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V <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> UNDERGROUNDSTORAGETANK <br /> MONITORING PLAN-PAGE I <br /> TYPEOFACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION JUL I8 PHI 4_6 - <br /> PLAN TYPE jq MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. s10c <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): SAN JC A CUIN CCU TY <br /> L FACILITY INFORMATION NT <br /> FACILffY ID#(Agency Use On(y) - - - <br /> FACILITY NAME M <br /> FACILITY SITE.ADDRESS CITY MO <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M66 <br /> accordance with the equipment manufacturers' instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED I.ANNUALLY ❑ 99.OTHER(Specify): Mal <br /> III. MONITORING LOCATIONS <br /> This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i c.,location of each sensor, <br /> line leak detector,monitoring system control panel,etc.). Ifyou already have a diagram(cg,current UST Monitoring Site Plan from a Monitoring System Certification <br /> form,flauzrdous Materials Business Plan map,etc.)which shows all required information,include it with this plan. <br /> IV. TANK MONITORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mil <br /> X I.CONTINUOUS ELECTRONIC MONITORING a.GOF TANK ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS: .7�`'r DRY ❑ b.LIQUID FILLED c.UNDERPRESSURE El d.UNDER VACUUM MO. <br /> PANEL MANUFACTURER: 1(�_/Q/1 �rr G L [:1�.e�'�� MI2. MODEL#: �s t�O'�� MI3. <br /> LEAK SENSOR MANUFACTURER: aaq rze! M14' MODEL#(S): I(��/� 1y'_ _ MIs. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKS) ' <br /> PANEL MANUFACTURER: M16. MODEL#: MI) <br /> IN-TANK PROBE MANUFACTURER: MIX MODEL#(S): Mig <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYNIGHTLY ❑ c.WEEKLY <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): M±I. <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): MR. Mn. <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M14. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. <br /> 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY 9c.OTHER(Specify): %A . veto o,-r M26. Mn. <br /> X6.VISUAL MONITORING DONE: xa.DAILY ❑ b.WEEKLY nR,.i,auganmappnnRu <br /> ❑ 99.OTHER(Specify) M21i. <br /> V. PIPE MONITORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) Man <br /> 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S),TKENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: a.DRY ❑ b L QUID FILLED El c.UNDER PRESSURE E] d.UNDER VACUUM M11 <br /> PANEL MANUFACTURER: � � �� -Z72" M13. MODEL#: Mtl. <br /> LEAK SENSOR MANUFACTURER: � �� L� M14. MODEL#(S): M35. <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINF,)SHUTDOWN? a.YES ❑ b.NO M36. <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? [I a.YES El b.NO MA <br /> ,k2 <br /> MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK 1S DTESTE <br /> MLLD MANUFACTURER(.): Mas_ MODEL#(S): t) "� - M _ Mt'1 <br /> ❑ 3.ELECTRONIC LINE LEAK DFTECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> ELLD MANUFACTURER: Moa. MODEL#'. M4I. <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. Mit. <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mu <br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. <br /> Ig 4.INTEGRITY TESTING ,. <br /> TEST FREQUENCY: ❑ R.ANNUALLY EVERY 3 YEARS ❑ C.OTHER(Specify) M45. M46 <br /> pa 5.VISUAL MONITORING DONE: ❑ a.DAILY b.WEEKLY- p�t�c.MIN.MONTHLYS, l'I <br /> EACH ME SYSTEM OPERATED'- M41 <br /> �l •Requires agency epprwnl ••Allonred-rWmoni ran,of unburied umeryenn yem,mor mol n,,n,onb vr•nse g......n,o <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) <br /> ❑ T NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED'TO THE UST(s) <br /> ❑ 99.OTIIER(Specify) <br /> M4X <br /> SJCEHD-d(07/03)-1/4 <br /> 0723/03 <br />