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0 <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE 2 <br /> VI.DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATH DfSPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Msa <br /> I.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) <br /> PANEL MANUFACTURER- _V � MSI. MODEL TS M52. <br /> LEAK SENSOR MAN U FACTUR CR: M'3- MODEL#(S)--"]r 4't ai,!rQ1{.LQ Y "434. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS! '[`°] a.YES ❑ b.NO t<t15 <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? :c` Nl�] a_YES ❑ b-NO MN` <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTOOWN?_i] a.YES ❑ b_NO M17 <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: ° " MODEL#(S): M59 <br /> ❑ 3.VISUAL MONITORING DONE: © a.DAILY ❑ b.WEEKLY(Requires.a—),pp—W) M`'" <br /> ❑ 4.NO DISPENSERS <br /> 94.OTHER(Specify) CI D jjj a1z. ntr I <br /> ENHANCED LEAK DETECTION <br /> L] 1.WE NAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK MM <br /> DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> VIIL TRAINING <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) MIM <br /> I. I�P THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. g} THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) <br /> 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. © STATE WATER RESOURCES CONTROL HOARD (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.❑ OTNER(Specify): M41 <br /> Personnel wilt UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when necded- <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 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. <br /> Taus 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 /> 7 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 /> Y 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 information(e.g.,additional information required by your local agency): MK5. <br /> FLfipfl `vlfLVL gslo% <br /> qU DI 81 u1 IT <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS OF 1/1/05,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 /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR '2715 <br /> V OWNER/OPERATOB�IGriAT �E <br /> OWNEtL' E TOR 51GNA - - DATE ares. <br /> A 7 <br /> • :.' l <br /> OWNS TOR NAME( ' / R71. OWNEWOPERATOR TITLE RAZ <br /> Caa,C-1101 1, <br /> /6► <br /> (Agency Use Only) This plan has been reviewed and: 0 Approved ©Approved With Conditions <br /> ❑Disapproved <br /> Local Agency Signature: IV , " "V' L l'-C`s � - Date: <br /> SJCEHD-e(06A)3)-3/3 U6I2S103 <br />