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n SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 MOI. TYPE OF ACTION [I1.NEW PLAN 2.CHANGE OF INFORMATION M02. PLAN TYPE tKMONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) A THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FAC ITY O TION FACILITY ID#(Agency Use Only) M03. FACILITY NAME L .. MOs. FACILITY SITE ADDRESS �� L-. � M04' CITY --ro .�` 9 H. EQUIPMENT TESTING AND P VENTIVEINTENANCE 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 annual ,whichever is more frequent. Such work must be performed by qualif€,d personnel. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): M07. III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general yank and piping layouts and the locations where monitoring is performed(l:f%,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 M10. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINNIENT VAULT(S) SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED c.UNDER PRESSURE ❑ d.UNDER VACUUM Mu. PANEL MANUFACTURER: _ '"� M12. MODEL#` L»S ;,� M13. M15, LEAK SENSOR MANUFACTURER: �,-+ �e- M14. MODEL#(S) , ❑ 2.AUTOMATIC TANK GAUGING(ATr,4VCTRM USED TQ MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16. MODEL#: MIT . S IN-TANK PROBE MANUFACTURER: MlsMODEL#O: M19... LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20. C1 d.MONTHLY ❑ e.OTHER(Specify): M21. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): Mz2. M23. 3.INVENTORY RECONCILIATION [I a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 Mea. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS F1 b.60 HOURS Mzs. 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26. M27. ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) ❑ M2s. 99.OTHER(Specify): V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M30. 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 ❑ d.UNDER VACUUM Mai. PANEL MANUFACTURER: M32. MODEL#: M33. LEAK SENSOR MANUFACTURER: Mia. MODEL#(S): , Mas. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? VL,i.YES ❑ b.NO M36. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? YES ❑ b.NO M37. 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PE FORMS 3.0 g.p.h. LEAK TESTS AND RESTI:ICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED ia,.+ Lzcj MLLD MANUFACTURER(s): '� ss. MODEL#(S): M39. ❑ 3.ELECTRONIC LINE LEAK.DETECTOR LLD)THA ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: Mao. MODEL#: Mal" PROGRAMMED LINE INTEGRITY TES S: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUA IL 0.1 g.p.h. Mae. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ it.YES ❑ b.NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ it.YES ❑ b.NO M44. 4.INTEGRITY TESTING TEST FREQUENCY: a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) Mas. M46. ❑ 5.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY* ❑ c.MIN.MONTHLY&EACH TIME SYS'T'EM OPERATED** Mai. *Requires agency approval **Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281:5(b)(3) ❑ 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) [j99.OTHER(Specify) Mas. SJCEHD-d(07/03)-1/4 07/23/03