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UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE 2 �MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) Mso t,pt t. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UbC) PANEL MANUFACTURER: Ve tO e4L - FZ O 0 7 M`I MODEL 4. 8 Z yQ m Z 2- Msz LEAK SENSOR MANUFACTURER V E E.be z - 0 ( M51 MODEL q(S): S 4(3 F 0 Z 9' Msa. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? e. YES ❑ b. NO M55 WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO Ms6. WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO M57. ❑ 2. MECHANICAL ASSEMBLY (c g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE )N CASE OF LEAK ASSEMBLY MANUFACTURER: M58 MODEL s(S): M59 ❑ 3.VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY (Raµmrcisg wy wpaovy) M68. ❑ 4. NO DISPENSERS ❑ 99. OTHER (Specify) M6i. ❑ I. WE HAVE BEEN NOTIFIED BY THE, STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M70 DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §2644, 1, ELD 19 PERFORMED EVERY 36 MONTHS AS REQUIRED REFYtENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) Mab. I. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 3. THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of 1/01/2005) 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. Q CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "IIANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCH PUBLICATION: "WEEKLY MANUAI. TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99. ❑ OTHER (Specify): Mti. Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and Can access those documents when needed. By January 1, 2005 this facility will have a "Designated UST Operator' who has passed the operator exam administered by the International Code Council (TCC) By January I, 2005, and annually thereafter, the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems, This training will include, but is not limited to, the following; ➢ Operation ofthe UST systems in a mannerconsistenl with the facility's best management practices > The facility employee's role with regard to the leak detection equipment. > The facility employee's role with regard to spills and overfills. > Whom to contact for emergencies and leak detection alarms. For faoitiry employees hired on of after January 1, 2005, the initial training will be conducted within 30 days of the date of hire. Please Use this section to include any additional UST system monitoring -related information (e g., additional information required by your local agency): Mss. AS OF 1/1/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SEC'f10N 111 OF THE CURRENT UST OPETtATING PERMIT APPLICATION - FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN, AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR ' 2715(b). CERTIFICATION. I certify that the information provided herein is true and accurate to the best of my knowledge, OWNER/OPERATOR SIGNATURE 1PLEPRESENTINDATA m,51 lj/� Owner moo. (. Operate OWN PERATOR NAME (print): % / M` OWNER/OPERATOR TITLE: M9a. /L'i � / I r- b /1 (Agdncy Use Only) This plan has been reviewed turd: ❑ Approved ❑ Approved With Conditions ❑ Disapproved Local Agency Signature: Date; Comments/Special Conditions: SJCEHDA ([71/031,. 1m 07/23/03 E0 39dd _1_13HS001d31VM bSZLEEEGOZ bS:EO S00Z/GZ/b0