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UNDERGROUND STORAGE TANK - MONITORING PLAN - PAGE 2 1 1 '4� 'rx"� MMO�'TORINO OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that appiyl M50 [d'1..CONTINUOUS ELECTRONIC MONITORIA[G OF UNDER DISPENSER CONTAINMENT(UDC) PANEL MANUFACTURE R: t -15 M51' MODEL 4: GM't Mss LEAK SENSOR MANUFACTURER 46AQ(as MSI. MODEL 4(S): %+aS ff S"ouOa I I ac( WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ®.a.YES ❑ b.NO M55 WILL A UDC LEAK ALARM TR)GGER AUTOMATIC PUMP SHUTDOWN? R a.YBS [3b-NO MS6 WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? 10 a.YES ❑ b.NO M5� ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER M58. MODEL 4(S): Mat' d,VISUAL MONITORING DONE: 4tDAILY Q b.WEEKLY(XKu as.e�r.q—C Mss ❑ J.NO DISPENSERS ❑ 99,OTHER(Specify) ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M?s DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MOD'.THS AS REQUIRED RNMEW t REFE CE DOCUMENTS MAINTAINED AT FACB.I'FY(Check all that apply) I. gTTHIS.UNDERGROUND STORAGE TANK MONITORING PLAN(Require(l) 2. Cr OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) p,,a/THE FACILITY'S BEST MANAGEMENT PRACTICES(Required asof 1/01/2005) I. iy 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 PUBWCATION!"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" i^ Met. 99.❑ OTHER(Specify), Personnel with UST monitoring responsibilities we 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 Intematiorml Code Council(ICC). By January i 2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the oroper operation and mairnenance of the UST rysmina This training will include,but is not limited to,the following: D Operation of the UST systems in a manner consistent with the facility's best management practices. > The facility employ'ee's tole with regard to the leak detection equipment. > The Pacility employee's role with regard to spur's and overfills. > Whom to combat for emergencies and leak detection slams. For facility employees hired on or after Jun Lary 1,2005,the initial training will be conducted within 30 days of the date of hire. Please use this section to include arty additional UST system menimring-mlateddiinfgqorsrwtion/(ee,g additional rnform=on«goved by your local agency): MRS. �(jclto G�sx.� ��QitG41 dL� /i!r Fie 4<0#, i k AS OF 1/1/05,THE 'DESIGNATED UST OPERATOR'IDENPIFIEU fN SECTION BI OF THE CURRENT UST OPERATING PERMI"DETECnON I FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING"I'EIG MON170RING ACTIVITIES AND MAFNTAB3ING EQUIPMENT F COVERED B Y THIS PLAN,AND WILT.PERFORM 7.ND Ik1CUMENT MINIMUM MONTHLY ITSUAL BJSPECTIONS OF THE FACILITY'S U5T SYSTEMS IN ACCORDANCE t. CERTIFICATION:I eerti that the information ravided herein is true and accurate to the best of my koowled OWNER/OPERATOR SIGNAITJRE jIl`Ltt DATE: er tao, �/L�/Uz ❑Operator Mss i OM92. OWNER/OPERATOR TITLE: n �� OWNER/OPERATOR NAME(print): Approved[With Conditions ❑Disapproved IAganry Use Only/ This plan has been reviewed and: Dproved ❑ Date: Local Agency Signature: Comments'Special Con boons: 07!23/03 SJCEHD-d(07/03)-34