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Underground Storage Tank Monitorirolan—Page 2 of 2 • <br /> VI. DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M50. <br /> ® 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) <br /> PANEL MANUFACTURER:VeederROot M51, MODEL#:350 M52. <br /> LEAK SENSOR MANUFACTURER:VeederROot M53, MODEL#(s):794380-208 M54. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ® a.YES ❑ b.NO M55. <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? 1, ® a.YES ❑ b.NO M56, <br /> WILL FAIL ISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUT WN? ® a.YES [I b.NO Msz <br /> F12.MECHANICAL AS MBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CAS F LEAK <br /> ASSEMBLY MA ACTURER: Mss. MODE S): M59. <br /> ❑ 3.VISUAL MONITORING NE: ❑ a.DAILY ❑ b.WEEKLY(Requkes agency approval) Mho. <br /> ❑ 4.NO DISPENSERS <br /> ❑ 99.OTHER(Specify) M61. <br /> VII. ENHANCED LEAK DETE TION <br /> ❑ L WE HAVE BEEN NOTIFIED BY E STATE WATER RESOURCES CONTROL BOA HAT WE MUST IMPLEMENT ENHANCED LEAK MOe. <br /> DETECTION(ELD)FOR THE UST( COVERED BY THIS PLAN.PER 23 CCR§264 ,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> VIII. TRAINI <br /> REFERENCE DOCUMENTS MAINTAINED A FACILITY(Check all that apply) M80. <br /> I ® THIS UNDERGROUND STORAGE TA K MONITORING PLAN(Require <br /> 2. ® OPERATING MANUALS FOR ELECTR IC MONITORING EQUIPME (Required) <br /> 3. ❑ THE FACILITY'S BEST MANAGEMENT CTICES(Required as o anuary 1,2005) <br /> 4. ❑ CALIFORNIA UNDERGROUND STORAG TANK REGULATIONS <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE NK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL B (SWRCB) UBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATIO ' <br /> 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TA K GAD G FOR SMALL UNDERGROUND STORAGE TANKS" <br /> M81. <br /> 99. ❑ OTHER(Specify): <br /> Personnel with UST monitoring responsibilities are familiar wA <br /> above documents relevant to theirjob duties and can access those documents when needed. <br /> By January 1,2005,this facility will have a"Designated USwho has passed the California UST Sytem Operator Exam administered by the International <br /> Code Council(ICC). By July I,2005,and annually thereafteignored UST Operator"will train facility employees in the proper operation and maintenance <br /> of the UST systems.This training will include,but is not limiwing: <br /> ➢ Operation of the UST systems in a manner consistent wity best management practices. <br /> ➢ The facility employee's role with regard to the leak dermen, <br /> ➢ The facility employee's role with regard to spills and ve�lls. <br /> ➢ Whom to contact for emergencies and leak detectio alarms. <br /> For facility employees hired on or after July 1,2005,the. itial training will be conducted within 30 days of the date of hire. <br /> IX. CO MENTS/ADDITI AL INFORMATION <br /> Please use this section to include any additional UST ys[em monitoring-related informatio (e.g.,additional information required by your local agency): Mss. <br /> Note regarding Section X.Pending cerfifiratio of a Designated UST Operator,the lowing person has authority for performing the monitoring <br /> activities and maintaining leak detection 7equi,,Inent covered by this plan. NAME:MIC Ile Le JOB TITLE:EBVr SpeC1811St <br /> Overfill prevention system is a echnical flapper set at 95%. <br /> X. PERSONNEL RESPONSIBILI S <br /> AS OF JANUARY 1, 2005, THE `DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT <br /> APPLICATION—FACILITY FO WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING <br /> LEAK DETECTION EQUIPME COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS <br /> OF THE FACILITY'S UST SY EMS IN ACCORDANCE WITH 23 CCR§2715(6). <br /> XI. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I girtify that the information provided herein is true and accurate to the best of my kAqwedge. <br /> OWNER/OPERATOR GNATURE REPRESENTING DATE: M91 <br /> ®Owner M90 <br /> ❑Operator 9/24/07 <br /> OWNER/OPERA OR NAME(print): M92_ OWNER/OPERATOR TITLE: M93' <br /> Michelle Le Environmental Specialist <br /> (Agency Use Onl This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑Disapproved \ <br /> Local Agency Signature: Date: <br /> Comments/Special Conditions: <br /> UN-022A-3/5 www.unidocs.org Rev.10/14/03 <br />