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APR-20-2004 15:10 EET SERVICE P.02 SAN JOA,QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING'PLAN.-PAGE-1 TYPE OF ACTION ❑ I.NEW PLAN [] 2.CHANGE OF INFORMATION M PLAN TYPE L] MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. M (Check one item only) ❑ .THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): FACILITY ID#(Agency(/se Only) M FACILITY NAME City of Lodi FACILITY SITE ADDRESS M04' odi, CA M S. Ham Lane � C L 1331 Sc� �� ,� , ��'�° °.��i n �N�1J7+,;�+ .'.�''... a°.., • ,.. '.dl,ri ... .. ', .. ° w "''. •! .-�_• _— _ dEgfi aE^�`Zi"?�� State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g-,sensors,probes,line leak deteetot5,etc.)be performed in N accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED ❑G 1.ANNUALLY ❑ 99.OTHER(Specify)' each�SC115 y 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 line leak detector,monitoring system contro!panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Cerdficati form I lazardous Materials Business Plan ma etc, which shows all uircd information include it with this Elan. r k J y i +rw Ft r.r Ku S t,wc r. MW 7 t, MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) M ( 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) r SECONDARY CONTAINMENT IS: W a.DRY ❑ b.LIQUID FILLED ❑ c.UNDERPRESSURE ❑ d.UNDER VACIR1M Miz. MODEL#: TLS350 f PANEL MANUFACTURER: VnorlArnnY - t LEAK$1rNSOR MANUFACTU RER:{(gp rl a r n n t M19 MODBL#(S): .1.1)2000 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR 5INGLE WA MI5. MODEL#: TLS 50 PANEL MANUFACTURER: 1 IN-TANKPRODE MANUMf&- MODEL#(S):FACTURER: �eederoot 57601370 -- 1 LEAK TEST FREQUENCY: a.CONTINUOUS ❑ b_DAILYINIGHTLY ❑ c.WEEKLY Mzf ❑ d.MONTHLY ❑ e.OTHER(Specify): rn2 PROGRAMMED TESTS- ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h, ❑ c,OTHER(Specify): © 3.INVENTORY RECONCILIATION ❑ a-MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646,1 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a-36 HOURS b.60 HOURS ❑ 5.INTEGRITY TESTING PER 73 CCR§2643.1 WS. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b-BIENNIALLY ❑ c.OTHER(Specify): Ej 6.VISUAL MONITORING DONE: fla-DAILY ❑ b.WEEKLY(--a—"w-y OY OPP—n ❑ 49 OTHER(Specify ° '"" 7 'yTH+O v3 (Check all that iFkw K4Fv ,'� e MONITORING IS pERPORMED USING THE FOLLOWING M D( ) E] 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SMENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED c.UNDER PRESSURE ❑ d.UNDER VACUUM PANELMANUFAC"I13RER= Veederoot M12. MODEL#: LEAK SENSOR MANUFACTURER: M74. MODEL#(S)_ WILL A PIPING LBAK ALARM TRIGGER AUTOMATIC PUMP(i,c.,TUPJNNE)SHUTDOWN? [] a-YES ❑ b.NO WILL FAILURBIDISCONNVCTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP h. LEAK SHUTDOWN??S AND RFS❑T a.ye 0 b.SHUTS S L] 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p. PRODUCT FLOW WHEN A LEAK IS DETECTED Msg- MODEL#(S): MLLD MANUFACTURER(&): ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p,h,LEAK TESTS ELLD MANUFACTURER: MODEL#: PROGRAMMED LINE INTEGRITY TESTS: F-1 a.MINIMUM MONTHLY 0.2 g-P-h- ❑ b.MINIMUM ANNUAL 0.1 g.p.h. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO ` a.YES b.NO WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ ❑ ❑ 4.INTF,GRITY TESTING M45. 5. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ® 5-VISUAL MONITORING DONE' ® a.DAILY ❑ b.WEEKLY' ❑ C.MIN.MON7 II Y&EACH TIMF SYSTEM Oy pI HSC 125 �• •Requca agency aP1 oy&j •-Mawed for mcnjwAmg orunburied cmcrbMty geeerator fi,�i giping Defy per HSC 6252!1 11 ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) a. Q 99,OT14ER(Spccify) 07123 SJCEHD-d(07/03)-1/4 - .