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SAN JOAN -N COUNTY ENVIRONMENTAL IIEALT—DEPARTMENT UNDERGROUND STORAGE TANI MONITORING PLAN —PAGE I TYPE OF ACTION I.NEW PLAN ❑ 2.CHANGE OF INFORMATION PLAN TYPE J&MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Moe. i (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): _ I. FACILITY INFORMATION t ��ff - l Y PAC1�!?'Y lD#(490 Use l�ttly) .' 0 enc Lmi FACILITY NAME f FACILITY SITE ADDRESS �3�- vo II. EQ IPMENT TESTING AND PREVENTIVE MAINTENANCE 6106 } State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sc rsors,probes,line leak detectors,etc.)be rsonnperform�in accordance with the equipment manufacturers'instfuctions,or annual whichever is more frequent. Such work must be perform by qualified personnel. M07 MONITORING EQUIPriIENT IS SERV ICED (?I.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 perforin (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 Map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MIo MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) .1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) Mn SECONDARY CONTAINMENT IS: C3 a..E b.LIQUID ❑ M;UNDER PRESSURE MODEL C3 d.UNDERCVA�C)liA1 M13 PANEL MANUFACTURER: ��t� Jl� �'` '' ul4 #: '44 �7 –e LEAK SENSOR MANUFACTURER: I n MODEL#(S): _ ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR clnlrl F W LCL TAS CI (5) MI6. MIT PANEL MANUFACTURER: MODEL#: MIs. MODEL#(S): M19 IN=fANKPROBE MANUFACTURER: c.WEEKLY NCO LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY-T IGHTLY ❑ 141I ❑ d.MONTHLY ❑ e.OTHER(Specify): M z M23 PROGRAMMED TESTS: ❑ it.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): ' M24 ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 N175 TESTING PERIOD: ❑ a.36 HOURS El b.60 HOURS p 5.INTEGRITY TESTING PER 23 CCR§2643.1 111Mze. Mz7. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agenc>approval) MZ8. ❑ 99.OTHER(Specify): _ V. PIPE MONITORING M NITORING 1S PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. I CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S�TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: a.DRY b.LIQUID FILLED [3c.UNDER PRESSURE d.UNDER VACUUM II PANEL MANUFACTURER: Ujrjilvo I _ 'A'2- MODEL.#: 7– O M33. I LEAK SENSOR MANUFACTURER: 1,(( et M34• MODEL#(S): _x&972- M366 3 WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? a a.YES ❑ b.NO M . { WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b.NO W7 1`72.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND R�RICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED MLLD MANUFACTURER(s); M18. MODEL#(S): M39 9,3.ELECTRONIC LINE LEAK DETECTOR(�AT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS A � ELLD MANUFACTURER: _ kIlC%r M40 MODEL#: ��GU X141 e PROGRAMMED LINE INTEGRITY TESTS: El " a.MINIMUM MONTHLY 0.2 g.p.h. kb.MINIMUM ANNUAL 0.1 g.p.h. 4' WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN' �e.YES ❑ b.NO M43 I WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b.NO ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. Mas. ❑ 5.VISUAL MONITORING DONE: C1 a.DAILY ❑ b.WEEKLY" ❑ c.MIK.MONTHLY&EACH TIME SYSTEM OPERATED"' Ha7 *Requires agency approval -Allowed for monitoring of unburied emergency generator fuel piping only per HSC VS281.5(b)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Q 99.OTHER(Specify) Maa. SJCEHD-d(07/03)-1/4 07123/03