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qw, 2007 09:05 2099519352 VILLAGE WEST MARINA PAGE 04 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE I TYPE OF AC'T'ION 1. NEW PLAN Q 2. CHANGE OF INFORMATION M01 PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. Moe (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S). i. FACILITY INFORMATION FACILITY iD # (Agency Use Only) - - FACILITY NAME AAS (A�EXT J10 ARINAr M03 M°e CITY SITE ADDRES MOFACILITY . _EOVIPMENT TESTING AND PREVENTIVE MAIIRTENANCE State law requires that testing, preventive maintenance, aril calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in accordance with the equipment manufacturers' instntctions, or annually, whichever is more ftequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED X 1. ANNUALLY ❑ 99. OTHER (Specify): M07. III. MONITORING LOCATIONS This monitoring plan must include a Site Plan Rhowing the general tank and piping layouts and the Iouitions where monitoring is performed {i.e., location of each sensor, line leak detector, monitoring system control panel, etc.). If you already have a dingram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification form Hazardous Materials Business Plan map�m.) which shows all rcquuinforMAV*include it with this plan. M IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) Mlo. ig 1. CONTINUOUS GLECTRONiC MONITORING OF TANK ANNULAR (99ERSTITIAL) SPACFjS) OR StCONDARY CONTAINMENT VAULTS) SECONDARY CONTAINMENT IS: -A a. DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE a t NVIFR VACUUM mi M13. PANEL MANUFACTURER: yaMAg er11&y MODEL k: LEAK SENSOR MANUFACTURER: -ism"a - "GT-- Mla' MODEL #(s)- Mia ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYS rEM USED TO MONITOR SINOLE .E WALL TANK($) PANEL MANUFACTURER: MI6. MODEL rN-TANK PROBE MANUFACTURER: ""° MODEL #(S): M" LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAiLY/NIGEITLY [] c. WEEKLY M2o Mzt. ❑ d, MONTHLY ❑ C. OTHER (specify): M2Z. PROGRAMMED TESTS: [I a, 0.1 g.p.h. ❑ b. 0.2 8,P -h. [3c. OTHFR (Specify) M23. Mxa 3. INVENTORY RECONCILIATION 'fid a. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 ❑ 4. WCEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR 42645 M73 TESTING PERIOD: ❑ a 36 HOURS ❑ b. 60 HOURS ❑ 5. INTEGRITY TESTiNfi PER 23 CCR §2643.1 Mz6. M27. TEST FREQUENCY' is a. ANNUALLY ❑ b. BIENNIALLY ❑ c, OTHER (Spocify): 16 6 -VISUAL MONITORING DONE: id a. DAILY ❑ b. WEEKLY mawy wpm 0 Mea ❑ 99. OTHER (Specify): V. PIPE MONITORING MONITORING IS PERFORMED USiNG THE FOL1,0WING METHOD(S) (Check all that apply) MJO. 1] 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyTRENCH(ES) AND OTHER SECONDARY CONTAINMENT M31 SECONDARY CONTAINMENT 15: �. s. DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM /� _ M33. PANEL MANUFACTURER: �)L•0.+OQ� M12. MODEL #: M,3s. M.3e. MODEL M(S): LEAK SENSOR MANUFACTURER: 11tf'+A1�' -94Vr_ A a. YES ❑ b. NO M36 W11A, A PIPING LEAK ALARM 'I'RIGGE:R AUTOMATIC PUMP (i.e., TURBINES) SHUTDOWN? OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? � s. YES ❑ b. NO M17. WILL FAILURE/DISCONNECTION ❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 10 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK 1S DETECTED "a78' MODEL #(S): M39, MLLD MANUFACTURMs) ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS Mel ELLD MANUFACTURER; Meo. MODF,L M: PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. Mat, WILL. ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? [3a- YES [3b. NO Mai "66a WILL ELLD FAiLURE/DISCONNFCTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO ❑ 4. INTEGRITY TESTING Mas. TEST FRF.QUFNCY: a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c, OTHER (Spocify) Me6. WEEKLY* c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED" ❑ -5-VISUAL MONITORING DONE: a, DAILY , "--mayll�i1 .. ^t�� s u� Y gmfflm fuW pone _dY petH5C`21291.5(bK3) M47. ❑ 6 PiPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR k,XEMPTiON V xOM Mt7NITORING MR 23 CCR §2""(3) ❑ 7, NO PRODUCT OR REMOTE FiLL PIPING iS CONNECTED TO THE UST(s) Me8 U 77.vrncnlopwryr SJCEHD-d (97/03) -1/4 97123/03