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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE 1 <br /> TYPE OF ACTION ❑ I, EW PLAN ❑ 2.CHANGE OF INFORNIATION .A-,) ^� <br /> PLAN TYPE. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Mox. <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORIMATION <br /> FACILITY ID#(Agenev Use(hely) <br /> FACILITY NAME S 1� (_ M03 <br /> FACILITY SITE ADDRESS -770-0 im {Z } !� �j ) M 4 CITYtj( --�•L + —�;y� <br /> H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> '4 State law iequires that testing,preventive maintenance,and calibration of monitoring equipment en[(e. Mo6. <br /> q g.,sensors,probes,line leak detectors,etc.)be performed in <br /> accordance with the equipment manufacturers instructions or annually, hever is more frequent. Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENC IS SERVICED ( ANNUALLY ❑ 99.OTHER(Specify):_ MO <br /> III. MONITORING LOCATIONS <br /> 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, <br /> 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 <br /> forth,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. <br /> IV. TANK MONITORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mao <br /> 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS: ❑ EL DRY a b.LIQUID FILLED ❑ c.UNDER PRESSURE (] d UNDER VACUUM <br /> PANEL MANUFACTURER: V,C C-i> t� /t 6L�'Z .`_ M12 MODEL#: <br /> LEAK SENSOR MANUFACTURER: % tZ� L. [�l C— (� (' <_ ( M14 MODEL#(S): <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR ANGLE WALL TANK(S) <br /> PANEL MANUFACTURER: M16 MODEL# Mns <br /> IN•TANK PROBE MANUFACTURER: M18 MODEL#(S): Mug <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYMIGHTLY ❑ c.WEEKLY M20 <br /> ❑ d MONTHLY ❑ e.OTHER(Specify): Mei <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g p.h. ❑ c.OTHER(Specify): M22 !An, <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCA§2646.1 M24 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 I(OURS M25 <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): Mu Mv. <br /> ❑ &VISUAL MONITORING DONE: ❑ a.DAILY ❑ b WEEKLY(Rryum g—yap--1) <br /> ❑ 99.OTHER(Specify): res. <br /> V. PIPE MONHORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M30. <br /> 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SYTRENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: , ❑ a.D_R--Y�6_[�b. QUID FELLED ❑ c.UNDER PRESSURE E3 d.UNDER VACUUM "'71 <br /> PANEL MANUFACTURER: YC- .1/ t"C''1 M3z MODEL#: l ( Z M33 <br /> LEAK SENSOR MANIIFAC'IURER: M34. MODEL#(S): Mas <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a YES ❑ b.NO mm <br /> WILL FAILIIRF/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Msr <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h, LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED <br /> MLLD MANUFACTURER(s): M39 MODEL#(S): M19 <br /> gi.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINF)LY PERFORMS 3.0 g.p.h.LEAK TESTS _ <br /> ELLD MANUFACTURER: V E C 0 C {` {__i—E (r M30MODEL#: '�� C Mau <br /> PROGRAMMED LINE INTEGRITY TESTS ❑ a.VII\IMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a.YES ❑ b.NO M43 <br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? I�L a YES ❑ b.NO M44 <br /> ❑ 4.INTEGRITY TESTING <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) Mos. M46 <br /> ❑ 5 VISUAL MONITORING DONE: ❑ a.DALLY ❑ b.WEEKLY- ❑ c MIN.MONTHLY k EACH TIME SYSIFM OPERATED— M47. <br /> •Require ageocv app—1 ••Allowed ra monitainf d'unamM a r4ax.ymaaim fuel piping Doty pw H$C§25221.3(b)(3) <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONrrORLNG PER 23 CCR§2636(ax3) <br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> ❑ 99.OTIER(Specify) Moa, <br /> SJCEHD-d(07/w)-I/4 073 <br /> I •d 6SZt,GO 1 S T I r U-1IjH 3-lJNd C100 :60 GO BZ 2nd <br />