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SAN JOAQ% _OUNTY ENVIRONMENTAL HEAL] ""So UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE SolI YPE OF ACTION 5ZI. NEW PLAN ❑ 2. CHANGE OF INFORMATION :ARTMENT PLAN TYPE MONITORING IS IDENTICAL FOR ALL US Is A I I h1b rAt.tla r I. (Check one item only) THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILIT3Y.INFORNIATION FACILITY ID # (Agency Use Only)-- qq >y FACILITY NAME Q '(1:*1- FACILITY SITE ADDRESS -G E P5'�� AIt:E Mm CITY s F,�+C II. EQUIPMENT TESTING AND PREiVENTIVErMAINTENANCE p State law requires that testing, preventive rnamtenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc. be erformed in accordance with the equipment manufacNrers' instructions, or annually, whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED 1. ANNUALLY ❑ 99. OTHER (Specify): = III. MONITORING:LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locanons where monitoring is performed (i.e., location of each sensor.. etc.). If you already have a diagram line leak detector, monitoring system control panel, m (e.g., current UST Monitoring Site Plan from a Monitoring System Ceruficauo form Hazardous Materials Business Plan map etc) which shows all required 'information, include it with this Ian. IV. TANK MONITORING M, MONITORING IS PERFORMED USING THE FOLLOWING METHUD(S): (Check all that apply) i. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) " SECONDARY CONTAINMENT IS: ❑ a. DRY I b. LIQUID FILLED • ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM � PANEL MANUFACTURER: M12. MODEL#: , LEAK SENSOR MANUFACTURER: \ M1L. MODEL#(S): �•i�• "gip,.. ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SiNGI E WALL TAN K(Sl MODEL #: PANEL MANUFACTURER: 444 MIe. MODEL #(S): M1� IN -TANK PROBE MANUFACTURER: .11"fl .. UILGVr V LEAK TEST FREQUENCY: ❑ a. CONTINUOUS 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyTRENCH(ES) AND OTHER SECONDARY CONTAINMENT ❑ d. MONTHLY PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ 3. INVENTORY RECONCILIATION ❑ & MANUAL PER 23 CCR §2646 ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 TESTING PERIOD: ❑ a. 36 HOURS ❑ -5. INTEGRITY TESTING PER 23 CCR §2643.1 TEST FREQUENCY: ❑ a. ANNUALLY ❑ 6 VISUAL MONITORING DONE: ❑ a. DAILY ❑ 99. OTHER (Specify): vr.,vn.e.e .-+ e. OTHER (Specify): c. OTHER (Specify): b. STATISTICAL PER 23 CCR §2646.1 ❑ b. 60 HOURS ❑ b.BIENNIALLY ❑ c. OTHER (Specify): ❑ b. WEEKLY (Requires agency eoseovaq M'1 M22 W. I, N]S W6 AP-: M NITORING IS PERFORMED USING THE,FOLLOWING METHOD(S) (Check all that apply) 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyTRENCH(ES) AND OTHER SECONDARY CONTAINMENT �( SECONDARY CONTAfNMENT I� Z a. Y ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM sue. 8S gt3 Y M. ,S:: PANEL MANUFACTURER: � r _ MODEL#: Mla _ LEAK SENSOR MANUFACTURER: MODEL ❑ a. YESb. NO s„- WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? `L WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES b. NO ❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS - OF PRODUCT FLOW WHEN A LEAK IS DETECTED MJe MODEL #(S): M2- M LLD MANUFACTURER(s): ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS Ma. ELLD MANUFACTURER: Met'. MODEL#: Mt. PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. WILL ELLD DETECTION OF A PIPING.LEAKTRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO Mrs . WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO uy ❑ 4. INTEGRITY TESTING M45 TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) Mu ❑ 5.VISUAL MONITORING DONE: ❑ a. DAILY ❑ S. WEEKLY' ❑ c. M03. MONTHLY & EACH TIME SYSTEM OPERATED'* • ” Allowed for momlo. IS o[unburid evwgercy aenano, fuel piping only M HSC §25281 Mn 51613, Regwnes aae^ry approva A 6, PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR ETT:" "PTIO'- ,"ROM MON'.OR1NG PER 23 CCR §2636(a)(3) ❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(, ❑ 99.OTHER (Specify)-- 07/23/03 SJCEHD-d (07/03) -1/4