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T.bO0 000 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN—PAGE 1 <br /> ANI. <br /> TYPE OF ACTION ❑ I.NEW PLAN <br /> 2.CHANGE OF INFORMATION Awz <br /> PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYS7EM(S): <br /> FACILITY ID#(Agency Use only) Mor. <br /> FACILITY NAME ^ Y <br /> M05. <br /> \ MW. CITY <br /> FACILITY SITE ADDRESS - <br /> ui mens a line leak detectors,etc.)be W fomad in Ma,. <br /> State law requires that testing,preventive maintemmce,and calibration of monitoring eq p ( .g,sensors,pro ANS <br /> accordance with the equipmrnt tnanufacturcrs'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. <br /> '!ANNUALLY ❑ 99.OTHER(Specify): <br /> MONITORING EQUIPMENT IS SERVICED M-I <br /> re monit <br /> 1�hiine leakitorMorlan must I toting system control partel„e c. If yo already have laldagram(e.g.,curent UST Monigfa�mtts_.d the locations itoring SiaPan from a Monitoring Sytem Certification <br /> form.Hazardous Materials Business Plan ,etc. which shows all uired information,include it with this lan. <br /> Mir. <br /> MO TORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) <br /> (CONTINUOUS ELECTRONIC MONITORING F TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULTS) Mlt <br /> SECONDARY CONTAINMENT IS: �.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE�- �❑ d.UNDER VACUUM Ams <br /> 1_ MODEL#: -_L Q e � <br /> PANEL MANUFACTURER: Q %\l am M14. MIS <br /> . <br /> 3.l y_ _ MODEL#(S): 4Q•/'/Sg Z <br /> LEAK SENSOR MANUFACTURER: W L K S•zsL <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)S��D TO IONITOI� All,. M1' <br /> C��'� A 1 % ,1� MODEL#: <br /> PANEL MANUFACTURER: O M19' <br /> Mle MODEL 27 O -Auo. <br /> IN•TANK PROBE MANUFACTURER: t)Peel �d ❑ b.DAILYMIGHTLY c.WEEKLY <br /> LEAK TEST FREQUENCY: ❑ CONTINUOUS - Am. <br /> Wd.MONTHLY ❑ e.OTHER(Specify): Mma Am. <br /> PROGRAMMED <br /> RECONCILIATION <br /> ❑ a.M g.p.h. <br /> �0.2 g.p.h. ❑ c.OTHER(Specify): \L4. <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 A25. <br /> TESTING PERIOD: ❑ <br /> a.36 HOURS ❑ b.60 HOURS <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR 32643.1 Ar6. Au'. <br /> [3b.BIENNIALLY E] c.OTHER(Specify): <br /> TEST FREQUENCY: ❑ a.ANNUALLY <br /> ❑ 6.YISUAL MONITORING DONE: ❑ a.DAILY ❑ IS.WEEKLY tanv�as"o'4w'°" l <br /> AL+H. <br /> ❑ 99.OTHER(Specify): <br /> Auo. <br /> MOPITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> I.CONTINUOUS ELECTRONIC MONITORI PIPING SUMP(S)?RENCH(ES)AND OTHER SECONDARY CONTAINMENT 3.131 <br /> ECONDARY CONTAINMENT� DRY ❑ b.LIQUID FILLED ❑I'M <br /> UNDER PRESSURE ❑ d.UNDER VACUUM Msr <br /> 11111''TT��� MODEL#: ✓� _C Aus. <br /> PANEL MANUFACTURER: Aw. MODEL#(S): PA 0X59 �-� — aua <br /> LEAK SENSOR MANUFACTURER: - ES ❑ b.NO <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? �Yf <br /> / WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b.NO <br /> Q"2.MECHANICAL LINE LEAK DETECTOR (MELD) THAT ROt7r-fMELY PERFORMS 3.0 g.p.M1.7F•A TFs� AND RESTRICTS 6Q�OR SHUTS OAF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED y''�b 3 f/�9 �p 2oC0 M3B �MOD(GEL�#(S}:aL^w' <br /> MELD MANUfACTURER(s):al I a7 ! <br /> TESTS M41. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT I� TINELY PERFORMS 3.0 g.p.h.MM40 MODEL#: <br /> ELLD MANUFACTURER: / Auz. <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. Aus <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMPSHUTDOWN? ❑ a.YES ❑ IS.NO nta4 <br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? <br /> ❑ a.YES ❑ b.NO <br /> I'm <br /> ❑ 4.INTEGRITY TESTING Mos. <br /> a.ANNUALLY (�b.EVERY 3 YEARS ❑ c.OTHER(Specify) <br /> TEST FREQUENCY: ❑ <br /> ❑ S.VISUAL MONITORING DONE: ❑ a.DAILY bWEEKLY* ch1IN.MONTHLY do EACH TIME SYSTEM OPERATED" AHI. <br /> •Requrc ayaKr wnba ••Amo+ea Wr moNmrins ofwbmiN enwaxy ee+ermrfud pipNnamly p HSC W21110*35 <br /> ❑ . <br /> NG IS <br /> SUCTION <br /> REMOTE FILL PIPING IS REQUIREMENTS THE EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) <br /> M.111. <br /> [3 7.NO <br /> ❑ 99.OTHER(Specify) 0723/03 <br /> SJCEHD-d(07/03)-114 <br />