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L <br /> WRITTEN MONITORING AND RESPONSE PLAN <br /> UNDERGROUND STORAGE TANK MONITORING PROGRAM <br /> This monitoring program must be kept at the UST location at all times.The information on this monitoring program are <br /> conditions of the operating permit.The permit holder must notify Environmental Health Department,(204)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 2(41 (h) <br /> FACILITY NAME YV e 'L r9.y& t-C [ s- DATE ) ("! <br /> FACILITY ADDRESS <br /> 1.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 PIPING -- <br /> 3.Describe the locations)of w ere the monitoring will be performed. ie:location of sensors <br /> 4.Describe the following equipment for each underground storage tank. <br /> Name and Model of Monitoring Panel , L- <br /> Name and Model of Line Leak Detectors <br /> Name and Model of Annular Sensors 7 C? CtJ <br /> Name and Model of Piping Sensors C> <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 No 0 <br /> Does the turbine shut down if a sensor is disconnected? Yes 3' No❑ <br /> Does the turbine shut down is the monitoring panel loses power? Yes Q' No❑ <br /> 6.How will the alarm history and subsequent maintenance be recorded? <br /> C..o fes- 171 � <br /> 7.Maintenance of the monitoring equipment must be performed at least once every 12 months. <br /> Describe the preventive maintenance schedule and recording for the monitoring equipment.What month will <br /> annual monitoring certification be performed in? <br /> Note: e�ested once every 36hmonths with inry itial testingperfontainment must�med befoe tested re a December31,1003months after �ion.All secondary containment systems <br /> must b r1' <br /> 8.Describe the tr fining necessary for the operation of UST system,including piping,and the monitoring <br /> equipment. <br /> I:\nlstemi-le\usiNmonitoringplan.doc <br /> 1/24/2002 <br />