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UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE 2 SER _ _ ONi -,O',,r a s __71277'1. k OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) Mso. pMONITORING •'i 1. CONTINUOUS ELECTRONIC MONITORING OF U,N/pER DISPENSER CONTAINMENT (UDC) PANEL MANUFACTURER: 1 CO /t' Msi. MODEL err: TS Zoo LEAK SENSOR MANUFACTURER 1604V M53. MODEL #(S): r 4,P -U45 Mss. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS7 a a. YES ❑ b. NO Mss_ WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? R a. YES ❑ b. NO Msa. WILL FAILURFlDISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO Msi. ❑ 2. MECHANICAL ASSEMBLY (e.g, FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER Mss. MODEL #(S): Msv. Ra. DAILY ❑ b. WEEKLY litwoca agmgeppor�l) M60. ❑ 4. NO DISPENSERS ❑ 99. OTHER (Specify) Msr. �CL s ENHt1N0 D LEA K`DE TT GTION 1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WB MUST IMPLEMENT ENHANCED LEAK DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §2644.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED .."X i.°S+• h'6Y 9C GfT� �J Fi:i 4�..G� ':,. � � � ai^,.'1 �a±tjif �T .:.p� L� � REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) Mw. I. THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 2. OPERATING MANUA[S FOR ELECTRONIC MONITORING EQUIPMENT (Required) FOR M 3. FACILITYBBEST PRACTICES (Required u of 7/1/2004) 4. LR CALIFOANIA UNDERGROUND STORAGE TANK REGULATIONS 5. CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99_ ❑ OTHER (Specify):- Mss. Personnel with UST monitoring responsibilities are, familiar with all of the above documents relevant to theiriob duties and can access those documents when needed. By July I, 2004, this facility will have a "Designated UST Operator" who has passed the operator exam administered by the Intemational Code Council (ICC). By July 1, 2004, and annually thereafter, the "Designated UST Operator" will Vain facility employees in the proper operation and maintenance of the UST systems. This training will include, but is not lirnited I% the following: > Operation of the UST systems in a manner consistent with the facility's best management practices. > The facility c nployce's role with regard to the leak detection equipment- > The facility cinployee's role with regard to spills and overfills. > Whom to contact for emergencies and leak detection alarms. For facility employees hired on crafter July 1, 2004, the initial training will be conducted within 30 days of the date of hire. IXc COMMENTSIADDY TONAL INFORMATION ' . Please use this to elude any dditianal UST sysP��nt�nng-mlleated info tion (c.> dditigna� 2forma ' quired `y your al agency), M15. (��. w r�l1..LLf4 TTtJhh f��, y X: FERSOi�i�lEL ItESPbNSIB11 ITIES AS OF 7/12004, THE DESIGNATED UST OPERATOR" IDEN"I IFIED IN SECTION lit OF THE CURRENT UST OPERATING PERMIT APPLICATION — FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN, AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR I 271 ...�t .. , XI ; O'1i'NER/OPERATOR SIGriATURE':" ' • .:, CERTIFICATION: I certify that the information proilded herein is true and accurate to the best of my knowied e. OWNER/OPERATOR SIGNATURE ENTII DATE: Myr Operator -- ❑owner Myer. —13 —0`f OWNEWOPERATOR NAME (p t): 7% OWNER/OPERATOR TITLE: N193. !- C (Agency Use Only) This pint has been reviewed and: XAPP--ed ❑ Approved With Conditions Disaped Local Agency Signature: �' ^6�6�� Date: / i Conancnts/Speciel Cwrditims: