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Underground Storage Tank Monitorionn—Page 2 of 2 • VL DISPENSER MONITORING MONITORING OF AREAS BENEATH DISFENSER(S)IS PERFORMED USING THE FOLLOWING MEHOD(S)(Check all that apply) Msa. ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANEL MANUFACTURER: nisi. MODEL#: M's" LEAK SENSOR MANUFACTURER W3' MODEL#(S)! Nd4. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a YES ❑ IS.NO MSS WILL A L1DC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? 0 a.YES ❑ Is.NO ""' WILL FAILURFJDISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ B.YES ❑ Is,NO Mr ❑ 2.MECHANICAL ASSEMBLY(mg,,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER: NUB. MODEL4(S): Mso• ❑ 3.VISUAL MONITORING DONE: ❑ a,DAILY ❑ b.WEEKLY(Repo mmey,q m"I) nes. ® 4.NO DISPENSERS ❑ 99.OTHER S ccify) Mst. VII. ENHANCED LEAK DETECTION ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M'ro DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN,PER 23 CCR§2644,1,BLD IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII. TRAINING REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) man, 1. 0 THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. 0 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. ❑ THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of3anuary 1,2005) 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "IiANDBOOK FOR TANK OWNERS . MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99. ❑ OTHER(Specify): stun. Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant m thcirjob duties and can aeceaa those documents when needed.. By January 1,2005,thin facility will have a'•,Oasignated UST Operator"who has passed the California UST Sytem Operator Exam administered by the International Code Council(ICC). By July 1,2005,and annually thereafter,the "Designated UST Opcmar will train facility employees in the proper operation and maintenance of the UST systems.This training will include,but is not limited to,the following: D Operation of the UST systems in a manner eoasietmt with the facility's best management practices. 9 The bcility employee's role with regard to the leak detection equipment, ➢ The faciliry employee's role with regard to spills end ovcrfi0s, i Whom to contact for amergerrcies and leak detection alarms. For facility employees hired on crafter July 1,2005,the initial training will be conducted within 30 days of the date of him, IX. COUNTS/ADDITIONAL INFORMATION please use this section to include any additional UST system monitoring-related information(eg-additional information.required by your local agency): Mss. Note regarding Section X.Pending cart1fication of a Designated UST Operator,the following person has authority for performing the monitoring activities and maintaining leak detection equipment covered by this plan. NAME:Michelle Le JOB TITLE! Env Specialist Overfill for this tank Is an audible/visual alarm set at 90%. Additionally, quanitities of less than 25 gallons are delivered into the tank at any one time. X. PERSONNEL RESPONSIBILITIES AS OF JANUARY 1, 2005, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION RI OF THE CURRENT UST OPERATING PERMIT APPLICATION—FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEA)t DU=nON EQUIPMENT COVERED BY THIS PLAN, AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S VST SYSTEMS IN ACCORDANCE WITH 23 CCR j 2715(b). XI. OWNER/OPERATOR SIGNATURE CERTIFICATION: L certify that the information provided herein is true and accurate to the best of my knowledge 0 PERATOR S2A RE REPRESENTING DATE nrot. ❑Owner Moo. ❑Operator December 4 2007 OWNER/OPERATOR NAME(print):U O WNEWOPERATOR TITLE: Not. Michelle Le Environmental Specialist (Agency U.ee Only) This plan has been reviewed and: pproved 0 Approved With Conditions �7❑ i ved Local Agency Signature: /� Date: 1� Commrntd5pccial Cnndinons: ' UN-022A•315 www.unldoes.org Rev.10114103