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t I tj I t-� k_- L( JL4,A d 0 <br /> ANL- <br /> 'WRITTEN MONITORING AND RESPONALAN <br /> UNDERGROUND STORAGE TANK MONITORING PROGRAM <br /> 'This monitoring program must be kept at the UST location at all times.Ilhe 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 263 (d)and 2641 (h) <br /> YX,ClLfTY NAWI Z' ADr <br /> DATE <br /> RFss Ave� __3: 6c qgj* ---- <br /> FACILITY ADD <br /> I Name(s)and Title(s)of the people responsible for performing the monitoring and/or maintenance <br /> r <br /> J,Describe the frequency of performing the monitoring for: <br /> TANKS PIPING <br /> 3Describe the location(s)of where the monitoring will be perfjrrned. ie:location ofsenlsors <br /> 4.Describe the following equipment for each underground storage tank. <br /> Name and Model of Monitoring Panel <br /> Name and Model of Line Leak Detectors 11=10-- <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 ut down the turbine? Yes No 0 <br /> Does the turbine shut down if a sensor is disconnected? Yes No D <br /> Does the turbine shut down 4the monitoring panel loses I-ower? Yes No D <br /> 6.Homrwill.the.Al. hi tory av J subsequent maintenance be recorded? <br /> 7, L411 7/ A/ <br /> -7- <br /> 7.Maintctmnce of the monitoring equipment must be perforr ied at least once every 12 months. <br /> Describe the preventive maintenance schedule and re ing f the pani pnn nt.What month will <br /> annual monitoring certification b rf, din? ave, � . nr <br /> e pej 0 lei_— --A 6AZe, A <br /> -1*71e xv d 14 <br /> Note,For new installations the secondary containment must be testa d'16months aver installation.All secondary containment systems <br /> must be tested once every 36 months with initial testing performed before Deremjar3l,2003. <br /> 8,Describe the-trair}inZ necessary for the oppation of Usr systerr,including pipmg,and the monitoring <br /> equipment., T)h I- j�Liao k iid V4 <br /> 1AsmternWt\VST\mc:Aitoringplan.doe <br /> 1124t"2 <br />