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SAN JOAQ1.TN COUNTY ENVIRONMENTAL HEALTH• F.PARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN ® PAGE 1 -� Mot TYPE OF ACTION 1.NEV PLAN ❑ 2.CHANGE OF INFORMATION s _ PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (("heck one iter only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION _ _T FACILITY ID#(Agency Use Only) - _ _.1_�T_�_L__�T _� FACILITY NAME - / �,.. Moo CITY Mos, FACILITY SITE ADDRESS IL EQUIPMENT TESTING AND PREVENTIVE MAINTENCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors.etc.)be performed in M06 accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. M07 MOM rORING EQUIPMENT IS SERVICED 01.ANNUALLY ❑ 99.OTHER(Specify): u_ III. MONITORING LOCATION This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is perfetmed(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 map,etc.)which shows all required information include it with this plan. _ IV, TANK MONITORING M1t10. MONITORING IS PERFORMED USING THE FOLLOWING METHODS) (Check all that apply) 1.CONTINUOUS ELECTRONIC MONITGORINF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) MI i SECONDARY CONTAINMENT IS: a.DRY C] b.LIQUID FILLED ® e7 UNDER PRE.SSLIRE ❑ d.UNDER VACUUM, M13. M12. MODEL#: PANEL MANUFACTURER: /dtl C ptJ 'R �✓ - � IVIS LEAK SENSOR MANUFACTURER: M34 MODEL#(S): _. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR 5INGLF.WALL_LA1pd,K M PANEL MANUFACTURER: M16 MODEL#: _ MIS. M14. IN-TANK PROBE MANUFACTURER: __ MODEL#(S): M2o. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY Met ❑ d.MONTHLY ❑ e.OTHER(Specify): _ M22. M23 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify) M_'4❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2.646.I ❑ 4.WEEKLY MANUAL TANK GAUGING(NITG)PER 23 CCR§2645 M25 I TESTING PERIOD. ❑ a.36 HOURS ❑ b.64 HOURS ❑ S.INTEGRITY TESTING PER 23 CCR§2643.1 M2E R927 TEST FREQUENCY: a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): - ❑ &VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) M2e ® 99.all-HERV. PIPE MONITORING _ M NITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE El d.UNDER VACUUM M31. �_ M11 MODEL#: � ,� W3PANEL MANUFACTURER: N135 LEAK SENSOR MANUFACTURER: tot PU4 MODEL#(S)' f a.YES EJ b.NO Mac WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN!'. M37 WILL FAILURE!DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN' ,�a.YES C] b.NO L!3 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 DETEC ED ® (•. ,, MLLD MANUFACTURER(s): -,1 __ Mas MODEL#(S): LSTP'" `` ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS f t440. MODEL#: Ist4 ELLD MANUFACTURER: h11El E] INI 1! PROGRAMMED LINE INTEGRITY TESTS: a.MINIMUM MONTHLY 0.2 g.p.h. b.MMUTA ANNUAL 0.1 g.p.h. a.YES ❑ b.NO X143 WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTORIATIC PUMP SHU"!DOWN• ❑ I WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b.NO M44. 4.INTEGRITY TESTING Mss. Mas. TEST FREQUENCY: a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ® 5.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY" ❑ c.MIN,MONTHLY&EACH TIME SYSTEM OPERATED" Mal. I A °Requires agency approval "Allowed fist manitoring of unburied emergency generator fuel piping only per HSC§25281 RbX?? 1 ❑ 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) Mott ❑ 99.OTHER4Specify) --- 07/23/03 SJCEHD-d(07/03)-1/4 L _