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SAN JOA1VN COUNTY ENVIRONMENTAL HEALTAMPARTMENT <br /> UNDERGROUND STORAGE TANK <br /> i, <br /> MONITORING PLAN -PAGE 1 <br /> TYPE OF ACTION fl 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION A H N VA`t_- 0L6 NEW h- OT- Q6r R M 1T mol- <br /> PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Moe. <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I .;;-FACILITYINFORMATZ( IV r.� �;�ti.= <br /> FACILITY ID#(Agency Use OnI)J A " 0 O 6 4- <br /> FACILITYNAME 'MAIN S'TP-EE T A- -cz Am PM - V-JS ENTEI-PitILE LLC_ Moa• <br /> FACILITY SITE ADDRESS h O p S. M A IN STf_EE T M04. CITY Y^A-NYE CA, CA 95 33-7 Mos. <br /> II. EQUIPMENT..TESTING AND PRENrTIYEMAINIEN <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06. <br /> accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED L ANNUALLY ❑ 99.OTHER(Specify): Mol. <br /> Int o <br /> TOR-WIG <br /> 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, <br /> 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 <br /> form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. <br /> z �.�.. _ = mv <br /> a UN <br /> '.: <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mill. <br /> El 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS: X a.DRY Elb.LIQUID FILLED ❑ c.UNDER PRESSURE Eld.UNDER VACUUM M11. <br /> PANEL MANUFACTURER: M12. MODEL#: Mn. <br /> LEAK SENSOR MANUFACTURER: V£EDEA, (LOOT M14. MODEL#(S): -V t-S 350 MIs. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) <br /> PANEL MANUFACTURER: MI6. MODEL#: MIT <br /> fN-TANK PROBE MANUFACTURER: M ODE L M Ar 61 MIS. MODEL#(S): MA,6) M19. <br /> r., <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): M21. <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): M22• M23• <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. <br /> ❑ S.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26. M27. <br /> ❑ 6.VISUAL MONITORING DONE: Xa.DAILY ❑ b.WEEKLY(Requires agency approval) <br /> ❑ 99.OTHER(Specify): MZg. <br /> - <br /> =~ V E�VIIITORING+, .. .r i? F . ., .. u �. <br /> _. <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. <br /> I�1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)IiRENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31. <br /> PANEL MANUFACTURER: - M3z MODEL#: -I 13 0-10 q, M33. <br /> LEAK SENSOR MANUFACTURER: VE£DER. ROOT M34 MODEL#(S): TLS '3 S O M35. <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES ❑ b.NO M76' <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M37- <br /> 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED <br /> MLLD MANUFACTURER(,) VAP0(ZLES.5 R-ED J A cx e r Mas. MODEL#(S): - LO 1 0 1) F-� l V M39. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> ELLD MANUFACTURER: M40 MODEL#: M41. <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43. <br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Moa. <br /> ❑ 4.IN 1 EGRn Y TESTING <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OT'•fER(Specify) <br /> M45. M46. <br /> ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. <br /> ' Requires agency approval ",Allowed for monitoring of unburied emergency generator fuel piping only per HSC 125291.5(b)(3) <br /> ❑ 6.PIPING 1S SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) <br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> ❑ 99.OTHER(Specify) M48 <br /> S.)CEI lD-d(07/03)-1/4 07/23/03 <br />