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06/29/05 WED 10: 02 FAX 209 tla3 6909 COUNTRY-MARKETPLACE %404 A D02 <br /> UNDERGROUND STORAGE TANK MONITORING PLAN <br /> Fop,rete by Uufdocs Member Agencies or where apprwed byyour Local AwLydictlopp <br /> Atorhority Clled: Title 23 CCR, Sections 2632(d)(I), 104(d)(2), and 2641(h) <br /> TYPE.OFACTION 0 1NEW PLAN ❑ 2.CHANGE OF INFORMATION Mai <br /> PLAN TYPE OF MONITORING IS IDENnCAL FOR ALL USTs ArT1115 FACILITY Ht <br /> (Cheek one Ilan only) ❑ 'rms P1,AN COVERS ONLY THE FOLLO W MO UST SYSTEM(S). <br /> .cF —.—.—rte <br /> i �'AC.1L..'�`-'YaNRQ10N - <br /> FACILITY lC a(Agan y Uer Of✓y1 44E7 yr; ! <br /> FACTIYITY NAME <br /> FACILITY SITEADDRESS'--} n Luo . QX �^ Q77�7. Ma 'CITY ps <br /> _J'. 1lJ-... <br /> s:II. ';EQUIP;NI�NT TE G p 1NTlVEYl11iCXN J MANCE <br /> Sure Law requires Not matinS,prevomive maintenance,and calihmtion or monitoring equipment(..S.,sensors,probe,line leaLdeteclom esu.)be p4rromsee In ..Mm' <br /> accordevct wi(h the equipment sMnllfuaureri iMVueHons,or ul0pally,whichever is more fmquem. Such worlt must be perfbrme6 by qualified personne). <br /> MONITORING EQUIPMENT iS SERVICED —i 1.ANNUALLY 19 99,OTHER(Speci(y):I Ghon_YRaw2 ,o Me? <br /> ,: III:: A1+J'�TURYNGT:o�ATION .-::; <br /> Thie nl90ilor"ll plan must include a Site Mus shown6 the ccocral lank and piping layouts and the 10elllanl wherc moRdonnS Is perronoed(i.e.,hicationareadilenpiff, <br /> line luk sMeemq Rlen(IorinS synun e.nwl panel,eu.). lryou d14ady hour)diagram It g.,cunvlt UST Monitoring Si4 Pion from•Monitoring Systain Ctalnrallon <br /> foray.HamrOous MHerbk Dtuisw3s Phn ma .ew selll 6 shows ell s <br /> r. hred in( oration include it wiN/hies n. <br /> Tri 3G %T ]7Ii$G <br /> MONITORING IS PERFORMED USINO THF FOLLOWTNO ME'I'HOD(S):(Check ell Thal apply) <br /> ® <br /> I.CONTIN000S EI.F,CTRONIC MONI[VR1Na9F TANK A-WLAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULTS) <br /> SECONDARY CONTAINMENT IS: t DRY I a.LIQUID PILLED O c UNDER PRESSURE ❑ If UNDER VACUUM MII <br /> PANL'LMANUFACTURER: a L&#A 40 MODEL4: <br /> LEAK SENSOR MANUFACTUKLR: 61IL E/fACO ert�'A+1l Tett MI' 1,1001.1_401. 79 V3 Y�9�17r H" <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO M0. ICOR&MULL WAi I TANX(5S <br /> PANEL MANUFACTURER: M1l MODF.I.d: MIT <br /> IN-TANK PROBE.MANUFACTURER: e01. MODEL N(Sk MIL <br /> LEAK TFST FREOUENCY; ❑ e CONTINUOUS ❑ b.DAILY/NIGN'rLY ❑ c.WEEKLY Ne° <br /> ❑ d.MONYHLY ❑ cOTHER(Spt,Uy): wl. <br /> PROGRAMMEDTESTS'. 