BILLING - Laserfiche WebLink

Home Browse Search

SAN JOAQL "OUNTY ENVIRONMENTAL HEALTH ARTMENT N� � UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE 1 Mfl I. TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION M02. PLAN TYPE MONITORING IS IDENTICAL FOR ALL LISTS.AT THIS FACILITY. (Check one item only) THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1 - 1 1 - M03. FACILITY NAMEjqgM -� CITY Moi. FACILITY SITE ADDRESS /�/�� t II. EQUIPMENT TE9TING 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 MW accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. Mfl7. MONITORING EQUIPMENT IS SERVICED 5_1.ANNUALLY ❑ 99.OTHER(Specify): 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 Mlo. MONITORING 1S PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) N1.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 Mlt. PANEL MANUFACTURER: J'' _4 i<`n-- M17' MODEL#: f / M13. M1a. MODEL#(S): MI5. LEAK SENSOR MANUFACTURER: ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKS) M17 PANEL MANUFACTURER: MI6. MODEL#: M18. MODEL#(S): M19. IN-TANK PROBE MANUFACTURER: M20, LEAK TEST FREQUENCY: E] a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY ❑ d.MONTHLY ❑ e.OTHER(Specify): U1. M27. M23. PROGRAMMED TESTS: Ela.0.1 g.p.h. Elb.0.2 g.p.h. ❑ c.OTHER(Specify): ❑ M24. 3.INVENTORY RECONCILIATION Ela.MANUAL PER 23 CCR§2646 Elb.STATISTICAL PER 23 CCR§2646.1 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 M25 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 M26. M27. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 6.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY(Requires agency approval) Mzs. ❑ 99.OTHER(Specify): V. PIPE MONITORING Mao. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) ❑ L.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b,LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31. W'-- MODEL#: M33. PANEL MANUFACTURER: M34, MODEL#(S): M35. LEAK SENSOR MANUFACTURER: WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES ❑ b.NO Mab. WILL FAILURE/DISCONNECTION 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 PRODUCT FLOW WHEN A LEAK IS DETECTED M39- MLLD MANUFACTURER(s): Mas. MODEL#(S): ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS Mao. MODEL#: M41. ELLD MANUFACTURER: M42, PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP'SHUTDOWN. ❑ a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING M45. M46. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS c.OTHER(Specify) 9 S.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED«• b)(3) 'Requires agency approval ••Allowed Far monitoring of unburied emergency generator fuel piping only per HSC§25281.5(b)f3) ❑ 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) M48. ❑ 99.OTHER(Specify) 07/23/03 SJCEHD-d(07/03)-1/4