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UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE 2 <br /> VI.DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M51 <br /> ❑ I.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) <br /> PANEL MANUFACTURER: M51MODEL 4: M52. <br /> . S . <br /> LEAK SENSOR MANUFACTURER: M53MODEL#O�' 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? ❑ a.YES ❑ b.NO <br /> M5a <br /> ,./ WILL FAILURFIDISCONNECTION OF CDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? [I a.YES ❑ b.NO <br /> M5) <br /> yf . <br /> 2.MECHANICAL ASSEMBLY(e.g.,FLOAT ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> "DISPENSERS <br /> BLY MANUFACTURER' (J/-A VQ M5X' MODEL4(S): `•(;i��� M5n <br /> Mlal. <br /> NITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(aeaaea 1—.onn-.w7 <br /> SERS Maipecify) / 1VII. ENHANCED LEAK DETECTION <br /> BGEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAKMIDN(ELD)FOR TI4E UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> VIII. TRAINING <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) MMr <br /> I. K) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. itp� OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. P+. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/012005) <br /> 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br /> 99.❑ OTHER(Specify) Mgt <br /> ' <br /> Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to theirjob duties and can access those documents when needed. <br /> By January 1,2005 tris facility will have a"Designated UST Operator'who has passed the operator exam administered by the International Code Council(ICC). By <br /> January I,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. <br /> This training will include,but is not limited to,die following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br /> ➢ The facility employee's role with regard to the leak detection equipment. <br /> ➢ The facility employee's role with regard to spills and overfills. <br /> ➢ Whom to contact for emergencies and leak detection alarms. <br /> For facility employees hired on or after January 1,2005,the initial training will be conducted within 30 days of the date of hire. <br /> IX. COMMENTS/ADDITIONAL INFORMATION <br /> Please ase this section to include any additional UST system monitoring-related information(e.g.,additional information required by your local agency)'. Mas. <br /> ffjb�ei (/`<FL vc AT 9S �o SkivT <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS OF 1/1/05,THE"DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION — <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF'I'HE FACILITY'S <br /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2115(b), <br /> XL OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION: 1 certify that the information provided herein is true and accurate to the best of my knowledge. <br /> OWN PERATOR S1 A RE REPRESENTING DATE: Mat <br /> P4Owner m%, <br /> Operator _ <br /> OWNER/OPERATOR NAME(print). M93_ OWNER/OPERATOR TITLE: MW. <br /> Mgency Use Only) This plan has been reviieew;a aP4 Approved ❑Approved With Conditions ❑Disapproved <br /> Local Agency SignatureDate: <br /> Comments/Special Conditions: <br /> SJCEHD-d(07/03)-3/4 0723/03 <br />