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SAN T0-AQ,,,,, COUNTY ENVIRONMENTAL HEALTH PARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE I M01. TYPE OF ACTION ❑ I.NEW PLAN ❑ 2.CHANGE OF INFORMATION vw PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency(Ise Only) - . blo3, FACILITY NA.MECC Y'K-t k.�1ct CC 1 CITY FACILITY SITE ADDRESS �`��'1 (o . C f 1Cl'(' -� II. EQUIPMENT TESTING AND PRE NTIVE'MAINTENANCE State law requires that testing.preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in Mob. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. alo- MONITORING EQUIPMENT IS SERVICED ❑ 1.ANNUALLY ❑ 99-OTHER(Specify):4! ge&f5� Ili. MONITORING LOCATIONS This rtwnitonng plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, line leak detector,monitoring system control panel,etc.). Byou already have a diagram(e.g.,curtrnt UST Monitoring Site Plan Crom a Monitoring System Certification form.Hazardous Materials Business Plan ma ,etc. which shows all re aired information,include it with this Ian. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOW MG METH0 (S):(Check all that apply) Mla. ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULTS) tut 1 SECONDARY CONTAINMENT IS: ❑ a.DRY b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M12. MODEL#: atls. PANEL MANUFACTURER: Mw, MODEL#(S): MIs. LEAK SENSOR MANUFACTURER: ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) vnr PANEL MANUFACTURER: MIs_ MODEL#: . IN-TANK PROBE MANUFACTURER: >ItsMODEL#(S): Mw LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ It.DAILY/NIGHTLY ❑ c.WEEKLY W,0- e.OTHER(Specify): x121 ❑ d.MONTHLY El M2z. acs. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): [13.INVENTORY RECONCILIATION [Ia.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2636.1 %124 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS El b.60 HOURS acs_ ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 MJ6. aL'r. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(geyw.e:agency 3pmo.36 M28. ❑ 99.0THER(Specify): V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) - SIM ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)ITRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM MJt W2, MODEL#: h133. PANEL MANUFACTURER: 1,03. MODEL#(S): ws. LEAK SENSOR MANUFACTURER: M6. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES ❑ b.NO WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mar. ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED MiahUq. MLLD MANUFACTURER(s): MODEL#(S): ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS MODEL#: M31.. ELLD MANUFACTURER: M40 PROGRAMMED LME INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. SW WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ It.NO M4J. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mu ❑ 4.INTEGRITY TESTING MSS A136 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ It.WEEKLY' ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" M47. •Requires te.,approwl ••Allowed for monitoring ofunWntel emergemy gmmazw fuel piping only per HSC§25231 5(bx3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) 949