br /> SJCEHD-d(YlN3)-3/4 07p3103
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