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LSAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPA T. NT UNDERGROUND STORAGE TANK MONITORING PLAN -PAGE 1 Mot 7 CHANGE OF INFORMATION TYPE OF ACTION ❑ I NEW PLAN PLAN T YFE MONITORING 19 IDENTICAL FOR ALL USTs AT THIS FACILITY. Check one item only) [I THIS PLAN COVERS ONLY THE FOLLOWING LIST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Else Only) M03 FACILITY NAME FAr CILITY SITE ADDRESS3>L2 61- CITY H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(c.g.,sensors,probes,line leak det.-ctors,etc.)be performed in 140, accordance with the equipment manufacturers' instructions,or annual] Whichever is more frequent. Such work must be performed by qualified personnel. 1.ANNUALLY ❑0 99.OTHER(Specify) MONITORING EQUIPMENT IS SERVICED III MONITORING LOCATIONS rThis monitoring plan must include a Site.Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, line leak detector,monitoring system control panel,etc.) It You already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certffio.." , form. Hazardous-Materials Business Ph shows all required information,include it with this plan. IV. TANK MONITORING J —MONITORING ITS PERFORMED USING THE FOLLOWING METHOD(S)-(Check all that apply) 4110 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) II SECONDARY CONTAINMENT IS: a.DRY [I b.LIQUID FILLED ❑ c,UNDER PRESSURE [] d UNDER VACUUM 111112. MODEL#- —rL—C> 3- WN3 PANEL MANUFACTURER MIS. i LEAK SENSOR MANUFACTURER: �j M14 MODEL#(S): ive_!2 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE A PANEL MANUFACTURER: Vr -r -S —>,'S vstr' MODEL#: IN-TANK PROBE MANUFACTURER: m". MODEL#(S). M20 I! LEAK TEST FREQUENCY: za.CONTINUOUS [I b.DAILYINIGHTLY 0 c,WEEKLY [] d.MONTHLY ❑ e.OTHER(Specify) PROGRAMMED'TESTS: [D a 0.1 g,p.h. n b.02 g.p,b. ❑ c.OTHER(Specify): NIX? MXI II ❑ 3.INVENTORY RECONCILIATION [D a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646,1 M. 24. 171 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 mzs� TESTING PERIOD: 0 a 36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 M2(, M27, TEST FREQUENCY: ❑ a.ANNUALLY ❑ b,BIENNIALLY C3 c.OTHER(Specify): ❑ 6.VISUAL MONITORING DONE: DAILY ❑ b.WEEKLY(itequira wmcy appfcvab ❑ 99.OTHER(Specify) V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) WU �' 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)tTRJENCH(ES)AND OTHER SECONDARY CONTAINMENT IT IS: DRY [I b.LIQUID FILLED ❑ c..LINDER PRESSURE [3 d.UNDER VACUUM SECONDARY CONTAINMENT M33 PANEL MANUFACTURER: _ M11- MODEL N: LEAK SENSOR MANUFACTURER- MODEL#(S): Mas. j WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(ix,TURBINE)SHUTDOWN? a.YES [3 b.NO WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a'YES 0 b.NO M37 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND•RFSTPICTFS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK ISD P-EC' M38 MODEL#(S). I Lb P10 L MLLD MANUFACTURER(s): S-E2 -4)(Z) - 1) _W.U2_1L ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h,LEAK TESTS ELLD MANUFACTURER: nasoMODEL R: M41. PROGRAMMED LINE INTEGRITY TESTS: 0 a.MINIMUM MONTHLY 0.2 g.p.h. 0 b.MINIMUM ANNUAL 0.1 g.p,h. VA2 WILL ELLD DETECTION Or A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? C] a.YES ❑ b.NO M41 WILL ELLD FAILL'RE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN') YES ❑ b.NO "44 4.INTEGRITY TESTING TEST FREQUENCY. ANNUALLY ❑ t.EVERY 3 YEARS [3c.OTHER(Specify) M41. M46, ❑ 5.VISUAL MONITORING DONE- DAILY ❑ b.WEEKLY* 0 C.MIN.MONTHLY&EACH TIME SYSTEM OPEP.ArED" NUT & 'Raqwrr,a6my&",oval 00 Ailowedfor monitor.ngofunburied emerge -! genwtuorreel piping only per HSC§25291 S(bX3) 0 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(aX3) 0 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) WE SJCEHD-d(07/03)-114 07/23/03