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Underground Storage Tank Monitoribrelan—Page 2 of 2 ...00 VI. DISPENSER MONITORING MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Myo. ® 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANEL MANUFACTURER:VeerlerROot M51. MODEL#:T1 S350 M52. LEAK SENSOR MANUFACTURER:VeederROot 1,153. MODEL#(s):794380-352 MM WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ® a.YES ❑ b.NO M55. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? N a.YES ❑ b.NO M56. WILL FAILURFIDISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a.YES ❑ b.NO Mn. ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER: M5e. MODEL#(S): Mss_ ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(R,.i..sescy spP.v aq M60. ❑ 4.NO DISPENSERS M61. ❑ 99.OTHER(Specify) VII. ENHANCED LEAK DETECTION ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK Ws DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII. TRAINING REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) M80. I. Z THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUI NT(Required) 3. ® THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of anuary 1,2005) 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL B (SWRCB) PUBLIC TION: "HAN OOK F TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCIL TION" 7. ❑ SWRCB PUBLICATIO "WEEKLY MAN AL TAN GAUGING FOR SM LL UNDERG O STORAGE TANKS" M81. 99. ❑ OTHER(Specify): Personnel with UST rtronitoring resp sibilities are famil with all o the above documents relevant to theirjob duties and can access those documents when needed. By January,1,2005,this facility will ave a"Designated ST Opera r"who has passed the California UST Sytem Operator Exam administered by the International Code Council(ICC). By July 1,200 and annually therea ,fie " esignated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems.This training will nclude,but is not lira ed to,t following: ➢ Operation of a UST systems i a manner consistent the acility's best management practices. ➢ The facility, loyee's role wit regard to the leak detection equipment. ➢ The facility a loyee's role wit regard to spills and overfills. ➢ Whom to conta for emergencie and leak detection alarms. For facility employees 'red on or atter my 1,2005,the initial training will be conducted within 30 days of the date of hire. IX. COMMENTS/ADDITIONAL INFORMATION Please use this section to inc a an ditional UST system monitoring-related information(e.g.,additional information required by your local agency): Mss. Note regarding Section X. Pen mg certification of a Designated UST Operator,the following person has authority for performing the monitoring activities and maintaining leak detection equipment covered by this plan. NAME: JOB TITLE: X. PERSONNEL RESPONSIBILITIES AS OF JANUARY 1, 2005, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION—FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTWAAN ACCORDANCE WITH 23 CCR§2715(b). OWNER/OPERATOR SIGNATURE CERTIFICATION: ce that thof ation provided herein is true and accurate to the best of my knowledge. OWNER/OPERA SI A REPRESENTING DATE: Mst ®Owner mm ®Operator August 14, 2006 OWNER/OPERATOR NAM tint): Ms2. OWNER/OPERATOR TITLE: M93. Randy Martin Gasoline & Environmental Compliance Mgr (Agency Use Only) This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑Disapproved Local Agency Signature: Date: Comments/Special Conditions: UN-022A-213 www.unidocs.org Rev.10/14/03