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06/24/2004 190:33 209832206 KWIKSERVE rHtaG Cr4 lift UNDERGROUND STORAGE TANIK MONITORING PLAN-PAGE Z vi.ASIF SE1t A'l,U 1'1'Clhit ' . MONITORING OF AREAS)9ENl:ATH raPENsE110)IS PERFORMED USING THE FOI,L,OWING METHOD(S)(Check all that apply) ❑ 1.CONTINUOUS,ELECTRIDNIC MONITO G Of I rNnF.R n15PUT01k CONTAMMENT NnC) PANEL MANUFACTURER: y 4_e_ M31• MODEL1t:. I .4 rD Ms, LEAK SENSOR MANVACTUREk: Msa' MODEL gsy.,J3.1 3 BO- WILL 13XTzC 1TON Ot A.srAK INTO THE UDC TRIZOER AUDIBLE AND VISUAL ALARMS? a,�vgS 4 b.NO Mei WILL A UAC LEAK ALARM TRIGGERAUTOMATtC PUMP SHUTDOWN"! a.YES ❑ b.NQ WILL FAILURF1101LSCONNECT1ON OF IUDC MrnNrT0kIwr-.SYs'12M 7FIGG171t.AUTOMATIC P'U?4r SHUTDGvr'N? E a�Y'1;S ❑ b.NU ❑ Z.MVCHAN1CAL ASSEMBLY(c.g.,FLOAT AND CRA04 ASSEMBLY)IN UDC TANS SHeA1C VALVtE IN CASE OF 1,11AK ASSEMBLY MANUFACTURER: "OL MODEL.dES): Wit. ❑ 3.VISUALMOPIITORrNO DONE? ❑ it.JDAILT ❑ b.YY1 ErC(Y IRe�rca cYapp�v.et} rf64. ❑ 4,NO DLSPLTISERS ❑ 99.OTHER(Speen) _,- MC'' _._. 'vII. ENH.+iNCLD I,1FA1C)3JETEC;x'TON I.WE HAVE BEEN NOTIFIED 13V 711l~STATF WATER RESOURCES CONTROLSOARD T14AT WE MUST IMPLEMENT ENHANCED LAAX E>GTCC 100(ELD)F*9 THE USItS)irUvkKXJ2 5Y 7141S PLAN:PER 23 CCR§2644.1,C1.0 IS PERFORMW EVERY 36 MONTHS AS,REQUIRED VX'YI. TI�LXI�IING . REFURENCE DOCUMENTS MATNTArwn Ar FAC1Ll'ry(chows wo thut apply) Mw. 1. THIS UNDPWROUND STORAGE TANK MONITORING PLANired CVs ) 2. OPE.RATrNC MANT1,C I S FOR[I PCTR[INiC M171NITORNr,EQUIPMENT(Required) 3. ■ THE FACILITY'S BuT MANAGEMENT PRACTICES(Re4ulrod me or unusnos) 4. ® CALIFORNIA UNDERGROUND STORn.GE TANK REGULATIONS 5: Lj CALIR)RNIA UNDERIWOUND STORAGE TANK LAW 6. ❑ STATE WATER Tt"OURCH5 CONTROL HOARD(SWRCIJ) t'UBLICAIIVN` "HANUTiWK FOR 1ANK 0WNI*b- MANI1AI. Arun STATISTICAL.INVENTORY RECONCrL1ATIUN" 7, ❑ .SWRCB PuuLICATION:"WEEKLY MANUAL TANK GAUCING FOR S14ALL UNDMOR"D STORAGE TANKS" 99.L7 OT14SMS1119clio'. �e1 PMannnd with UST Rtenkwing rcaponeiblllsJes arc familia. with a11 vrtha rcievant to theirjob duties and can access those documents When necdcd. By Januay 1,ZOOS Wv facility 41 here a"D.slgnated UST Operator"whu has passed the operator exam administered by Ac latcmational Code Council(ICC). By January 1,2005,and mavoly thcna(ter,the "Designated UST Operator"will uain facility employees in dte pmper operation end maintcnarrce of the UST systems. This training witl include.taut Is not Iimirers in,the fnnowing: >> Opaatioa of the LIST syslem5 in a mulner consistent lvi*the f wilky`3 best ma op pent practices. > The facility cmplowe s rok with tegord to the:teak demcuoh equipment, > The lbellity cmployle'R rale with re,ard m spills and overfills. 10 wham to contact for a mcrgeneiec and lash detection SlarmS. For facility employees,hired on or alter January t,ZOOS,tho initial tminine will be conducted within 30 days of the dote of hire- TX_ roMMrNTS/AgDM0NAL SIF RMA,TION Picam USc this seclion to include any 90itlonal LIST system monitoring rclatrd infomtat on(e,Z,.additional infony4tiun requimd by your 1w91 a0er,cy): MAs .'.X. MRSONN'EL RESPOINSISTLITIES ' A5 Of V110, Iktk"UE RATpItIDlrNT1Pt� IN SCCTION I( OF THE CUItRENT U5T OPEIWIN65 PERWT APPLICATION - FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFO,RMIN15 THE MONIT01UNU Atc'I'JVlliW AND MArin 1AItvrNu LtAK DETECTION EQUIPMENT COVERED BY TIJIS PLAN,AND WILL PERFORM AND DOCUML?NT MINIMUM MONTHLY VJSUAL I'NSPWTIONS OF THE FACILITY�S UST SYSTEMS IN ACCORDANC*WITH 23 CCR I 2713(b). XT. OWNE,WOPERAT+CORSIGNATI3 CERTIFICATION:1I certila'that the info shat Vnividled hrrvivi is true and accurattt in the best of my knowlcd c. "OWNS� PERAT5` SIGNATURE r?JNTFNG DATE:I— Zor "OWNEtRlO"..RATOR NAE(print); OWNERIOPERATOR Trr M?s' (Agency We We only) This pl been revicwod arid: (Q Approved ❑Approved With Conditions ❑DiSSWOWA amrrr Date: Local Agency Sipa Fn -- Contnwtnh/Spcdal CoMlti : SJCEHD.d 07-103)-334 071231D3 60 39Vd 3A?J3SAIMA Z90ZZ686&1 LT:TB L09Zf69,f8T