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SAN JOAQW COUNTY ENVIRONMENTAL HEALTHTAIErT lieUNDERGROUND STORAGE TANK ' MONITORING PLAN-PAGE 1 TYPE OF ACTION ❑ I.NEW PLAN 5(2.CHANGE OF INFORMATION PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. �In' (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTE.ki(S): L FACILITM INFORMATION FACILITY ID 9(Agent Use Only) FACILITY NAME I l r I+Q e-ice �j N103. FACILITY SITE ADDRESS + ata. = n gigs. H. EQUIPMEINT TESTING AND PREVENTIVE MAINTENANCE State law requires that resting_preventive maintenance.and calibration of monitoring equipment(e.g..sensors.probes.line leak detectors,etc.)be performed in accordance with the equipment manufacturers'instructions,or annually.whichever is more frequent Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED B] L ANNUALLY ❑ 99.OTHER(Specify): A101. III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(Le..location of each sensor, 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 form.Hazardous Materials Business Plan map.eta)which shows all required information.include it with this plan, IN'. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) X110. 10 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR pTnUtSTIITAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: f@ a.DRY ❑ b.LIQUID FILLED [I c.UNDER PRESSURE [Id.UNDER VACUUM 5111. PANEL MANUFACTURER: \JE'C"�1_ K cr)4' att� MODEL T LJ3�� M13. LEAK SENSOR MANUFACTURER: (Yl ' \11J. MODEL 4(S): 7g14 3120-LJQO 3115. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO: ONITOR SINGLE WALL TANK(S) PANEL-'N ANUFACTU'RER: MODEL z�: 311? IN-T-ANK PROBE MANUFACTURER: 5119. MODEL#(S): y19. LEAK TEST FREQUENCY: a.CONTINUOUS 5120- Q ❑ ❑ b.DAILY:2�IGHTLY ❑ c.WEEKLY ❑ d.MONTHLY ❑ e.OTHER(Specifr--): 31211. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ a OTHER(Specify): ]LZ S123. ❑ 3.INVENTORY RECONCILIATION ❑ a.M ALNUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 V24. ❑ 4.WEEKLY'VLANUAL TANK GAUGING(MTG)PER 23 CCR§2605 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: R] a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specif,): SL'6. ac-. 6.VISUAL MONITORING DONE: ® a.DAILY ❑ b.WEEKLY rR.-gwu.-a aean-y wpn,&-� ❑ 99.OTHER(Specify): �e9. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 5130. I.CONTINUOUS ELECTRONIC MONITORING OF PIPING SU MP(SyTRENCH(.ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINNIENT IS: 19 a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE [Id.UNDER VACUUM 1131. PANEL MANUFACTURER: Jex` Ie-r 20L-:4- "2- MODEL i=: TLS �SSo X133. LEAK SENSOR MANUFACTURER: F-In ci .T N134. MODEL#(S): ?.135. WILL A PIPING LEAK ALARM TRIGGER AUTOMAtfC PU1QP(i.e..TURBINE)SHUTDOWN? ❑ a.YES ❑ b.NO 6. WILL FAILURE DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO 513 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOAT VITEN A LEAK IS DETEC_V'D MILD MANUFACTU:RER(s): F--� t�}l'd SOS MODEL i�(S): �U9. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: 5140. MODEL Sur PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MRQMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h_ «'ILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO 1143. RILL ELLD FAILUREDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.ITS ❑ b.NO 5144. 4.INTEGRITY TESTING TEST FREQUENCY: ® a.ANTNUALLY ❑ b.EVERY 3 YEARS ❑ a OTHER(Specify) 3145. 1146. �] 5.VISUAL MONITORING DONE: ® a DAILY ❑ b.MEEKLY' ❑ a 69v.MONTHLY C EACH TIME SYSTEM OPERATED"" M-1-. "RcT-agent.-ap;w-al '•Allowed for mmiwei=ofunbwinl®cgenty prcn .dor fwd piing mw-per HSC§25281.4'b;g3) ® 6.PIPING 1S SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) 1149. SJCEHD-d(07/03)-114 07/23/03