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07/25/2007 13:13 2099519352 VILLAGE WEST MARINA PAGE 02 <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 1 <br />TYPE OF ACTION �I. HEW PLAN Q 2. CHANGE OF INFORMATION <br />M01 <br />PLAN TYPE 19 MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />Moe. <br />(Check one item only) 0 THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): w_ <br />I. FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) - - <br />FACILITY NAME <br />M03. <br />FACILITY SITE ADDRF,SS <br />CfTY+a in <br />"EO1PME1N1aTqTFE-CSAT10Ni:G AND PREVENTIVE MAINTENANCE <br />Mos. <br />I <br />State law roquims that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in <br />M06 <br />accordame with the equipment manufacturers' instructions, or annually, whichever is more frequent. Such work must be parfonned by qualified personnel. <br />MONITORING EQUIPMENT IS SERVICED 1. ANNUALLY El99.OTFIER (Specify): <br />MW <br />III. MONITOOING LOCATIONS <br />This monitoring plan must include a Site Plan sbowing the general tank and piping layouts and the locations where rmgitoring is performed (i.e,. location of each sensor, <br />line leak detector, monitoring system COMM] panel, etc.). If you already have a dWgrarn (e.g., current UST Monitoring Site Plan froth a Monitoring System Certification <br />form Ra- ardous Materials Business Plan map, etc,) which shows all required inforquAion include it with this plan. <br />IV. TANK MONITOPJNG <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) <br />MIo <br />1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTTTTAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) <br />SECONDARY CONTAINMENT IS: 14 a, DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURF7 A "Un`R VACUUM <br />/ <br />M", � <br />M" <br />W3. <br />PANEL MANUFACTURER: Vaal s r �7- MODEL #: l .a <br />LEAK SENSOR MANUFACTURER: Y�Piy� -i46r MI4. MODEL #(S): - + �c <br />M15. <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALI, TAN S) <br />M17. <br />PANEL MANUFACTURER: 1116• MODEL k: <br />1N -TANK PROBE MANUFACTURER: 411. MODEL #(S): <br />1419. <br />M2e. <br />LEAK TEST FREQUENCY. Q a. CONTINUOUS ❑ b. DAILY/NIGHTLY [I c. WEEKLY <br />C] d. MONTHLY ❑ e. OTHER (Specify): 1rt21 <br />PROGRAMMED TESTS: [I a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. 11c. OTHER (Specify): M22. <br />M24. <br />W4. <br />3, INVENTORY RECONCILIATION '@ a. MANUAL PER 23 CCR §2646 C3 b. STATISTICAL PER 23 CCR Y§2646.I <br />Q 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 <br />Mas. <br />'NESTING PFRIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS <br />Ca 5. INTEGRITY TESTING PER 23 CCR §2643.1 <br />Mz6. <br />M27 <br />TEST FREQUENCY: 19 a. ANNUALLY ❑ b. BIENNIALLY (3c. OTHER (Specify): <br />16 6.VISUAL MONITORING DONE: Id R. DAILY ❑ b. WEEKLY ot"mms semcy wp-+) <br />Mzs. <br />❑ 99. OTHER (Specify): <br />V. PIPE MONITORING <br />MONITORING 1S PERFORMED USING THE FOLLOWING METHOD(S) (Check 41 that apply) <br />Ino. <br />1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyMENc:H(ES) AND OTHER SECONDARY CONTAINMENT <br />Mgt, <br />SECONDARY CONTAINMENT IS: E, a. DRY ❑ b. LIQUID FILLED [] c. UNDER PRE$gURf, ❑ d. TINDER VACUUM <br />Mas <br />M92. MODEL ii: <br />PANEL MANUFACTURER: <br />, <br />M35. <br />1N31. MODEL # S <br />LEAK TENSOR MANUFACTURER: llrrfl, tllni.� R�tzi' ( ) <br />A a. YES Q b. NO <br />M36. <br />WILL A PIPING LEAK ALARMTRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? <br />M3'r <br />WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN?is a. YES ❑ b. NO <br />, <br />TRU <br />� MECHANICAL LINE LEAK. DETECTOR (MLLD) THAT RO Y PERFORMS 3.0 g.p.h. LEAK TESTS AND SCTS OR SHUTS <br />� <br />OFF <br />" PRODUCT FLOW WHEN A LEAK 1 DETECTED r <br />Mai. MODEL #(S):I4� ` DI A� <br />M39 <br />MLLD MANUFACTURER(,$) <br />❑ 3. ELECTRONIC LINE LEAP; DETECT R (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS <br />M40- MODEL #: <br />ELLD MANUFACTURF,R: <br />MOI. <br />M42. <br />PROGRAMMED LINE INTEGRITY TESTS: ❑ R. MINIMUM MONTHLY 0,2 B•P.b. El b. MINIMUM ANNUAL 0.1 g.p.h. <br />WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? (] a. YES [3b. NO <br />Mal <br />WILL. FI.,I•D FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SRUTDOWN? ❑ a. YES ❑ b• NO <br />Ma. <br />❑ 4. INTFGR4'iY TESTING MOS. <br />TEST FREQUENCY: a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) <br />M46. <br />❑ S.VISUAL MONITORING DGNE' a. DAILY ❑ b, WI3EKLY' .. ❑ G. MIN. MONTHLY R EACH T1MH gYSTEM�PFRA� zsi.s <br />. R.p,- Nbvmd for moanonns M,�i.d dwav aY 9w -+o fW WW�s r Pa <br />Mag. <br />NX ) <br />avow wo+oy+ <br />EXEMr110N FROM MONITORING FFR 23 L,'c:R 92636(ax3) <br />❑ 6. PIPING IS SUCTION PIPING MEETING ALI. REQUIREMENT'S FOR <br />❑ 7. NO .PRODUCT OR REMOTE FILL PIPING IS CONNECTFD TO THE UST(s) <br />Mas <br />❑ 99.OTHER (Specify) <br />n^I MZ M7 <br />SJCEHD-d (09/03) - V4 <br />