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S' SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION ❑ I.NEW PLAN X 2.CHANGE OF INFORMATION Mi'I. PLAN TYPE J[MONITORJNG IS IDENTICAL FOR ALL UST.AT THIS FACILITY. she (Check one item oily) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agenev Use Only) FACILITY NAME / FACILITY SITE.ADDRESS ZAlyLj. f Mau- CITY II. EQUIPMENT TESTING AND PRE ENTIVE MAINTENANCE Slate law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in MM accordance with the equipment mmwlactureri instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED L ANNUALLY ❑ 99.OTHER(Specify): Min III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, line leak detector,monitoring system control panel,etc.). If you already have a diagram leg.,current UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mln. I.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENTVAULTS) SECONDARY CONTAINMENT IS'. 0 a.DRY ❑ b.LIQUID FILLED ❑ c UNDER PRESSURE ❑ d.UNDER VACUUM Mu. PANEL MANUFACTURER: eQ P1 h rZe jn Tse Mla MODEL#: M13. LEAK SENSOR MANUFACTURER: bM A 'T6 L MI4. MODEL#(S)' L Glia44L S MIs. ❑ 2.AUTOMATIC TANK GAUGING(AIG)SYSTEM USED TO MONITOR SINGLF WALL TANK(S) PANEL MANUFACTURER: MI° MODEL#: Mn. IN-TANK PROBE MANUFACTURER: MI.. MODEL#(S): Min. LEAK TEST FREQUENCY: E] a.CONTINUOUS C3b.DAILYINIGHTLY ❑ C.WEEKLY MN) ❑ d.MONTHLY ❑ e.OTHER(Specify): MTI. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ C.OTHER(Specify). Mea. Mss. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL.PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 Mao. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTC)PER 23 CCR§2645 p TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. �+1 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY i c.OTHER(Specify): Mzu. Mn. RQ 6.VISUAL MONITORING DONE: 94a.DAILY ❑ b.WEEKLY tawlWra ayr icy apprnvN) ❑ 99.OTHER(Specify): M2. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) MA.. {� L CONTINUOUS ELECTRONIC MONITORING �1 OF PIPING SUMP(S)(rRENCH(FS)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: K a.DRY ❑ b.LIQUID FILLED ❑ C.UNDER PRESSURE ❑ d.UNDER VACUUM Mn. PANEL MANUFACTURER: hryj n rE f Ai M3z MODEL#: _(J�j gn„ Mst. LEAK SENSOR MANUFACTURER: OM A y-'6♦ Mm MODEL#(S): -Z ( �" /�j(Ljr Mls. 121— WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e,,TURBINE)SFIUTDOWN7 5 a.YES ❑ Is.NO My'' WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? {Q a.YES ❑ b.NO M10 �2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND R€S-TRICTS OR SHUTS OFF PRODUCT'FLOW WREN A LEAK IS ECTED MLLDMANUFACTURER(s):�16' �,��'� Max. MODEL#(s): s1t''o-"' -sh.In Mtn. ❑ 3.ELECTRONIC LINE.LEAK DETECTOR(ELLD)THAT ROUTINEIX PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: Mw. MODEL#: Moi. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0,2 g.p,h. ❑ b.MINIMUM ANNUAL 0 1h Mae. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? g P ❑ a.YES ❑ Is.NO M43. WILL ELLD F'AILURE/DISCONNECTIONTRlGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ Is.NO Mal 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY b.EVERY 3 YEARS ❑ C.OTHER(Specify) Mos. Mar. CK 5.VISOAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* Ippf c.MIN.MONTHLY k EACH TIME SYSTEM OPF..RAT'ED•• •Requim asencs apnoval ••Allmrx3 rd nmiionn of Uabuned ease M41, ❑ 6.PIPING IS SUCTION PIPING ME[ ALL.REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR*§2636(ax3) only v lay HSC gssaxrstbp» ❑ 7.NO PRODUCT OR REMOTE FILL PIPING 1S CONNECTED TO THE UST(,) ❑ 99.OTHER(Specify) M4x I SJCEHDd(07/03)-I/4 0723/0.3