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UNDERGROUND STORAGE TANK MONITORING PLAN—PAGE 2 "- VI.`DISPENSER MONITORIN' MO RING OF AREAS BENEATH DISPENSER(S)IS.PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) Msa 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANEL MANUFACTURER: DILUZ60 not. MODEL#: L-M LMsx LEAK SENSOR MANUFACTURER Lf[64eco Mss. MODEL#(S): ArdL M� WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑.a YES ❑.b..NO M3S' WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO � WILL FAILURF/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mn. ❑ 2..MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK JJ ASSEMBLY MANUFACTURER sus' MODEL#(S): W9.Ly.3.VISUAL MONITORING DONE: a-DAILY ❑.b.WEEKLY o"m s.emey ypravd) ]iMs ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) M61. VII.' ENHANCED LEAK DETECTION- 0 1.WE HAVE BEEN NOTIFIED ETECTION-❑ 1.WEHAVEBEENNOTIFINDBY THE STATE W A I ET RLSOU RC ES CON IROL BOARD I-H ATWE MUST IMPLEMENT ENHANCED LEAK Mra DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644_I,ELD IS PERFORMED EVERY 36 MONTHS.AS REQUIRED II._TRAINING_-_ RNCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mw. 1. THIS.UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. THE FACILITY'S.BEST MANAGEMENT PRACTICES(Required a of 1/01/2005) 4. Ly CALIFORNIA 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): Mst. Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to theirjob duties and can access those documents when needed, By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By January 1,2005,and annually thereafter,the.."Designated UST Operator".will train facility employees in the proper operation and maintenance of the UST systems. This training will include,but is not limited to,the following: ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. ➢ The facility employee's role with regard to the leak detection equipment. ➢ The facility employee's role with regard to spills and overfills. ➢ Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after January 1,2005,the initial training will be conducted within 30 days of the date of hire. ONLIVIENTS/ADDITIONAL'INFORMATIO Plisse use this section to include any additional UST syste momt ing-elatedinformation(e.g.,additional information required by year local agency): bass. Aua (/,�� ,I�„, S.i 2o5'd Tae (�o}�+ 7A�irz ERSONNELRTSPQW131LITIE AS OF 1/1105,THE"DESIGNATED UST OPERATOR" IDFN'I IF IED IN SECTION III OF THE CURRBN'I UST OPERATING PERMIT APPLICATION—. FACILITY FORM WILL HAVE ULTIMATE AUTI IORITY FOR PERFORMING THE MONITORING ACTIVI It ES AND MAINTAINING LEAK DEI'EMON EQUIPMENT COVERED BY THIS PLAN,AND WILL.PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS.OF THE FACB.1Ty'S UST SYSTEMS IN ACCORDANCE 2715 b2C OWNER/OPERATOR SIGNATU CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. OWNER/OPERATOR SIGNATURE- REP ENEl Operator'H . DATE: FFF rasr. (Lf� a M"90171"16f- OWNER/OPERATOR NAME(print): nwx OWNER/OPERATORTI7LE: 7�, M93. (Agency Use Only) This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑.Disapproved Local Agency Signature: Date: Comments/Special Conditions: SJCEHDd(07/03)-3/4 07/23/03