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low UNDERGROUND STORAGE TANK MONITORING PLAN—PAGE 2 FMONITORING tVI.pIS..PENSER 1Y1Q1yITORINOF AREAS BENEATH DISPENSERS)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M50. UOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC)EL MANUFACTURER: Veederoot Msl MODEL#: TLS350 M52. LEAK SENSOR MANUFACTURER: M"- MODEL#(S)0794390-200 Msa. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a.YES ❑ b.NO Mss. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M56. WILL FAILUREIDISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Ms7. J 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASEOF9LE 80-208 ASSEMBLY MANUFACTURER: MODEL#(S): M59. M60. ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) ❑ 4.NO DISPENSERS M61. ❑ 99 OTHER(Specify) sin ) T .BEAK DET EC�'ION . a,° r' .' f ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M70. DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) I. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. ❑ THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 7/1/2004) 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" Mal 99. ❑ OTHER(Specify): Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. By July 1,2004,this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By July 1,2004, and annually thereafter, the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. This training will include,but is not limited to,the following: ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. ➢ The facility employee's role with regard to the leak detection equipment. ➢ The facility employee's role with regard to spills and overfills. ➢ Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after July 1,2004,the initial training will be conducted within 30 days of the date of hire :"COMMENTS/ADDITIONAL INFORMATION g. - � enc Please use this section to include any additional UST system monitoring-related information(e.g.,additional information re wqired b Y Your localagency):Y)• M85 t rERSONNEL"=RESPONSIBILITIES AS OF 7/1/2004,THE"DESIGNATED UST OPERATOR' IDENTIFIED IN SECTION III OF THE'CURRENT UST OPERATING PERMIT APPLICATION— FACILITY FORM WILL HAVE ULTIMATE UTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED THIS P ,AN WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCO ANC ITH 23 CC §2715(b . m2 � OWNER/OPERATOR SI GNATURE- CERTIFIC TION: I ertify t nt the infor ation provided herein is true and accurate to the best of my knowledge. M91 OWNER/0 RAT IGNATURE REPRESENTING DATE: ❑Owner M9o. l ®Operator M92. M93. OWN E ERA N E(print OWNS OPERAT TITLE: Roger D R' h Fleet Services Supervisor (Agency Use Only) This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑Disapproved Local Agency Signature: Date: Comments/Special Conditions: 07/23/03 SJCEHD-d(07/03)-3/4