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F <br /> AML <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN— PAGE 2 <br /> MONITORING OF AREAS BENEATH DISPENSER(5}VI. <br /> IS P DIS R t�iED SERUSING TMONITORING <br /> HEO I ORIING MG EIOD S C <br /> I.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) ( )(Check allppy) Mso <br /> PANEL MANUFACTURER: <br /> LEAK SENSOR MANUFACTURER: ntss. MODEL#: <br /> M53 M52 <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGERAUDfBLE AND VISUAL ALARMS? <br /> #(S): Msa <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? � a.YESMss. <br /> ❑ b.NO <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a'YES Ms6. <br /> b.NO <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE INCASE OF LEAK ❑ a.YES b.NO M57. <br /> ASSEMBLY MANUFACTURER: <br /> 10 3.VISUALMONITORING DONE: rx� Msa. MODEL#(S):x� a.D;11L7" Msv. <br /> ❑ 4.NO DISPENSERS ❑ b•WEEKLY(Requires agency approval) <br /> ❑ 99.OTHER(Specify) M60. <br /> VII. ENHANCED LEAK DETECTION M6.. <br /> ❑ I.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCEDLEAK M70. <br /> DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR$2644 ] ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(ChecVIirat TRAINING <br /> I THIS UNDERGROUND STORAGE TANK MON1TORfNG PLAN(Required) <br /> 2• OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) titan. <br /> 3. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) <br /> 4, CALIFORNIA UNDERGROUND STORAGE TANK REGULATfONS <br /> 5. CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6• ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br /> 99. ❑ OTHER(Specify): <br /> Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. <br /> By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By <br /> January I,2005,and annually thereafter, the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. <br /> This training will include,but is not limited to,the following: <br /> > Operation of the UST systems in a manner consistent with the facility's best management practices. <br /> 9 The facility employee's role with regard to the leak detection equipment. <br /> ➢ The facility employee's role with regard to spills and overfills. <br /> r Whom to contact for emergencies and leak detection alarms. <br /> For facility employees hired on or after January 1,2005,the initial training will be conducted within 30 days of the date of hire. <br /> IX. COMMENTS/ADDITIONAL INFORMATION <br /> Please use this section to include any additional UST system monitoring-related informatione. <br /> ( g.,additional information required by your local agencyj: alas <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS OF I/1W,THE -DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION — <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN.AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br /> risrsrsr�rsrw.-tCCo17t7ANCE Si'TTF{23CCR§2715(b). <br /> XI, OWNER/OPERATOR SIGNATURE <br /> CERTIF)ICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> ER/ P TO SIGNATURE REPRESENTING DATE: <br /> ®`"owner M9o. M9a_ <br /> E]Operator 1/1 a ti <br /> OWNER/OPE TOR NAME(print): M92. OWNER/OPERATOR TITLE: <br /> tita3 <br /> (Agency Use On/t) This plan has be viewed and: *Approved ❑Approved With Conditions <br /> ❑ Disapproved <br /> Local Agency Signature: Date: J <br /> Comments/Special Conditions: <br /> SJCEHD-d(07103)-3/4 <br /> 07/23/03 <br />