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0 ddmk SAN JOAQUIWOUNTY ENVIRONMENTAL HEALTH UNDERGROUND STORAGE TANK ARTIIENT MONITORING PLAN-PAGE 1 TYPE OF ACTION I.NEW PLAN PLAN TYPE El 2-CHANGE OF INFORMATION ❑ MONITORING IS IDENTICAL FOR ALL UST'AT THIS FACILITY. Mor (Check one item only) [] THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): L102. FACILITY ID#(Agency Use Only) L FACILITY INFORMATION FACILITY NAME FACILITY SITE ADDRESS q M03. La©aI IN . CIT II. EQUIPMENT TESTING 11 1,AND FRE ��. Mos State law requires that testin Preventive VENTIVE MAINT ANCE accordance with the equipm g tmanufacture s'instructions,or calibration annually �vhiche ver is ore frequent.(e.g Such work must bepe line leak Performed ct rual qualified b personnel. in '0106. MONITORING EQUIPMENT IS SERVICED .ANNUALLY q p rs©noel. ❑ 99.OTHER(Specify): L007. This monitoring plan must include a Site Plan showing the genera l tank p Rg j Ciou sI.00ATI�}NSan t e locations re monitoring is erfo line leak detector,monitoring system control panel,etc.). If you already have a diagram e. form,Hazardous Materials Business P]an ma ,etc.}which shows all re uirvd information,include it US this Ian. c p fuzed(1.8.,location of each sensor, ( g.,current UST Monitoring Site Plan from a Monitoring System Certification MONITORING IS PERFORMED USING THE FOLLOWING METHOAD�(vSC1MONITORING 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENTNlio SECONDARY CONTAINMENT IS: N"a.DRY FJb.LIQUID FILLED VAULT(S) PANEL MANUFACTURER: N ❑ c•UNDER PRESSURE ❑ d. UNDER VACUUM mil LEAK SENSOR MANUFACTURER: L012. MODEL#: �v�c-O lf1 N114 M13. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SNGLE WALL TANK(51 MODEL#(S): M15 PANEL MANUFACTURER: . IN-TANK PROBE MANUFACTURER: M16MODEL#: M17_ M1a. LEAK TEST FREQUENCY: ❑ a,CONTINUOUS MODEL#(S): L1151. ❑❑ d.MONTHLY b.DAILY/NIGHTLY ❑ c.WEEKLY Loo❑ PROGRAMMED TESTS: C.OTHER(Specify): M21. ❑ a.0.1 g.p.h. ❑ b.0.2 g.p,h. ❑ c.OTHERecifY)S ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ( P M=' Mzs. 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645§ ❑ b.STATISTICAL PER 23 CCR§2646.I Mea. TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 11425 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26 M27 06.VISUAL MONITORING DONE: 19 a.DAILY ❑ b.WEEKLYires Re uagency El99.OTHER(Specify): ( qappravaq M28. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Cheek all that apply) M30 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)(FRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ C.UNDER PRESSUREM3f PANEL MANUFACTURER: M32 ❑ d.UNDER VACUUM MODEL#: M33 LEAK SENSOR MANUFACTURER: Mia. MODEL#(S): Mss. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES ❑ b.NO M36 WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M37 ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF FA ODUCr FLO W WHEN A LEAK IS DETECTED MLLD MANUFACTURER(s): M38 MODEL#(S): Mae. ❑ 3. ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g,p.h.LEAK TESTS ELLD MANUFACTURER: M40 MODEL#: gra 1 PROGRAMMED LINE INTEGRITY TESTS: F-1 a.MINIMUM MONTHLY 0.2 h. '142 g�p• ❑ b.MINIMUM ANNUAL 0.1 g.p.h. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO L143. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ [34, INTEGRITY TESTING ❑ a.YES b.NO L144 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) Mas_ Mab. ❑ 5-VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED-- M47 *Requires agency approval -Allowed ror monitoring or unburied emergency generator fuel piping 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) '2636(a)(3)only per HSC§25281 5(b)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) M48 S3CEHD-d(07103)-114 07123/03