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�7 <br />r-1 <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 1 <br />TYPE OF ACTION El 1. NEW PLAfq 9XI CHANGE OF INFORMATION <br />PLAN TYPt MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />m0f. <br />(Check one item only) THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />I. FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) <br />FACILITY NAMEc%M03. <br />FACILITY SITE ADDRESS M04. <br />I CITY"M05, <br />11. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br />State law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in <br />M06 <br />accordance with the equipment manufacturers' instructions, or annually, whichever is more frequent. Such work must be liciformcd by qualified personnel, <br />MONITORING EQUIPMENT IS SERVICED 1. ANNUALLY [1 99, OTHER (Specify): <br />M07. <br />III. MONITORING LOCATIONS <br />This monitoring plan must include Ek 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 />form, Hazardous Materials Business Plan map, etc.) which shows all required information, include it with this plan, <br />IV. TANK MONITORING <br />MONITORING 19 PERFORMED USING THE FOLLOWING MF.TH01D(S): (Check all that apply) <br />MID. <br />n 1, CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) <br />SECONDARY CONTAINMENT IS: El a. DRY 0 b. LIQUID FILLED UNDER PRESSURE Q d. UNDER VACUUM <br />M11. <br />PANELMANUFACTURER:4 :r hz�g! MODEL #: <br />M13' <br />LEAK SENSOR MANUFACTURER: - P I M14. MODEL N(S): <br />0 2, AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SZjGLE WALL TANK(S) <br />PANEL MANUFACTURER: M16. MODEL <br />MIT <br />INJANK PROBE MANUFACTURER: JZ A Mas.MODEL #(S)! <br />M10. <br />LEAK TEST FREQUENCY: El a, CONTINUOUS ❑-b. DAILY/NIGHTLY [3 c. WEEKLY <br />M30, <br />El d. MONTHLY ❑ e. OTHER (Specify): Net. <br />PROGRAMMED TESTS: 0. 1 S.p.h. b. 0,2 g.p.h. c. OTHER (Specify): M=, <br />M21 <br />❑ 3. INVENTORY RECONCILIATION MANUAL PER 23 CCR §2646 Ll b. STATISTICAL PER 23 CCR §2646.1 <br />M24. <br />4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 <br />TESTING PERIOD: 0 a. 36 HOURS [I b. 60 HOURS <br />❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 <br />M2,6. <br />TEST FREQUENCY: 13a. ANNUALLY [3b. BIENNIALLY [3c. OTHER (Specify); <br />M.7. <br />Lj 6.VISUAL MONITORING DONE: 11 a. DAILY 0 b. WEEKLY (Requiro awqvpraval) <br />❑ 99. OTHER (Specify): <br />V. PIPE MONITORING <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />❑ 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT <br />SECONDARY CONTAINMENT IS: El a, DRY [j b. LIQUID FILLED E] c, UNDER PRESSURE 0 d. UNDER VACUUM <br />PANEL MANUFACTURER: :10 - - M32. MODEL #; <br />- <br />LEAK SENSOR MANUFACTURER: M34 MODFL#(S): <br />WILL A PIPING LEAK ALARM TRIGGER AU O TIC PUMP (i.e., TURBINE) SHUTDOWN? YES [] b. NO <br />WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? El a, YES 0 b- NO <br />❑ 2, MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3,0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS <br />OFF <br />PRODUCT FLOW WHEN A LEAK IS DETECTED <br />M39. <br />Mas.MODEL #(S): <br />MLLD MANUFACTURER(s): <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINNEIjY PERFORMS 3.0 S.p.h. LEAK TESTS <br />ELLD MANUFACTURER: MID- MODEL 9: <br />M41. <br />PROGRAMMED LINE INTEGRITY TESTS: Ela. MINIMUM MONTHLY 0,2 g,p-h- [:]b, MINIMUM ANNUAL 0.1 S-p.h. <br />M42. <br />WILL ELLD DETECTION OF; A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? C] a, YES 0 b. NO <br />M43. <br />WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? L1 a. YES 0 b, NO <br />M44, <br />El 4, INTEGRITY TESTING M4$, <br />M46. <br />TEST FREQUENCY! 0 a, ANNUALLY ©b- EVERY 3 YEARS ❑ C. OTHER (Specify) <br />[3 5.VISUALMONITORING DONE: ❑ a, DAILY 0 b. WEEKLY* C. MIN. MONTHLY & EACM TIME SYSTEM OPIRATM** m47 <br />I #0 Atiowed r�w moftharing ofunburied 0mupacy senemor am oiVing only per HSC 0252815(b)(3) <br />Rvqk4:ms asny 3MOTO <br />6. PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR 8XEMPTION FROM MONITORING PER 23 CCR §2636(aX3) <br />C3 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br />0 99. OTHER (Specify) <br />M41. <br />SJCZHD-d (07/03) -1/A <br />u IIAMU.2 <br />Z.0 39Vd OCTS-968-SOZ tll?:tT 1700Z/TT/90 <br />