0 s.0.16P-h. ❑ b.0.2 S.p.h. ❑ c OTHER(Sptcly)' M" ' <br /> 0J.INVENTORYR6[DNCILIATION ❑ u.MANUAI,PEK23CCR;2646 ❑ b,STATISTICAL PER 23 CCR 12646.1 ( <br /> ❑ 4.W LLKLY MANUAT.TANK GAUGING(MTC.)PER 23 CCR 17645 <br /> TESTING PERIOD: ❑ o.36 HOURS ❑ b.60 HOURS <br /> ❑ 5.rNTEGRITY TESTING PER 23 CCR Ki64).1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY 0 b.BIENNIALLY ❑ 1:.07HER(Speci(y): M26' M17, <br /> 06.VISUAL MONITORINOOONL. 0.DAILY ❑ h,WEEKLY❑ma4%Real,P"4Y✓) <br /> ❑ 99.OTHER(SpaiFj)' MIL <br /> V. PUT MONITORING <br /> MONITORING IS►ERFORMED USING THE FOLLOWING ME'1'HOD(S)(Check:ail Ihm apply) <br /> L CONTINUOUS ELECTRONIC MON I fORINO OF PIPING SVMP(S)pTRF'NCH(ES)AND 03 HER SECONDARY CONTAINMLINT <br /> SECONDARY CONTAINMUNT IS: 0 a.DRY ❑ b.LIQUID FILLED ❑ c.(ANDER PRESSURE ❑ d.UND11R VACUUM M01' <br /> PANEL MANUFACTUIULR: eGa Ny*12 cc WIMODEL 1) 4n S MD <br /> LEAK SENSOR MANUFACTURER'. L—/L I3AlGO pH'- MODEL NIS). 'A* OA. KJs <br /> W11.I,A PIPING LEAK ALARM TRIGG13K AUTOMATIC PUMP(it,TURBINE)SHUTDOWN? 0 1.YES ❑ b.No M)a <br /> WILL FAILURE/DISCONNECTION OI'THE MONITOrU NO SYSTEM TRIGGER AUTOMATIC PUMP SIIUTDOWN7 ■ a.YES 0 b.NO MP. <br /> 2.MECHANICAL LINE LEAK DETECTOR (MLLD) TKA7 ROUTINELY PERFORMS 3.0 g,p.h. LEAK TESTS AND RFSTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A I.EAK IS ORTECT'L•D <br /> MLLDMANUFACTUKER(S): +Z4�—f70G/C�e`l" °U1 MODEL NIS) <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY YERFORMS 10 g.p.h.LEAK TESTS <br /> rLLD MANUFACTURER: W0 MODLL N: Mal <br /> PROGRAMMLO LINE INTEGRITY TESTS: 0 ou MINIMUM MON'I"HLY0.2 g.pA ❑ b.MINIMUM ANNUAL 0.1 g.p.h, mq. <br /> WILL ELLDDETE•CTIONOFA PIPING LEAK'fR.W.ER AUTOMATIC PUMP S(IUTOOWNT ❑ aYES ❑ b.NO Nu <br /> WILL ELLD FAILURFJDISCONNF,.CTION TFUGGF.R AUTOMATIC PUMP SIIUTDOWNY ❑ 1.YES ❑ b.NO MLL <br /> 0 4.rNTEG1UTY'fEsTING <br /> TES PREOURNCY' ❑ ..ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTityR(Speciry) MU. m.e <br /> 0SNISUAtMONITORINGDONE: CI a,DAILY ❑ b.WEEKLY' ❑ c,MIN.MONTRLY&EACH TIME SYSTRMOPERATED'• m+r <br /> •Req..,+bnrYapemnl ••MIe..Y,IM1fna,irrigWMlrvnW weselry lmwuw M1Npbinpaly pe,HSC 133:n.l ISNn <br /> 0 6.PIPING IS SUCTION PIPING MEETING ALL REQTRREMLNTS FOR EXEMPTION FROM MON]'I'DRING PFR 33 CCR 42636(.)(7) <br /> ❑ s.NO PROOUCr OR REMOTE PILL PIPING IS CONNECTED TO THE UST(s) <br /> ❑ 99.OTHER(Speeiy) Mn <br /> UN-022A-115 www.unlJou.erR Rer.10/140.3' <br /> 2 "d <br /> 0026 13C213SUI dH WdBi, =2T 0002 BZ Wf1C <br />