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UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 2 VI. DISPENSER MONITORING MO ORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Msc. i I.CONTINUOUS ELECTRONIC MONITOR`rjG OF UN D{�PENS CO AINMENT(UDC) PANEL MANUFACTURER: VVI, J Mit MODEL#: Msi LEAK SENSOR MANUFACTURER Y MODEL#(S): Z Ms.. i WILL DE'T'ECTION OF A LEAK INTO THE UDC TRIiAND GGERUDIBL �JTLARMS? 2-1*YES ❑ b.NO Mss. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? a YESMs, ❑ b.NO WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? M31 ❑ 2.MECHANICAL ASSEMBLY e. a.YES ❑ b NO 4LOAT N ( O AND CHAIN ASSEMBLY)SSE MBLY)IN UDC TRIPS SHEAR VALVE 1N CASE OF LEAK ASSEMBLY MANUFACTURER: Mss. MODEL#(S): Msv. ' ❑ 3.VISUAL MONITORING DONE: DAILY a. � ❑ b WEEKLY(aa{m:ae nge.nepprovap M,c ❑ 4.NO DISPENSERS ENS RS ❑ 99.OTHER(Specify) I VII. ENHANCED LEAK DETECTION ❑ I WE HAVE BEEN?NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M70 DETECTION(ELD)FOR THE.UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.I,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED I VIII. TRAINING REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mwt 1 9' THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 3 ,®,/OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 1� THE FACILITY'S BEST MANAGEMENT PRACTICES(Requked as of 1!01/2005) 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS I ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW I r — 6. SCAT£WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION. "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99.❑ OTHER(Specify): Mat d. Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when neede By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By ' January I,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. This training will include,but is not limited to,the following: > Operation of the LIST systems in a manner consistent with the facility's best management practices i D The facility employee's role with regard to the leak detection equipment. > The facility employee's role with regard to spills and overfills. 1 Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after January I,2005.the initial training will be conducted within 30 days of the date of hire. IX. COMMENTS/ADDITIONAL INFORMATION Please use this section to include any additional UST system monitoring-related information(e.g.additional information required by your local agency). Mss <nP At— RIP CSA i X. PERSONNEL RESPONSIBILITIES AS OF U)JOS, THE"DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION Ill OF THE CURRENT UST OPERATING PERMIT APPLICATION— FACILITY FORM WILL HAVE ULTIMATE AITfHORJTY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR 6 2715(b). XI. OWNER/OPERATOR SIGNATURE CERT t(IATION-I cert' tb the information provided herein is true and accurate to the best of my knowledge. OWN ERATO 1GN.ATUR REPRESENTING DATE: Myi. 'Owner T . C)Operator Operator ` Ou, ER/OPERATOR NAME(print): M" 2' I OWNER/OPERATOR TITLE. M I (Agent Use Only) This Ian has been reviewed and, Approved ❑Approved With Conditions ❑Disapproved Local Agency Signature: N� _ Date. L`++'6"o to Comments/Special Conditions: SJCEHD-d(07/03)-3/4 07/23/03