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SAN JOAQIN,.,,,COUNTY ENVIRONMENTAL HEALTH,,,OPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE I Mol TYPE OF ACTION ® I.NEW PLAN ❑ 2.CHANGE OF INFORMATION PLAN TYPE CK MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Moe_ (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) FACILITY NAME Victor Road Cardlock M03 FACILITYSITE ADDRESS 930 E.Victor Road M04 CITY Lodi Mos, II. 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 M(k. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED 04 1.ANNUALLY E] 99.OTHER(Specify): Mm. 111. 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 MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mlo- ® 1.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 PANEL MANUFACTURER,MANUFACTURER: Incon M12. MODEL#: 1 00 1 MI3. LEAK SENSOR MANUFACTURER: Incon M14. MODEL#(S): Eire" MIs_ ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSI EM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16 MODEL#: MIT IN-TANK PROBE MANUFACTURER: M18. MODEL#(S): M19, LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY M20. ❑ d.MONTHLY ❑ e.OTHER(Specify): Mer PROGRAMMED TESTS: ❑ a.0.1BP h. Elb.0.2 g.p.h. ❑ c.OTHER(Specify): M2z. W3. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M21. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS W5. ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26. Mn. ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY BWwres agency approval) ❑ 99.OTHER(Specify): M28. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/ PENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ it.UNDER VACUUM M31. PANEL MANUFACTURER: Incon W2. MODEL#: 1000 M33. LEAK SENSOR MANUFACTURER: Incon MJ4, MODEL#(S): M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? M a.YES ❑ b.NO M36_ WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? [ga.YES ❑ b.NO '7 Ca 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 I � CTD t ]3MLLD MANUFACTURER(s): M38 MODEL 4(S): L Z'3or) ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: M40 MODEL#: M41. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. 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 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. Moa ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ c.MIN,MONTHLY @.EACH TIME SYSTEM OPERATED-* Mor. •Rduires agency approval '•Allowed fm moniwnngofunWne emergmry generatorfuia pipingonly per HSC§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) M48. SJCEHD-d(07/03)-1/4 07/23/03