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Underground Storage Tank Monitori lan-Page 2 <br /> C. Pipeline Monitoring <br /> Line monitoring is performed using the following methods: (Check all which apply) <br /> ® Continuous electronic monitoring of piping sump(s)/trench and other secondary containment low points. <br /> Leak Sensor Manufacturer: Veeder Root Model No.: 208 <br /> Will a piping leak alarm trigger automatic shutdown of the pump (i.e.turbine)? ® Yes; ❑No. <br /> Will failure/disconnection of monitoring system trigger automatic shutdown of pump? Yes;Z No. <br /> ® Mechanical line leak detector(MLLD) that routinely performs 3.0 g.p.h. leak tests and restricts or shuts off <br /> product flow when a leak is detected. <br /> MLLD Manufacturer: Red Jacket/ \1 Model No.: FX1 V <br /> ❑ Electronic line leak detector(ELLD)that routinely performs 3.0 g.p.h. leak tests. <br /> ELLD Manufacturer: Model No.: <br /> Programmed line tightness tests: ❑ Minimum Monthly 0.2 g.p.h.; ❑ Minimum Annual 0.1 g.p.h. <br /> Will ELLD detection of a piping leak trigger automatic shutdown of the pump? ❑ Yes; ❑No. <br /> Will failure or disconnection of the ELLD trigger automatic shutdown of the pump? ❑ Yes; ❑No. <br /> ® Line tightness testing conducted: ® Annually; ❑ Every 3 years; ❑ Other (specify): <br /> ❑No product or remote-fill piping is connected to the UST(s). <br /> ® Piping is suction piping meeting all requirements for exemption from monitoring. [see 23 CCR§2636(a)(3)] <br /> ❑ Other(specify): <br /> D. Dispenser Leak Detection: (Check all which apply) <br /> ❑No dispensers in system. <br /> ® Float and chain assembly in under-dispenser containment trips shear valve in case of leak. <br /> Assembly Manufacturer: Bravo Model No.: <br /> ❑ Continuous electronic monitoring of under-dispenser containment. <br /> Leak Sensor Manufacturer: Model No.: <br /> Will a leak trigger audible and visual alarms? ❑ Yes; ❑No. <br /> Will a leak alarm trigger automatic shutdown of the pump? ❑ Yes; ❑No. <br /> Will failure/disconnection of monitoring system trigger automatic shutdown of pump? ❑ Yes; ❑No. <br /> ® Dispenser housings are opened and fittings inside are visually inspected daily for leaks (required if under- <br /> dispenser containment is not installed). <br /> ❑ Other (specify): <br /> E. Monitoring Locations <br /> Included with this monitoring plan is a Site Plan which shows the general tank and piping layouts and the <br /> locations where monitoring is performed(i.e. locations of sensors, line leak detectors, control panels, etc.). <br /> UN-022A-2/6 www.unidocs.org Rev.03/05/02 <br />