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r SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION f 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION PLAN TYPE MONITORING 1S IDENTICAL FOR ALL LISTS AT THIS FACILITY. M 01 (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): Moz I. FACILITY INFORMATION FAC1L1'fY ID#(Agencv use 01711)) FACILITY NAME — FACILITY SITE ADDRF..S L MCN' CITY Mni II. EQUIPMENT ESTING AND 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 ^alx' accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT 1S SERVICED �'I.ANNUALLY ❑ 99.OTHERS eci Mui ( P fY) 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 ofeach sensor, line leak detector,monitoring system control panel,etc.). Il you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form,Ha7mrdous Materials Business Plan map,etc.)which shows al required information,include it with this elan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING Mt I HOD(S):(Check all that apply) I.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE-(S)OR SECONDARY CONTAINMENT VAULT(S) Mui. SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID ❑ c.UNDER PRESSURE d.UNDER VACUUM MTI. PANEL MANUFACTURER: _ Z'/� r�/7 UID FILLED EJ iz. / LEAK SENSOR MANUFACTURER: M14. MODEL#: ]�f MIs ❑ 2.AUTOMATIC'fANK GAUGING(AlG)SYS—EM USED TO MONITOR SINGLE WALL TANK(S) MODEL#(S): �//l_/'�S MIs. PANEL MANUFACTURER: IN-TANK PROBE MANUFACTURER: M"''. MODEL#:MIs. MODEL#(S): fes' � S M17LEAK TEST FREQUENCY: ❑ a.CONTINUOUS Min' ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY ^a20I ❑ d.MONTHLY ❑ e.OTHER(Specify): ^121 PROGRAMMED TESTS: ❑ a.O.I h. El b.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR 02646 It ❑ b•STATC.OTHER(Specify): Mzz. M23 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 ❑ STATISTICAL PER 23 CCR§2646.] nazi. TESTING PERIOD: ❑ a.36 HOURS El 5.INTEGRITY TESTING PER 23 CCR§2643.1 El b.60 HOURS M'S, TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY 6.VISUAL MONITORING DONE: �a.DAILY El c OTHER(Specify): M26. Mn. ❑ b.WEEKLY(Requires agent app o�-al) El 99.OTHER(specify): _ WK. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING ME I HOD(5)(Check all that apply) ❑ I.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT Man SECONDARY CONTAINMENT IS: Ela.DRY ❑iAb.LIQUID FILLED PANEL MANUFACTURER: _ ❑ C.UNDER PRESSURE ❑ d.UNDER VACUUM M3' MODEL#: LEAK SENSOR MANUFACTURER: Msa. Msa. MODEL#(S): WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TUR ❑ b.NO BINE)SHUTDOWN? M E/ 15.I', WILL FAILURDISCONNECTION OF THE El MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES M17 El 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 ❑ b. PRODUCT FLOW WHEN A LEAK IS DETECTED g.P•h. LEAK TESTS AND RESTRICTS OR SHUTS MSF TS OFF MLLD MANUFACTURER(s): M'" MODEL#(S): El3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 My ELLD MANUFACTURER: g.P h.LEAK TESTS "'a". MODEL#: PROGRAMMED LINE INTEGRITY TESTS: ^aal. ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1h. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? g P Ma'. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES El h.NO ^A43 ❑ 4.INTEGRITY TESTING ❑ a.YES ❑ b.NO M44, TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ElS.VISUAL MONITORING DONE: ❑ a•DAILY c.OTHER(Specify) Mas. Mar.. ❑ b.WEEKLY' ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED "Requires agengy approval •"Allowed for monitorinrgme, {i Mal. ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3)3i 'pg only per HSC h25281.5(bNl) 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) [1 ❑ 99.OTHER(Specify) SJCEHO-d(07/03)-1/4 Man 07/23/03