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JOAQ'bwtCOUNTY ENVIRONMENTAL HEALTR"O?ARTMEI�ff SAN UNDERGROUND STORAGE TANK M31. MONITORING PLAN - PAGE 1 SFP PANEL MANUFACTURER: NC W. MODEL#: 7 < 1601 M43 - TYPE OF ACTION ❑ 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION sroi PLAN TYPE MONifORINGIS IDF.NTTCAL FOR ALL US"fs AT THIS FACIL,ffY. PERMIT SERViC ES (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): S07 I. FACILITY INFORMATION OFF FACILITY ID # (Agency Use Onli) M03. ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS FACILITY NAME 3 C MOS Mm CITY � FACILITY SITE ADDRESS a,y31 C—�ry,#VP62 /� Tie Kron/ PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. [Ib. MINIMUM ANNUAL 0.1 g.p.h. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO Stam law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., senscns, probes, lint leak detectors, etc.) be performed in instructions, or annually, whichever is mo¢ frequent. Such work must be performed by qualified personnel. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO accordance with the equipment manufacmren, [*I ANNUALLY ❑ 99 OTHER (Specify): Mm MONITORING EQUIPMENT IS SERVICED ❑ 5. VISUAL MONITORING DONE: a. DAILY ❑ b. WEEKLY- ❑ c MIN. MONTHLY & EACH TDAE SYSTEM OPERATED" • aem,iea reecv mv.al •• Allew far monk %afuahried emngArKy grra m fuel P'P®g arty M HSC 1252e1.31a7(3, III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the }ovations where monitoring is perfomKd (i.e., location of each sensor, If have a diagram (eg., current USE Monitoring Site Plan from a Monitoring System Certification line leak detector, monitoring system control panel, etc.). you already forni, H dour Materials Business Plan map etc) which shows all required information, include it with this plan. - IV. TANK MONITORING Mlo MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) DRY ❑ b. LIQUID FILLED 11c. UNDER PRESSURE ❑fid•. DER VACUUM M I SECONDARY CONTAINMENT IS:/ �/®� a. �✓ M1z MODEL#: O0� M1S PANEL MANUFACTURER: L/"`.O I MI4. MODEL#(S): 7s•-QLS P MI5 LEAK SENSOR MANUFACTURER: ❑ 2. AUTOMATIC TANK GAUGING (ATG) SY TEM USED TO MONITOR RLQ E_WALL TA tMoi ;M mill MODEL #: PANEL MANUFACTURER: M19 IN -TANK PROBE MANUFACTURER: mis, MODEL #(S): ❑ C] b. DAILY/NIGHTLY c. WEEKLY M20 LEAK TEST FREQUENCY: ❑ a. CONTINUOUS a611 <1 ❑ d. MONTHLY ❑ e. OTHER (Specify): acz. My PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 gp.h. ❑ c. OTHER (Specify): st_a ❑ 3. INVENTORY RECONCILIATION ❑ & MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 W5 TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS ❑ 5. INTEGRITYgSTING PER 23 CCR §2643.1 aa� Mn TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNLALLY ❑ c. OTHER (Specify): ❑ 6.VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY ut";�w�yw -I) aaa. ❑ 99.07HER(Specify): V. PIPE MONITORING MJa MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) IQ 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyTRENCH(ES) AND OTHER SECONDARY CONTAINMENT M31. SECONDARY CONTAINMENT IS: ®' a. DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM PANEL MANUFACTURER: NC W. MODEL#: 7 < 1601 W3 Mas. LEAK SENSOR MANUFACTURER: SNA 6 M34. MODEL #(S): 0 u L S M6 WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? S1 a. YES ❑ b- NO WILL FAILURF/DLSCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ja a. YES ❑ b. NO S07 ❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLAW WHEN A LEAK IS DETECTED Wit W9 ML.LD MANUFACTURER(s): MODEL #(S): ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS Moo. MODEL #: ELLD MANUFACTURER: M41 M2 PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. [Ib. MINIMUM ANNUAL 0.1 g.p.h. 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 MM ❑ 4. INTEGRITY TESTING sus TEST FREQUENCY: BL a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) MM ❑ 5. VISUAL MONITORING DONE: a. DAILY ❑ b. WEEKLY- ❑ c MIN. MONTHLY & EACH TDAE SYSTEM OPERATED" • aem,iea reecv mv.al •• Allew far monk %afuahried emngArKy grra m fuel P'P®g arty M HSC 1252e1.31a7(3, MO ❑ 6. PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR §2636(aH3) T'1 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s)