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01/03/2008 THU 14:42 FAX 2094683433 SJC EHD 0001 ********************* *** FAX TX REPORT *** TRANSMISSION OK JOB NO. 0903 DESTINATION ADDRESS 94626171 PSWD/SUBADDRESS DESTINATION ID ST. TIME 01/03 14:37 USAGE T 04' 28 PGS. 5 RESULT OK SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTM �- 3 Ir: � UNDERGROUND STORAGE TK U tl�� rl� � t� MENTI RING PLAN-PAGE 1 TYPE OF ACTION r^ O a 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION TYPEMm PLAN TYPE iN MONITORING 1S IDENTICAL FOR ALL US I's AT THIS FACILITY. - (Ctreck Ono ilcm only) ,,MIR ❑ T}iISPLANCOVERSONLYTI-IEFOLLOWINGUST.SYS7El�i(S): Dl�t?ir I'r!C['[)L!�(��v 1. FACILITY INFORMATION FAC[Ll'fY ID p(Rgenev Use Only) FACILITY NAME Q t� U} 4'S FACILITY St'fEADDRESS 1 r-� � � 1 �`�� �Q "o.f TY UMUS H- EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law eewilht [hull esting,preventive maintenance,and calibmGon of monitoring equipment(e.g_Sensors,probes,line leak detectors,etc.)he performed in Mtib necardance rvilh the cquiptnent manufacturers'instructions,Or annually,whichev is more frequent Such work must be perPormcd by qunlifred personnel. MONITORING EQUIPMENT IS SERVICED L ANNUALLY ❑ 99.OTHER(Specify):1-� _ Mrn This • MONITORING LOCATIONS monitoring plan"...'iMrlude a Site Plnn Showing the general mnk and piping layouts and the iocatianS where monitoring is puibnned(i.e..location of each sensor, line leak dedouy,monitoring system control panel,etc.). [fyou already have a diagram(e.g..current UST Monitoring Site Plan from a Monitoring System CertiRcaliou farm,l]azatdttus Materials Business Plan map,etc.)which Shows all required information,include it with this plait IV. MORING MONITORING 1S PERFORMED D USING THE FOLLOWING MEFHOA(SW)'(Chk.11NIT 4ply) A I.CONTINIJOUS ELECTRONIC MONITORING OF TANK ANNULAR(JNTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT-VAULT(S) mitt. SECONDARY CONTAINMENT IS: ® a.DRY (] b.LIQUID FILLED C1 G UNDER PRESSURE tint. PANEL MANUFACTURER: U=L l� ❑ d.TINDER VACUUM Mil MODEL M J (s-ak Mts. LEAK SENSOR MANUFACTURER: EC - h - Mu. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SjNqMODEL H(S), l C rtrs. PANEL MANUFACTURER: Mih IN-TANK PROSE MANUFACTURER: MODEL d: Mrr. Mt' MODELf!(S): Mrs. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ d.MONTHLY Elb.DAILYINIG14TLY 11 c.WEEKLY PROGRAMMED TQ e.OTHERS ( �`)� ESTS: �� Mei. ❑ n.0.t g.p.h. ❑ b-0.2 g,p.h. ❑ c.OTHER(Specify): M•? MJ. ❑ I INVENTORY RECONCILIATION [I a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR 42646.1 M±a C] 4.WErKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD. ❑ a.36 HOURS C] 5.INTEGRITY TESTING PER 23 CCR 42643.1 El h. HOURS Mss TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY 6.VISUAL MONITORING DONE: a- ❑ c.OTHER{Specify): . Mn.DAILY © b.WEEKLY{Raqurcas6rnt?aPP�mq 99.OTHER(Specify): L V. PIPE MONITORING M211. MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) ❑ I.CONT1NUpUS ELECTRONIC MONITORING OF PIPING SUM'P(S)ffRENCH(FS)AND OTHER SECONDARY CONTAINMENT Mse,. SECONDARY CONTAINMENT 1S: ❑ a.Day PANEL MANUFACTU ❑ b•LIQUID FILLED ❑ C.UNDER PRESSURE Mal. Rl:R: D d.UNDER VACUUM Mr- MODEL f1: LEAK SENSOR MANUFACfUREF _ Msa. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.c.,TUkBINF.)SHUTDOWNMODEL!!(4)- Mss, WILL FAILURFJOISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN'+ ❑ YES ❑ b.NO Mar. ❑Z.MECHANICAL LINE Ll AK DETECTOR (MELD) THAT ROUTINELY PERFORMS 3,0 ❑ a.YFS ❑ b.N0 Mar PRODUCT FLOW WHEN A LEAK IS DETECTED g.p,h. LEAK TESTS AND RESTRICTS OR SFIUTS OFF — MLLD MANUFACTURER(s): nus. ...,.,.-. .,,..,