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WRITTEN MONITORING AND RESPONSE PLAN <br /> UNDERGROUND STORAGE TANK MONITORING PROGRAM ro <br /> This monitoring program must be kept at the UST location at all times.The information on this monitoring program are <br /> t.The permit holder must notify Environmental Health Department,(209)468-3420 <br /> conditions of the operating perm <br /> the monitoring procedures,unless required to obtain approval or a permit before making <br /> within 30 days of any changes to <br /> the change.Required by CCR 2632(d)and 2641 (h) <br /> DATE <br /> FACILITY NAME <br /> FACILITY ADDRESS <br /> 1.Name(s)and Title(s)of the people responsible for performing the monitoring and/or maintenance <br /> 2.Describe the frequency of performing the monitoring for: <br /> PIPING <br /> TANKS <br /> 3.Describe the location(s) of where the monitoring will be performed. ie: location of sensors <br /> 4.Describe the following equipment for each underground storage tank. <br /> Name and Model of Monitoring Panel <br /> Name and Model of Line Leak Detectors <br /> Name and Model of Annular Sensors <br /> Name and Model of Piping Sensors <br /> Name and Model of Dispenser Sensors <br /> Type of overfill prevention <br /> 5.Do the Turbine Sensors and Dispenser Pan Sensors shut down the turbine? Yes o No o <br /> Does the turbine shut down if a sensor is disconnected? Yes o No D <br /> Does the turbine shut down is the monitoring panel loses power? Yes o No 0 <br /> 6.How will the alarm history and subsequent maintenance be recorded? <br /> 7.Maintenance of the monitoring equipment must be performed at least once every 12 months. <br /> Describe the preventive maintenance schedule and recording for the monitoring equipment.What month will <br /> annual monitoring certification be performed in? <br /> Note:For new installations <br /> s the Seco with initial test <br /> containment ng performed t6before months <br /> after <br /> i s1003tion.All secondary containment systems <br /> must be tested oat <br /> 8.Describe the training necessary for the operation of UST system,including piping,and the monitoring <br /> equipment. <br /> t:4nst=j4e%Usr\n=itoringp1an.doc <br /> [242002 <br />