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AMML UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 2 VI.DISPENSER MONITORIITG MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) �I° 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSERCOhTAINY III.T(LDC) PANEL MANUFACTURER: � ei' �- Mst. MODEL it: t L`> >j c? atsz LEAK SENSOR(MANUFACTURER: atSs. MODEL#(S): lq�{:��;'c Qy 1t'`' WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ® a.YES ❑ b.NO x155. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHti('DOWN? ® a.YES ❑ b.NO �f56 WILL FAILURE'DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PLZM[P SHUTDOWN? ® a.YES ❑ b.NO A15 ® 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER: MSS. MODEL#(S): 1t59. ® 3.VISUAL MONITORING DONE: 0 a.DAILY ❑ b.WEEKLY tnogaco g-,�a,+c;wa!> x160. ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 3161. NIM. ENRANCED LEAK DETECTION ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE NATER RESOURCES CONTROL BOARD THAT W'E MUST IM PLEM ENT ENHANCED LEAK DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.L ELD IS PERFORATED EVERY 36 MON-THS AS REQLIRED VIII T404NG REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) iiso. 1. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. ® THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of V01/2005) 4. ® CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. CALIFORNIA UNDERGROUND STORAGE TANK LAN 6. ❑Q STATE NATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ S WRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TAA'KS" 99.❑ OTHER(Specify): Persormel with LIST 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 LFST Operator"who has passed the operator exam administered by the International Code Council(ICC). By January 1,2005,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 of the UST systems in a manner consistent with the facility's best management practices. D The facility employee's role with regard to the leak detection equipment. D The facility employee's role with regard to spills and overfills. D Whom to contact for emergencies and Ieak detection alarms. For facility employees hired on or after January 1,2005,the initial training will be conducted within 30 days of the date of hire. IX. CON MENT$400 '10NAL LNT;ORMATIO Picase use this section to include any additionalUSTsystem motnit_oring-related information(e.g..additional information required by your local agency): Qs �C:1 CL—t 90 c)& GZ l :d t bfe% X. PERSONNEL itESPONS01 AS OF f:1:05,THE"DESIGNATED UST OPERATOR"IDENTIFIED IN SECTION IR OF THE CURRENT UST OPERATING PERMIT APPLICATION— FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN.AND WILL PERFORM AND DOCUMENT MINIIdL�i MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH?3 CCR y'715(b). XI. OWNWR/OPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. OWNEWOPERATORSIGNATURE REPRESENTING DATE: -' ®Owner Ntgo. ❑Operator OWNER/OPERATOR NANIE(print): 319' OW'NER'OPERATORTITLE: ztv (AgencyIlseIlse Only) This plan has been reviewed and: ❑Approved ❑.Approved With Conditions ❑Disapproved Local Agency Signature: Date: Comments/Special Conditions: SJCEHD-d(07/03)-314 07/23/03