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09,/11/2007 15:48 2099519352 VILLAGE WEST MARINA PAGE 01 SAN JOAQUIN COUNTY ENV{RONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE 1 TYPE OF ACTION I NEW PLAN ❑ 2. CHANGE OF INFORMATION PLAN TYPE MONITORING IS IDENTICAL FOR ALI, USTs AT THIS FACILITY. (Check one itsm only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION _ FACILITY ID 9 (AgencY Use Otrty) F�ACI=ITYSIT7E �ADDRE�SS�� Mo. CITY uo, 1. EQ PME TESTING AND PREVENTIVE MAINA"ANCE M(�; State taw requires that testing. preventive mamtenancc, and calibration of monitoring oquiprnent (e.g ,sensors, probes, lino leak detectors, etc.) be Performed in acuvrdancc with the equipment manufacturers, instructions, or annually, whichever is more frequent. Such work must be performed by qualified Wraonnel Mui MONITORING EQUIPMENT IS SE;RVICEU ;& 1, ANNUALLY ❑ 99.OTHkR (Specify): III. MONITO NG LOCATIONS la outs and the locations where monitoring is performed (t.e., location of each sensor, This monitoring plan must include a Site Plan showing the gonersi tank and piping Y e current UST Monitoring Site Plan from a Monitoring System Certification line leak detector, monitoring system control panel, etc.). If you already have o diagram (e.g, form Hazardous Materials Business Plan ma etc.) which shows all required inftmation, include it with this len. IV. TANK MONITORING mff' MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) isi 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERS-nTIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) sn SECONDARY CONTAINMENT IS: -K a. DRYS ❑ b. LIQUID FILLF.,A El c. vgCUUM c. UNDER PRESSURF MIS. / 'U2 MODEL N: + ,� PANVL MANUFACTURER: MODEL4(S): i13 v LEAK SENSOR MANUFACTURER: o ice-" ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLI ,WALLi TA Arl ru7 PANEL MANUFA(`IURFW 16. MODEL tI : M19. Mie MODEL NS) IN -TANK PROBE MANUFACTURER: Men. I,F,AK TEST FREQUENCY: [] a_ CONTINUOUS ❑ b. DAILY/N1G14TLY ❑ c. WEEKLY M:I. ❑ d. MONTHLY PROGRAMMED TESTS: ❑ a, 0.1 g.p.h. ❑ b. 0.2 g.p.h. 3. INVENTORY RECONCILIATION '� a. MANUAL PER 23 CCR §2646 ❑ 4. WEEKLY MANUAL TANK GAUGING (M'1'G) PFR 23 CCR §2645 TESTING PERIOD: ❑ a. 36 HOURS ❑ 5 INTEGRITY TFSTING PER 23 CCR §2643.1 ❑ c. OTFIER (Specify); ❑ c. OTHER (Specify): ❑ b. STATISTICAL PER 23 CCR §2646.1 ❑ b. 60 HOURS TFST FREQUENCY: 18 a. ANNUALLY ❑ b. BIENNIALLY ❑ c OTIIER (Specify): 15 6 VISUAL MONITORING DONE: 9d a. DAILY ❑ b. WEEKLY pry min se.acywiovd) ❑ 99. OTHER (Specify): V. PIPE M22. M23. N04. M75 M26. W7. Mea MONITORING 4S PERFORMED USING TIME FOLLOWING METHODS) (Check all that appiy) 1. CONTINUOUS ELECTRONIC MONFI'ORJNG OF PIPING SUMP(SYrRENCH(ES) AND OTHER SECONDA$Y CONTAINMENT Mir SECONDARY CONTA4NMFNT IS: a. DRY [Ib- LIQUID FILLED ❑ c. UNDER PRESSURE C3 d. UNDER VACUUM W3 PANEL MANUFACTURER' V dvdra."am�r _ MODEL k: rt3° MODEL 11t(S): - M35. LF,AK SENSOR MANUFACTURER: ^� 1456. YES [3 b. NO WILL A P1PlNC; LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e, TURBINE) $HIJT170WN? a. M37 WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO 2. MECHAMCAI, LINE LEAK DETECTOR (MLID) D) THAT ROI LY PERFORMS 3.0 g.p.h. LEAK TESTS AND nSTRICTS OR SHITS OFF PRODUCT FLOW WHEN A LEAK 1 DEIECTED M39. MLLD MANUFACTURI=R(sy Mae MODEL M(S): ❑ 3. FLFCTRONIC LINT; LEAK DETECT R (EI.LD) THAT ROUTINELY PERFORMS 3.0 g.p h. LEAF: TES CS Mai ^"^° MODEL 1J: ELLD MANUFACTURER; Mat. PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. E]b. MINIMUM ANNUAL 0.1 g.p.h. WILL ELLD DETFCTION OF A PIPING LEAK TR1GC*ER AUTOMATIC PUMP SHUTDOWN'! [3 a. YESC] b. NO , MAS. ❑ a. YES ❑ b. NO Ma. WILL ELLD FAILURFilDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ 4. INTEGRITY TESTING Mas M46. TEST FREQUENCY: Ig a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) C. MIN. MONTHLY & EAC}i rimE SYSTEM OPERATED" Mal ❑ S.VTSUAL MONITORING DONE: n. DAILY I ❑ b wp Y; IDw'ra1°( ftA 00.9"'ir7 per HSC 425261.3(kAM [] 6. PIPING IS SUC-LION PIPING MEETING ALL REQUIFLP.MENIS FOR E?CEMP110N FROM MONITORING E'ER 23 CCR 1f2636(ax3) ❑ 7. NO PRODUCT OR KE;MOTE FILI, PIPING IS CONNECTED TO THE UST(s) Max. ❑ 99. OTHER (Speclt)') _ 07!23/03 S.ICEHD-d (07/43) -1/a