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UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE 2 • YI.)DISPENSER MONI'T'ORING MONITORING OF AREAS BENEATH DiSP ENSER(S)iS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M50. 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(l1DC;) PANEL MANUFACTURER: /1{�� M11. MODEL#: M. ��-.,, M$i. J MSA. LEAK SENSOR MANUFACTURER: C MODEL#(S): j//z�!! WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL:ALARMS? a.YES ❑ b.NO WILL A UDC LEAK ALARM TRIQUER AU'T'OMATIC PUMP SHUTDOWN? �'a.YBS ❑ b,NO M56. WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRJGGCR AUTOMATIC PUMP SHUTDOWN? YGS ❑ b.NO M17. ("J 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)iN t1DC TRIPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER; M16, MODEL#(S): MSA. u MW. ❑ 1.ViSUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Rouirtswntyapprovai) ❑ 4.NO DISPENSERS Met. ❑ 99.OTHRR(Specify) VII. ENHANCED,LEAK DETECTION ❑ I.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENIIANCED LEAK M9u. DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII. TRAINING REFE NCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) M39 1, THiS UNDERGROUND STORAGE TANK MONITORING PIAN(Required) 2, OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1101(2005) 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5.' CALIFORNIA UNDERGROUND STORAGE.TANK LAW 6. ❑ STAY WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: -HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCiLIATiON" 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" M81. 99.r_1 OTHER(Specify): Personnel with UST monitoring responsibilities arc familiar with all of Ute above documents relevant to their job duties and can access those documents when needed. By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(iCG). BY January 1,2005,and annually thereafter,the "Designated LIST Operator"will train facility employees in the proper operation and maintenance of the LIST systems. "l'his training will include,but is not limited to.the following: F' Operation of the UST systcnis in a manner consistent with the facility's best management practices. > The facility employee's role with regard to the leak detection equipment. y The facility employee's rote with regard to spills and overfills. "r Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after January 1,2005,the initial training will be conductcd within 30 days of the date of hire. IX. COMMENTS/ADDI'ITIONAL INFORMATION Please use this section to include any additional UST system monitoring-related information(e.g.,additional information required by your local agency): Mas. X. PERSONNEL RESPONSI)BILITIES' AS OF III/Q5,THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION Ill OF THE CURRENT UST OPERATING PERMIT APPLICATION- FACILITY FORM WILL HAVE.1.11-TIMATE AUTHORITY FOR PERFORMING;114E MONITORING;ACTIVITIES AND MAINTAINING I.FAK DETECTION EQUIPMENT COVERED BY TH15 PLAN,AND WTI L PL_RFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE W11'H 23 CCR§2715(b), NER/OE TO SIGATU CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my icnowled e. O=RIOPERATORSIGNATURE`- —.�. �E FN'fiNG DATE: s AtAi. TOL Owrrt r MAO. I t' ❑Operator J MA?. OWNER/OPFRATOR TITLE: MAs ER/OP NAME(print): (Agency Use Only) This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑Disapproved Local Agency Signatarc: Date: Comments/Special Conditions: SJCEHD-d(07/03)-3/4 07/23/03 bcl Wd617:SO 200Z TT '3 a(I ON XUJ WON_