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UNjz?>F;RGROi1ND STORAGE TIK MONITORING FLAN GE VI. DISPENSEWMONITORING MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USiNG THE FOLLOWING METHOD(S)(Check all that apply) q Mso. i.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSERC NTAINMENT UDC} t�I,' 140 " I PANEL MANUFACTURER: i EAU DIvlFL#. M52. LEAK SENSOR MANUFACTURER: Msa. MODEL#(S): Msa WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? 2ra.YES ❑ b.NO Mss. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES [2f b.NO Msh. WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? Z..YES &b.NO Mss. 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER: r9sa. MODEL#(S): Mae. M60. ® 3.VISUAL MONITORING DONE D a.DAILY b.WEEKLY(Regwresagency approval) ® 4.NO DISPENSERS M61 [] 99.OTHER(Specify) _ moo _ --- VII, ENHANCED LEAK DE'TECT'ION -� .e_.—.._.�.._ Myo Q 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL.BOARD THAT WE MUST IMPLEMENT ENHANCED L EAK DETECTION(E.LD)FOR THE UST(S)COVERED BY THIS PLAN,PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 moNTHS AS REQUIRED _ -- VIII. TRAINING REFSNCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mao. I• 'THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. • CALIFORNIA UNDERGROUND STORAGE TANK LAW6. ® STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "IiANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" RP 7. 0 SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL t,JNCtERGROUND STORAGE TANKS" 99 I� OTHER(Specify); Mat Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. By January 1,2005 this facility will have a"Designated US'f Operator"who has passed the operator exam administered by the International Code Council(ICC). By January 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. This training will include,but is not limited to,the following. Operation of the UST systems in a manner consistent with the facility's best management practices. 1 ➢ FL facility employee's rote with regard to the leak detcction cquipment. > The facility employee's role with regard to spills and overfills. i > Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after January 1,2005,the initial training will be conducted within 30 days of the date of hire. IX. COMMENTS/ADDITIONAL INFORMATION Please use this section to include any additional UST system monitoring-related information(e.g.,additicnal information required by your local agenc 7--Ipe. O � C4l.er" rili reV-f VI i0N ; OMP A5 w/� lleinsL�tr =tccF'A�r� X. PERSONNEL RESPONSIBILITIES AS OF 1/1/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION 11! OF THE CURRENT UST OPERATING PERMIT APPLICATION - FACILIT'Y FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETFC.TiON EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MININIUM MONTHLY VISUAL INSPECTiONS OF T14E FACILITY'S UST SYSTEMS IN ACCORDANCE WiTH 23 CCR 27t5(b). XI. VNER/OPE _ TOL$SIGNATURE CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. O R/OPEItATOR SIGNATURE-"�--�, 4 'S i�TIhG DATE: Ms;. Owner M90 �- Operator �o 4WN6PjoPE,6,AUM6NAME(print); M92 OWNEIVOPERATOR TiTLE: � M93 BI r L—,4 A/ (Agency Use Only) This plan hasbeen rev and: Approved ❑Approved With Conditions ❑Disapproved Local Agency Signature: _ Date; Comments/Special Conditions: SJCEHD-d(07/03)-314 07/23103