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r <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 1 <br />.�l <br />TYPE OF ACTION I. NEW PLAN [12. CHANGE OF INFORMATION <br />P <br />M01 <br />PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />Moe <br />(Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />I. FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) - - <br />M03 <br />FACILITY NAME <br />FACILITY SITE ADDRESS 1"f04 CITY <br />Mas, <br />. EQUIPMENT TESTING AND PREVENTIVE mAiNTENANCE <br />State law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in <br />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 1. ANNUALLY ❑ 99. OTHER (Specify): <br />Mol. <br />III. MONITORING LOCATIONS <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. Ha7ardow Materials Business Plan map, etc.) which shows all required information, include it with this plan. <br />IV. TANK MONITORING <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) <br />MIO. <br />'g I. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) <br />SECONDARY CONTAINMENT IS: -A a. DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d.UNDER VACUUM <br />M12. MODEL #1I ?1 scar <br />Ml I. <br />M13. <br />PANEL MANUFACTURER: \l •�^� r �� -S- <br />��-v'� <br />LEAK SENSOR MANUFACTURER �MXQ - (LA dT M14. MODEL #(S): _ P 4Vz" 3 • q <br />M15. <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANKS) <br />MIT <br />PANEL MANUFACTURER: -MODEL ^ <br />' <br />- ' - <br />M19. <br />Mlg MODEL #(S): /v A <br />IN -TANK PROBE MANUFACTURER: • <br />a <br />Mzo <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY <br />M21 <br />❑ d. MONTHLY ❑ e. OTHER (Specify): <br />M22. <br />PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): <br />M23. <br />M24 <br />3. INVENTORY RECONCILIATION '� a. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 <br />❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 <br />M25 <br />TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS <br />❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 <br />M26. <br />M27. <br />TEST FREQUENCY: 19 a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): <br />16 6.VISUAL MONITORING DONE: 14 a. DAILY ❑ b. WEEKLY (Requires agency approval) <br />Mza. <br />❑ 99. OTHER (Specify): <br />V. PIPE MONITORING <br />M30. <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />�C] 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SYFRENCH(ES) AND OTHER SECONDARY CONTAINMENT <br />M31. <br />SECONDARY COISIAIAr v1EP:T IS: �. a. DRY Elb.1.IQi_TTD FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM <br />M33. <br />M32. MODEL #: TLS ' 3 �`o <br />PANEL MANUFACTURER: %I t*0ffa'%jM4- <br />Mia. �J ySI 3 - O <br />M35, <br />MODEL # S <br />LEAK SENSOR MANUFACTURER: CM2^ Ra o lr (): <br />M36. <br />❑ <br />WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? a. YES b. NO <br />WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO <br />M37. <br />❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND ICESTRICTS OR SHUTS OFF <br />PRODUCT FLOW WHEN A LEAK IS DETECTED <br />Mae. <br />M39 <br />MLLD MANUFACTURER(s): MODEL #(S): <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS <br />ELLD MANUFACTURER Mao. MODEL #: <br />M41. <br />M42. <br />PROGRAMMED LINE INTEGRITY TESTS: 11a. MINIMUM MONTHLY 0.2 g.p.h. [Ib. MINIMUM ANNUAL 0.1 g.p.h. <br />WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO <br />M43. <br />WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO <br />M44. <br />❑ 4. INTEGRITY TESTING <br />M45 M46. <br />TEST FREQUENCY: a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) <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 FISC §25281.5(b)(3) <br />❑ 6. PIPING IS 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 />M48. <br />I"1 nn n'ruVu iQ-;AA _ <br />SJCEHD-d (07/03) -1/4 <br />07/23/03 <br />