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SAN JOAQfWCOUNry ENVIRONMENTAL HEALTH t ARTME:NT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-T PAGE I <br /> TYPE OF ACTION 1,NL:W PLAN ❑ 2.CIIANGE OF INFORMATION <br /> - •' M02. <br /> PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALI.USTs AT PHIS FACILITY. <br /> (Check one item only) © THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> F I. FACILITY INFORMATION T <br /> FACIi.iTY lU#(algency Uae vrtly) <br /> NM03.- <br /> FACILITY NAME S A-(-k <br /> FACILITY SITE ADDRESS Moo. CITY "Pc Mos. <br /> - II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> State law requires that testing,preventive mainieanrc,and calibration of monitoring equipment(e.g.,sensors,probes,line teak detectors,etc.)be performed in 'Moo, <br /> tt <br /> accordance with the equipment manufacturers'instnlctions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. Vag <br /> MONITORING EQUIPMENT IS SERVICED 0.i.ANNUALLY ❑ 99.OTHER(Specify):T_ <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 perfotd(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 Pian from a Monitoring Systcm Certification <br /> form,Hamrdtws Materials Business Plan Mal),etc.)which shows all required information,include it with this plan. <br /> IV. TANK MONITORING <br /> Mlo. <br /> MO,NITORiNG IS PERFORMED USING THE FOi..L.OWING METHOD(S):(Check all that apply) <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING_9F TANK ANNULAR(1NTERSTITTAL)SPACE(S)OR SECONDARY CONTAINMENT VAUL,T(S) Mr i <br /> SECONDARY CONTAINMENT IS: 2r a.DRY ❑ b•LIQUID FILLED Q c.UNDER PRESSURE ❑ d-UNDER VACUUM <br /> PANEL MANUFACTURER: JNC Tj " �� MI2. MODEi.#: - MIs <br /> Mia. MI5 <br /> LEAK SENSOR MANUFACTURER: AI MODEL#(S): v <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SIN LF WAI L TANKlSI Mit <br /> PANEL MANUFACTURER: MI° MODEL#: <br /> MIB. MODEL#(S): Mic. <br /> iN-TANK PROBE MANIJFAC'fURER: MX <br /> LEAK TEST FREQUENCY: ❑ a.CON'T'INUOUS ❑ b.DAII.Y/NIGHTLY ❑ c.WEEKLY <br /> e.OTHER(Specify): M'_2. <br /> ❑ d.MONTHLY ❑ Mr_. M23. <br /> PROGRAMMED TESTS: ❑ a,0.1 g.p.h- ❑ b,0.2 g.p.h. ❑ e.OTHER(Specify): <br /> ® M34. <br /> 3.INVENTORY RECONCILIATION (1 u.MANUAL:PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 <br /> ❑ 4,WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 M25 <br /> TESTING PERIOD; ❑ a•36 HOURS ❑ b.601401)RS <br /> [,a <br /> S.INTEGRITY TESTING PER 23 CCR§2643, <br /> M26. M27. <br /> TEST I REQUF.NCY: �a.ANNUALLY El b.131ENNIAL.LY ❑ c.OTHER(Specify): <br /> ® 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(RequireaagaN=)approvnU <br /> M28. <br /> ❑ 99.OTHER(Specify)-.---- <br /> V. <br /> Specify): Va PIPE MONITORING <br /> M NITORiNG IS PERFORMED USING THE FOI.L.OWTNG MFTHOD(S)(Check all that apply) <br /> 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)jTRENCH(ES)AND OTHER SECONDARY CONTAINMENT Mtf <br /> $EC3NDARY CONTAINMENT 15: a.DRY ❑ b.LIQUID FIL,I.ED ❑ c-UNDER PRFSSUK] © d.UNDER VACUUM MaJ <br /> PANEL MANUFACTURER: 1nJ _ M32• MODFi:#: r_s I t}D E t� <br /> M34. M®GEL#S : M35, <br /> LEAK SENSOR MANUFACTURER: _� h1 C O n1 _ (,) - � - r ^K"'"""""'- <br /> n a.YES ❑ b,NO Mae. <br /> WILT.A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.c.,TURBINE)SHUTDOWN M,; <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUNtP SHUTDOWN'? .�a.YES ❑ b.NO <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PFRF'OR.MS 3.0 g.p•h, LEAK TESTS AND RESTRICTS OR SHUTS OIT <br /> PRODUCT FLOW WHEN A LEAK IS DETECTFi.) MA <br /> MLLD MANUFACTURER(s): Mas. MODEL#(S): <br /> ❑ 3.ELECTRONIC LtNE LEAK DETECTOR(ELLD)THAT ROUTINFLY PERFORMS 3.0 g,p.h.I,EAK TESTS Mot <br /> ELLD MANUFACTURER: "46 MODEL#: <br /> nla]. <br /> PROGRAMMED LINE INTEGRITY TESTS: ® a_MINIMUM MONTHLY 0.2&p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h• M43 <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. <br /> WILL ELLD FAII,URE(DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES El b,NO <br /> (�4.INTEGRITY TESTING - M45. M46. <br /> / TEST FREQUENCY; a.ANNUALLY ® b.EVERY 3 YEARS �7 c.OTHER(Spceifyj <br /> ❑ 5.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY® ❑ c.MLN.MONTkIL.Y&EACH TIME SYSTEM OPERATED" M47. <br /> is 'RcmuiruS 42411Cy approval **Anowed for monkoring of unburkd 4mergency grnmxor fuel piping only per HSC§25281.1(b\.3). <br /> ❑ 6,PIPING iS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) <br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Mag <br /> ❑ 99-OTHEIj..(Specify) "r <br /> 07/23�D3 <br /> SJCEHD-d(07103)-1/4 <br /> Ed WdBV:SO 2002 SZ '0aQ 'ON XIJA WONA <br />