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SAN JOAQ LINTY ENVIRONMENTAL HEALTH DJWRTMENT UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE 1 M01 TYPE OF ACTION [� 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION Moe PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN covERB ONLY 1THE FACILITY INFORMATION FACILITY ID#(Agency Use Only) b Moa. FACILITY NAME l Mos. Moa. CITY �L G� FACILITY SITE ADDRESS 1 II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE M06. State law requires that tes ing,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 hichever is more frequent. Such work must be per by qualified personnel. Mol. MONITORING EQUIPMENT IS SERVICED L�f 1.ANNUALLY ❑ 99.OTHER(Specify): 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(i.e.,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 ma ,etc.):%,Eich shows all required information,include it with this s plan. IV. TANK MONITORING Mlo. MO ITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) MENT VAULT(S) 1 CONTINUOUS E:_ECTRONIC MONITORING Of TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMI I SECONDARYCONTAINMENT IS: a DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM EL# M12.VM13 �/ MOD : �' � ♦\ba►c�.o M15. PANEL MANUFACTURER: -U-� Mla. MODEL#(S)- �•D�' -"LEAK SENSOR MANUFACTURER: M 17. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED 1'O MONITOR SINGLE WALL TA NK(S) MODEL#: PANEL MANUFACTURER: MlgM19. • MODEL#(S): IN-TANK PROBE MANUFACTURER: M2o. ❑ b.DAILYMIGHTLY ❑ c.WEEKLY LEAK TEST FREQUENCY: ❑ a.CONTINUOUS M21• ❑ d.MONTHLY ❑ e.OTHER(Specify): M22. M23. .0.2 p.h. E] c.OTHER(Specify): M24. PROGRAMMED TESTS: El a.0.1 g.p.h. C1 b. g� b.STATISTICAL PER 23 CCR§2646.1 ❑ 3.INVENTORY RECONCILIATION F-1 a.MANUAL PER 23 CCR§2646 F-1 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 M25. TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 M26. M27. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY C] c.OTHER(Specify): ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) M28. ❑ 99.OTHER(Specify): V. PIPE MONITORING Mao MONITORING IS PEF:FORMED USING THE FOLLOWING METHOD(S)(Check all that apply) /TRENCH ES AND OTHER SECONDARY CONTAINMENT W1 E I CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S) CH(ES) c.UNDER PRESSURE [Id.UNDER VACUUM_ FILLED ❑ M33. SECONDARY CONTAINMENT IS: LIJ'a•DRY ❑ b.LIQUID M32 MODEL#: ©� PANEL MANUFACTURER: ( � � � Gt' �J QST Mia. MODEL#(S): M35. /,• Q Q M36. LEAK SEN 30R MANUFACTURER: [z a.YES ❑ b.NO a.YES ❑ b.NO M37. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? WILL FAILURE/DISCONNECTION OMELD) TROT ROUTINELY RING SYSTEM PERFORMS 3.0 IGGER AUTOMg.p.h. LEAK TESTATIC PUMP SHUTDOWN?AND RESTRICTS OR SHUTS OFF C 2.MECHANICAL. LINE LEAK DETECTOR ( O M39. PRODUCT FLOW WHEN A LEAK ISpEATE�� Lh M38 MODEL#(S): d�V MLLD MANUFACTURER(s): ��JJ TESTS M41. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g•p•h•M41. MODEL#: M42. ELLD MANUFACTURER: b.MINIMUM ANNUAL 0.1 g•p•h. M43. a.MINIMUM MONTHLY 0.2 g.p.h. ❑ ❑ a.YES ❑ b.NO PROGRAMMED LINE INTEGRITY TESTS: ❑ Maa WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? M45. M46. ❑ 4.INTEGRITY TESTING b.EVERY 3 YEARS ❑ c.OTHER(Specify) a.ANNUALLY ❑ b WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED 5 M47 TEST FREQUENCY: ❑ • ❑ 5.V ISUAL MON fTORING DONE: ❑ a.DAILY "Req❑uires agency approval ""Allowed for monitoring of unburied emergency generaeliPB only per HSC§25281.5(6)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR UST(s) FROM MONITORING PER 23 CCR§2636(a)(3) Mos. ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TOT () ❑ 99.OTHER(Specify) 07/23/03