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UNDERGROUND.STORAGE TANK MONITORING.PLAN--PAGE 2 MONITORING OF.AREAS BENEATH DISPENSERS)IS.PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) uso. 1.CONTINUOUS.ELECTRONIC MONITORING OF.UNDER DISPENSER CONTAINMENT(UDC) -F6!5:PANEL MANUFACTURER: stgaDelt— 120�']'� MSF MODEL# / G S LEAK SENSOR MANIMACTURER, \/ (�e-.ea� M53. MODEL 4(S): e5j Mss WILL DETECTION OF A LEAK INTO TfM UDC TRIGGER AUDIBLE AND VISUAL ALARMS? .a.YES ❑.b,.NO M"- WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTOOWN'? I.a..YES ❑..b..NO M11. WILL FAILUREfpISCONNECTION.OF.UDC MONITORING.SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN7 [p..a.YES ❑.b_NO M"- El 2- sz❑..2..MECHANICAL ASSEMBLY(e.g,,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS.SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER: MSe• MODEL#(S): MSs, ❑.3,VISUAL MONITORING DONE: ❑..a..DAILY ❑..b.WEEKLY(RegWm agnq,appmvai) Mao. ❑.4..NQ DISPENSERS ❑ 99 OTHER(Specify) Msl, fiZ I.WE HAVE BEEN NOTIFIED.BY THE STATE WATER RESOURCES CONTROL BOARD.T14AT WE MOIST IMPLEMENT.ENHANCED LEAK M70. DETECTION(EM)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)M 1. THIS UNDERGROUND STORAGE TANK MONITORING.PLAN(Required) 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. THEFACILITY'S.BEST MANAGEMENT PRACTICES(Required asofI10I/2005) 4. CALIFORNIA UNDERGROLDID 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 RECONCILL4. TION" 7. ❑ SWRCB PUBLICATION:."WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND.STORAGE TAINKS" 99. ❑ OTHER(Specify):. MRI, 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.January.1,2005 this facility.will have a"Designated UST.Operator"who has passed the operator exam administered by tha international Code.Council(ICC). By January.1,2005,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 fallowing:. D 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 January.1,2005,the initial training will be conducted within 30.days of the date of hire. Please use this section to include� any. ditional UST system monitoring-related information(e.g.,additional information required by your local agency): Mas.��-Cc�i1-1 AS OF. 1/1/05,THE"DESIGNATED UST OPERATOR".IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION.— FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING 11413 MONITORING ACTIVITIES AND MAINTAINING.LEAK DETECTION EQUIPMENT.COVERED.BY THIS PLAN,AND WILL PERFORM AND DOCUMENT.MINIMUM MONTHLY VISUAL,INSPECTIONS.OP.THE FACILITY'S UST,SYSTEMS.IN ACCORDANCE WITH 23.CQL§2715(b). Damon CERT ON:I eertl at informstion provided herein is true and accurate to the best of my knowledge. OWN OR 5I A REsPRESENTINQ DATE: M91 ❑Owner M5,0.1 Operator. OWN OPERATOR NAME(print)- ti9z OWNER/OPERATOR TITLE- " '' (Agency Ilse Only) This ,plan fhas �beeent rviewed and: Approved ❑Approved With Conditions ❑Disapproved Local Agency.Signature: �/V tI�/ A Date 2'5 -o Comments/Special Conditions: SJCEI•ID-d(07103)-3/4 07f23/03 500 'd 901080860Z i A Xbd 'HM SSH`I HO,d COO, SIV L1 :01 NOW/L00USO/ddd