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WRITTEN MONITORING AND RESPONSE PLAN <br /> UNDERGROUND STORAGE TANK MONITORING PROGRAM <br /> This monitoring program must be kept at the UST location at all rimes.The information on this monitoring program are <br /> conditions of the operating permit.The permit holder must notify Environmental Health Department,(209)468-3420 <br /> within 30 days of any changes to the monitoring procedures,unless required to obtain approval or a permit before making <br /> the change.Required by CCR 2632(d)and 2641 (h). <br /> DATE l d– 0 D2, <br /> FACILITY NAME Z <br /> FACILITY ADDRESS �- <br /> l.Name(s)and Title(s)of the people responsible for performing the monitoring and/or maintenance <br /> 2.Describe the frequency of performing the monitoring for: <br /> TANKS 14YPIPING <br /> 3.Describe the location(s)of were the monitoring will be performed. ie: location of sensors <br /> 4j NO id 0A <br /> 4.Describe the following equipment for each underground storage tank. <br /> Name and Model of Monitoring Panel / S AT—A <br /> Name and Model of Line Leak Detectors <br /> Name and Model of Annular Sensors <br /> Name and Model of Piping Sensors <br /> Name and Model of Dispenser Sensors <br /> Type of overfill prevention <br /> 5.Do the Turbine Sensors and Dispenser Pan Sensors shut down the turbine?;< Yes 0 No l5' <br /> Does the turbine shut down if a sensor is disconnected? Yes 0 No / <br /> Does the turbine shut down is the monitoring panel loses power? Yes 0 No <br /> 6.How will the alarm history and subsequent maintenance be'recorded? <br /> 7.Maintenance of the monitoring equipment must be performed at least once every 12 months. <br /> Describe the preventive maintenance schedule and record' for the monitoring equipment.What month will <br /> annual monitoring certification be performed in? <br /> Note:For new installations the secondary <br /> itial testing pew reed tested <br /> efo6 January months after installation.All secondary containment systems <br /> must be tested once every 36 months with in <br /> 8.Describe the ping necessary for the operation of UST system,including piping,and the monitoring <br /> equipment. <br /> d r-- <br /> IAUnit mummonitoringplan.doc <br /> 5/30/2002 <br />