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SAN JOAQUIN COUNTY ENNURONMENTAL HEALTH DEPARTMENT
<br /> UNDERGROUND STORAGE TANK
<br /> MONITORING PLAN-PAGE I
<br /> TYPEOF ACTION El F.NTEXV PI,AN F1 2.CHANGE OFINFORMATION NIE-
<br /> PLAN TYPE 0 MONITORING IS IDENTICAL FOR ALL USTs,AT THIS FACILITY.
<br /> (Check-one item only) ❑ THIS PLAN COVERS ONLY 111E.-FOLLOWING USTSYSTEM(S):
<br /> FACILITY INFORMATION
<br /> FACILITY ID 4(Agency Use Only) -
<br /> ?-,Cf'7 �� I
<br /> FACILITY N.V\1E9-0,j
<br /> "04 CITY
<br /> FACILITY SITE ADDRESS
<br /> I. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE ,
<br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment sensors,probes,line leak detectors,etc.)be performed in Mo.
<br /> accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel.
<br /> NIONITORING EQUIPNIENTIS SERVICED 1.ANNUALLY El 99.OTHER(Specify):
<br /> III :MONITORING LOCATIONS
<br /> This 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,
<br /> line leak detector,monitoring system control panel,etc-). If you already have a diagram(e.g.,current UST'\jonitoring Site Plan from a Monitoring System Certification
<br /> form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan.
<br /> V. TANK MONITORING
<br /> N1 I 0.
<br /> MONITORING IS PERFORIVIED USING THE FOLLOWING METHOD(Sy(Check all that apply)
<br /> I.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S)
<br /> SECONDARY CONTAINMENT IS: M a.DRY [I b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM
<br /> 8113.
<br /> PANEL MANUFACTURER: V'✓5 Z,.P- k_c- -1112- MODEL=: `_ S -2,J-r`'
<br /> LEAK SENSOR MANUFACTURER: -,%I0DEL4i(S): .1-/0 7
<br /> ❑ 2,AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SUNG-iLE_VVALI,!-�VNN Q 1117.
<br /> PANEL NIANUFACTURER: %116 MODEL 1.119
<br /> IN-TANK PROBE MANUF.XCTURER: '1118, MODEL=(S): M20.
<br /> LEAK TEST FREQUENCY: ❑ a-CONTINUOUS ❑ b.DAILY.-NIGHTLY ❑ c,WEEKLY
<br /> d.MONTHLY El c.OTHER(Specify):
<br /> PROGRLMEDTFSTS� n a.0.1 g�p.h. El b.0.2 g.p.h- F] c.OTHER(Specify): N17-2. W3
<br /> AI\
<br /> rl I.INVENTORY RECONCILIATION [I a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 N124.
<br /> F1 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 22,CCR§2645
<br /> TESTING PERIOD: n a.36 1 IOURS ❑ b.60 HOURS
<br /> 5.INTEGRITY TESTING PER 23 CCR§2643.1
<br /> TEST FREQUENCY: 4V a.ANNLI ALLY [I b.BIENNIALLY 0 c.OTHER(SI I ncify):
<br /> 6,VISUAL MONITORING DONE: a.DAILY [I b.WEEKLY(Rmi- ,_,y ap,,,raj)
<br /> 0 99.OTI-IER(Specify)-
<br /> V. LPIPE MONITORING
<br /> 11110
<br /> M, ONITORI\G IS PFRFORNIED USING THE FOLLOWING METHOD(S)(Check all that 3PPIY)
<br /> 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING sLi,\ii3(s)-rPd--'NCI-I(ES),kND OTHER SECONDARY CONTAINMENT 71111.
<br /> SECONDARY"CONT.UNMENT IS: a.DRY n b.LIQUID FILLED ❑ c.U\DER PRESSURE n d.UNDER VACUUM
<br /> 1.1111 X -1- �� a,_&� 8133,
<br /> PANEL MANUFACTURER: MODEL=_
<br /> n M35.
<br /> LEAK SENSOR MMNUFAC7I`URER: MODEL 4(S):
<br /> WILL A PIPING LEAK ALARM TRIGGFRAUTOMATIC PUMP(i.e.,TURBINE)SHUTDO'%X1? 0a.YES El b.NO
<br /> WILL FAILURF/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUNIP SHUTDOWN? a a.YES [I b.NO
<br /> 0 2.1%4ECHANICAL 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 1039.
<br /> NILLD MANUFACTURER(s): MODEL I(S):
<br /> ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p-h.LE.\K
<br /> TESTS.
<br /> - P
<br /> 1141
<br /> ELLD MAN'UFACT'URER: E_
<br /> 71142.PROGRAXEMED LINE IFla.%U\IIMLINIAEON'rHL)'0.2e.p.h. Ob.;\IIL\I-\MiXNNUi%,LO,lg.p-h.
<br /> \,
<br /> TE-GRITY TESTS:
<br /> ,I
<br /> WILL ELLD DETECTION Or A PIPING LEAK TRIGGER AUTOMATIC PUNIP SHUTDOW`\*? a.YES [] b.NO
<br /> WILL ELLD VAILUiLB1[SCONNECTION TRIGGER Aurozmnc PUMP SHUTDOWN? M-a.YES Ol b.NO
<br /> 4.INTEGRITY TESTING N145. N146.
<br /> TEST FREQUENCY: IM a_ANNUALLY [I b.EVERY'3 YEARS ❑ c.OTHER.(Specify)
<br /> F-1 5.VISUALMONITORING DONE: J#a.DAILY M b.NX-EEKLY* 0 c..\UN.IIONTHLY,EACH TIIIESY9-fE\.IoPERArED** M47.
<br /> -Rq--29-'y appl-14 j6 Anwed f,mjdt,�jna,,fnnbaried me* -y 4enmkv fuel pipil--dy p-HSC M281.5(b)(3)
<br /> F1 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXT,\IPTION FROM MONITORING PER r,CCR§2636(a)(3)
<br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS C0NNEC'IT-D TO THE UST(s) X148
<br /> ❑ 99.OTHER(Specify)
<br /> 07/23/03
<br /> SJCEHD-d(07103)-114
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