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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE 1 TYPE OF ACTION ❑ 1,NEW PLAN AW.CHANGE OF INFORMATION Mot PLAN TYPE MONITORING IS IDENTICAL.FOR ALL USTs AT THIS FACLIIY. M02. (Check one item only) ❑ THIS PLAN COVERS ONLY THF FOLLOWING UST SYSTF.M(S). I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) FACILITY NAME M63 FACILITY SITE ADDRESS L (�t-{ j `✓%l, M0'' CITY �;�C.K - H Mos. H. EQUIPMENT TESTING 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 Mo6. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED ❑ 1.ANNUALLY ❑ 99.OTHER(Specify): Met 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, line leak detector,monitoring system control panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING rM1�ONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mlo. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM MLI. PANEL MANUFACTURER: 131poilt, Cf PQS M12_ MODEL#: M13. LEAK SENSOR MANUFACTURER: '/,� � M14, MODEL#(S): MI5. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYS TO MON? OR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16. MODEL#: MM IN-TANK PROBE MANUFACTURER: MIS. MODEL#(S):JC?4 u -307- M19. LEAK TEST FREQUENCY' ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY M2p ❑ d.MONTHLY ❑ e.OTHER(Specify): WI PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 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: ❑ a.ANNUALLY [Ib.BIENNIALLY c.OTHER(Specify)' gtA,� M26. M27 ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requna ageney.ppnval) ❑ 99.OTHER(Specify): We V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. tft 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SY RENCH(ES)AND OTHER SECONDARY CONTAINMENT q SECONDARY CONTAINMENT IS: 'l" a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M3L PANEL MANUFACTURER: M32. MODEL#: -7 y,-;'��'D `7d C L M33. LEAK SENSOR MANUFACTURER: it, 2 c,n .P air, - M34. MODEL#(S): M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? 0 a.YES ❑ b.NO M36. WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? IM a.YES ❑ b.NO M37 ❑ 2.MECHANICAL LINE LEAK DETECTOR (MILD) 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): Mag MODEL#(S): M39. 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS !� ELLD MANUFACTURER: M40 MODEL#: f'S qT N Mat PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2&p.h. ❑ b.MINIMUM ANNUAL 0.1&p.h. M42rn - WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? 4' a.YES ❑ b.NO M43_ WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? 19 a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46 r . AVISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY' VI C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED'' Mn. "Requires rgen,,spprod ""Allowed for mnnoonng efwbuned emer8mcy gmentor fuel piping only per MC§25281.5(6)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) Mos. SJCEHD-d(07/03)-1/4 07/23/03