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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 MUI TYPE OF ACTION F11.NEW PLAN ❑ 2.CHANGE OF INFORMATION MM PIAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): -I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) - MU) FACILITY NAME 1 S K (.•L FACILITY SITE ADDRESS, B.p m t L l4 N1� a CITY T�r7 II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Mau< State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)13e performed in accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. Mlrf MONITORING EQUIPMENT IS SERVICED ❑ 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. which shows all required information,include it with this Ian. IV. TANK MONITORING MI(1. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) $'L CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) M11. SECONDARY CONTAINMENT IS: ❑ a.DRY �( LIQUID F�LLED ❑ c.UNDER PRESSUR�L( d.t�NDE,R,V�A�CUUM M13 M 12. MODEL#: �j PANEL MANUFACTURER: -r� MIS. r Mid. MODEL#(S)' _ k0= LEAK SENSOR MANUFACTURER: ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANtK(Sl MODEL#: M17 PANEL MANUFACTURER: M19 IN-TANK PROBE MANUFACTURER: Mfg. MODEL#(S): M20 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M21 ❑ d.MONTHLY ❑ e.OTHER(Specify): Mn M27 PROGRAMMED TESTS: ❑ a.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 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.OTHER(Specify): ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Regoiree agency approval) M28 ❑ 99.OTHER(Specify): V. PIPE MONITORING M3U MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) I.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)rrRENCH(ES)AND OTHER SECONDARY CONTAINMENT M31 SECONDARY CONTAINMENT IS: �a. Y _Z1 LI ID FILLED ❑ c.UNDER PRESSU ❑ d UNDER VACUUM M33. PANEL MANUFACTURER: V E7 M32. MODEL#: S 3 �D M35. . LEAK SENSOR MANUFACTURER: MiaMODEL#(S): �� WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? (Ia.YES (3b.NO M3' WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? X a.YES ❑ b.NO ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED Mas M39. MLLD MANUFACTURER(s): MODEL#(S): ❑ 3.ELECTRONIC LINE LEAK DETECT,O�.(EL D)TI-LAT R TINE PERFORMS 3.0 g.p.h.LEAK TESTS rn , P �<DV i Mal ELLD MANUFACTURER: N C � M40 MODEL#:JFLP a Z M42 PROGRAMMED LINE INTEGRITY TESTS: Ela.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN. 01 a.YES ❑ b.NO Mai' WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? Ia a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING fy) M43. M46. TEST FREQUENCY: [I a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ❑ 5.VISUAL MONITORING DONE: ❑ t1.DAILY ❑ b.WEEKLY' ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED•• M47 •Reywroe agenry approval ••Allowed ror monitoring or unburied amargency generator fuel piping only per HSC§25281 S(bX3) ❑ 6.PIPING IS 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) Moa ❑ 99.OTHER(Specify) SJCEHD-d(07/03)-1/4 07/23/03