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NOW — <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE -2 <br />VI. DISPENSER MONITORING <br />MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING rHE FOLLOWING METHOD(S) (Check all that apply) ^t`m <br />1. CONTINUOUS ELECTRONIC MONITORING OF LUN ER DISPENSER CONTAINMENT (UDC) <br />Mfr TS/fid / M53 <br />ICD/ <br />PANEL MANUFACTURER: MODEL#: <br />LEAK SENSOR MANUFACTURER: 1601V Msa. MODEL#(S): ZSP ^UCS <br />WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? a. YES ❑ b. NO M95. <br />WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? jil a. YES ❑ b. NO <br />WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? A a. YES ❑ b. NO MSI. <br />❑ 2. MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br />ASSEMBLY MANUFACTURER: MSs. MODEL #(S): <br />JW 3.VLSUAL MONITORING DONE: A a. DAILY ❑ b_ WEEKLY (Rry .o yawreril) <br />❑ 4. NO DISPENSERS <br />❑ 99.OTHEA (Specif}1 <br />VII. ENHANCED LEAK DETECTION <br />0 1 NT. HAVE. BEEN NOTIFIED BY THE STATE WATER RFSOIURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK A 0 <br />DETECTION (FIT)) FOR THE UST(S) COVERED BY THIS PLAN_ PER 23 CCR §2644 1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br />VIII. TRAINING <br />REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all thin apply) Mae <br />L THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) <br />2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) <br />3. THE FACILITY'S BEST MANAGEMENT PRACTICES (Required m of 7/12004) <br />4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />5. CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />6. STATE WATER RESOURCES CONTROL BOARD (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 />star99. ❑ OTHER (Specify): <br />Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to theirjob duties and can access those documents when needed. <br />By July 1, 2004, this facility will have a "Designated UST Operator" who has passed the operator exam administered by the International Code Council (ICC). By July <br />1, 2004, and annually thereafter, the "Designated USE Operator" will lain facility employees in the proper operation and maintenance of the UST systems. This <br />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 />> The facility employee's role with regard to the leak detection equipment. <br />Y The facility employee's role with regard to spills and overfills. <br />➢ Whom to contact for emergencies and Ink detection alarms. <br />For facility employees hired on or after July 1, 2004, 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 monittuing-related information (e.g,, additional information requited by your local agency): Mae. <br />X. PERSONNEL RESPONSIBILITIES <br />AS OF 7/12004, 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(b - <br />XI. OWNERIOPERATOR SIGNATURE <br />CERTIFICATION: I certify that the information provided herein Is true and accumte to the best of my knowledge. <br />OWNER/OPERATOR SIGNATURE Wn NT tCt <br />1055 Gwne M� <br />DATE: W1 <br />q-13 <br />❑ Operator <br />OWNER/OPERATOR NAME t) sm. <br />OWNER/OPERATOR TITLE: Msa <br />/ ! �o <br />A <br />(Agency Use Only) This plan has been reviewed and: ❑ Approved ❑ Approved With Conditions ❑ Disapproved <br />Local Agency Sig atme: Date: <br />Comments/Special Conditions: <br />