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SAN JOAQUIN CUUNTY ENVIRONMENTAL HEALTH DEW&TMENT UNDERGROUND STORAGE TANK MONITORING PLAN PAGE 1 •MOI. TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION M02. PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): 1'INFORMATION e. FACILITY ID#(Agency Use Only) `" , 4A�- k M03. FACILITY NAME City of Lodi Moa. CITYLo mos. FACILITY SITE ADDRESS 1331 S Ham Lane r ?�. rIT EQT1WMENT=TESTING ANI) PREVENTIVE`MA►TNTENANCE K State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc)be performed in Mob. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. Mol. MONITORING EQUIPMENT IS SERVICED 1 ANNUALLY ❑ 99 OTHER(Specify) 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(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form Hazardous Materials Business Plan map,etc which shows all required tnformatton,include it with thls� an. ;;7 , t TANK -MONITORING t..,....... ..... - y._r fin . .. .. ..<.. .... ...<, y. ... M10. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) MI I rr PANEL MANUFACTURER: SECONDARY CONTAINMENT IS: 1� a.DRY [Ib.LIQUID FILLED El c.UNDER PRESSURE ❑ d.UNDER VACUUM MI3 ^^a'root M12. MODEL#: TLS350 Mla. MODEL#(S): LD2000 MI5. LEAK SENSOR MANUFACTURER:Veed rn�t ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) iM16. VioDEL#: TLS350 M17. PANEL MANUFACTURER: Veedroot - M19. IN-TANK PROBE MANUFACTURER: Veederoot - M18- MODEL#(S): 57601370 LEAK TEST FREQUENCY: K] a.CONTINUOUS [Ib.DAILY/NIGHTLY El c.WEEKLY M21. [Id.MONTHLY 11e.OTHER(Specify): Mzl. Mzz. M23. PROGRAMMED TESTS: Ela.0.1 g.p.h. ❑ b.0.2 g.p.h. El c.OTHER(Specify): Mz4 ❑ 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 M25 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 M26 M27 TEST FREQUENCY: 11a.ANNUALLY [_1b.BIENNIALLY ❑ c.OTHER(Specify): ® 6.VISUAL MONITORING DONE: 12 a.DAILY ❑ b.WEEKLY(Requires agency approval) M2s ❑ 99 OTHER(Specify) Y PIPE MONITORING e rNITORINGIS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT Mai SECONDARY CONTAINMENT IS: ® a.DRY El b.LIQUID FILLED ❑ c.UNDER PRESSURE [Id.UNDER VACUUM M33. PANEL MANUFACTURER: Veederoot M32- MODEL#: TLS350 LEAK SENSOR MANUFACTURER: M34. MODEL#(S): M35.M36 WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? Ela.YES [Ib.NO WILL FAILURFJDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M37. ❑ 2.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 IS DETECTED 1131M39. MLLD MANUFACTURER(s): MODEL#(S): ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS Mao. MODEL#: Mal. ELLD MANUFACTURER: M42. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. � ❑ b.NO M43. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN. ❑ a.YES Ms4 WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? [I a.YES C] b.NO ❑ 4.INTEGRITY TESTING M45. M46. TEST FREQUENCY: Ela.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ® 5.VISUAL MONITORING DONE: ® a.DAILY ❑ b.WEEKLY' ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- Mal. 'Requires agency approval "Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281.5(b)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) tills ❑ 99.OTHER(Specify) 07/23rU3 SJCEHD-d(07/03)-1/4