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