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AUG-21-2008 02:04 FROM:SCKAASF 209-983-5394 TO:2094683433 PAGE:05
<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL.HEALTH DEPARTMENT
<br /> UNDERGROUND STORAGE TANK
<br /> MONIT01UNG PLAN -PAGE 1
<br /> TYNt OV ACTION ❑ I.NILW PIAN ❑ 21 CHANUU OF INFOKMA•rION Mni.
<br /> !'1•; N'I'1'I'li [� MONITORING 1S IDFN'rICAL FOR ALI.US'1"s A'i"THIS FACILITY. MU?.
<br /> (01.ek nuc ileln only) _❑ 'I'I IIS PIAN COVURS ONLY THE FOLLOWING LIST SYSTUM(S)!
<br /> I. FACILITY INFORMATION
<br /> k�r 1 11.1 rY 11)li(Agemy Use OWY) _ �r
<br /> FACII.tTY NAME; STOP K'TQ iJ
<br /> 17A( JISIN SI'Z'E ADDRI-NS 2000 _S^1-1MSO►J R l!) M" CITY
<br /> _ 11. EQ'UtPMENT TESTING AND PREVENTIVE. MAINTENANCE
<br /> Slur.I;I W requires dot luNliny,preventive maimonanee,and calibration of monitoring uquipium(e.g.,sensuw,probed,linu Irak JLI."iors,etto be performed in MIO•
<br /> ue.urtl;n-with the egl.lipulenl manufaelurers'instructions,or alunadly,whichever is aineu jroyuom, Such wtlrk must t»perlormod by qualif ad persm-mal.
<br /> M4)NIT ORINCJ FQIJII''MtSNT IS SERVICED I,ANNUALLY Q 99.OTHER(Spck ify):
<br /> III. MONITORING LOCATIONS
<br /> Thi;•mvnilurinH phm musl include a.Sile Nall showing the genuml lank and piping layouts inti the locations when:monitoring is(krlurmad(ix.,Ioealuul of each sensur,
<br /> limt Icuk deau.mr,1u(nilorinb dyslca).onirul pimel,etc.). Ifyou already have n diagram(e.g.,cunVIIl UST Muuhoring Site Plan)eina a Monilnrh%System Ccr(ilicatim,
<br /> livor.1 hlrlyd„us Maceri;d.Ilusiness flan mail,eat,)which dhow9 all reyuiryd iniarmation,Include 11 with diii plan.
<br /> IV. TANK MONITORING
<br /> MINI I(W NO IS NL:IVOI(MIA)USIN0'rHE FOI.I•UWING METHOD(S):(Chock till that apply) Mnl.
<br /> I.C ONTINI101IN P1,1;C"IRONIC MON4'I"ORINU OF TANK ANNULAR(INTERSTITIAL)SPACL:(S)Olt SHCC)NVARY CON'rAJ'N161UN'I'VAULT(S)
<br /> Sl-"CONI)ARY C ONTAINMIiNT IS: m a.DRY ❑ b.LIQUID 1711.1,Et) 0 c.LJNAFk I'RIiSSURE ❑ d.LND6R VAC:IJ1 JM Mi
<br /> PANELMANCII,AC'i'UI(ER: F-,guj Atrfo sT_iVC ,PCZ, M12. MODEL N: On AUnd j'tK
<br /> I,IiAK SENIOR MANI IFAC1'URUR: 6'_%u-3 M14. MODFi.II(S); V S-r • t 5'1 MI'.
<br /> ❑ '.At I'I't IMM ICTANK CiAIJOING(A'I'Cr)SYSTLM USED TO MON11'OR jt(`JCeI.l:WA1.l.TANK_I
<br /> PANFI.MANI IrA(:'I'URtiR: M16, MODEL N; M17.
<br /> 1N=TANK PROBE MANLIFACTUftEX MIs' MODEL.N(I): MI4.
<br /> I.I:AK'1'I'.N'1'lfiil;QUIENC'Y: ❑ a.CONTINUOUS ❑ b.DAILY/NIC'gj'I'LY ❑ e,N UUKLY M'"'
<br /> ❑ d,MONTHLY Q u.OTHER(Specify): M21.
<br /> PROGkAMMIa)TLSI'S: Q a.0.1 g.p,h, ❑ b.0.2 g.p.h. ❑ c,OTHER(S(ucity): M23. M27.
<br /> 1] INVI:N I'OIO'Riit'C)NC'II-IATION ❑ ;r,MANUAL PER 23 CCR§2646 6•b.STATISTICAL PLR 23 CCR§2646.1 n12+
<br /> ❑ +,W I;I;KI,Y MANUAL TANK GAUGINU(MTU)PER 23 C:CR§264.1
<br /> 'I'FSTING I'la(IOI); ❑ a.36 HOURS ❑ h.60 HOURS M2-'•
<br /> Q .`•.IN,rr:(mI,I`Y'I'LSTINU PER 23 CCR 02643,1
<br /> TEST FREQUENCY: ❑ IN.ANNUALLY ❑ h.BIENNIALLY ❑ c.OTHER(Specify): M26. M27.
<br /> (,.VIStJAI.MONI'f01JIN(1 DONE: DAILY ❑ b.WEEKLY tk-,#-i owmyuppruval)
<br /> ❑ Mea.
<br /> _ V. PIPE MONITORING
<br /> MO NI'I OI(INU 11 PUItI ORMED I J%ING TI Ui FOLLOWINU METHOD(S)(,Check all that apply) �Up,
<br /> (� I.C'C)N•rENt 101 IN 1'•I.I;C"IRONIC MONITORING OF PIPING SUMP(S)(1'RENCH(ES)AND 01'HCsR SUCUNAARY C ONTAINMUN'1'
<br /> `)iC ONDARY C'ONTAINMFNT IS; 0 a.DRY ❑ h.LIQUID FILIXD Q c.UNDFI4 PRESSURU ❑ d.I1 qI)1?1't VAGUUM
<br /> PANEL MANI lVACTURLiR; �C- ��ut ) Ma' MODEL Ni pUTo :51. 1,ic J(L M21•
<br /> IJiAKSIENSORMANUFACTURER: _ �twa M;t MODEL#(SI: y]ST %:'r M35.
<br /> WIl•1•A PIPING I'AK ALARM TRIG('PA ACI'1'0MA11C PUMP(ix..TIJRBCNE)SHUTDOWN? 1nu YES ❑ I.No Mae.
<br /> WI 1.1,PA 11.1[it f•:/DISVONNIi"I'I(.)N QI.Ti IC MONITORING SYSTFM VtIOU UR AUTOMATIC:FUME'Sl1UTDOWN? M;i. YIiS ❑ K NO m'7-
<br /> C1 ^_. MI?('I1ANI('Al, LINO LEAK DETECTOR (MITD) TIIA'I' ROUTINELY PERFORMS 10 g,p,h. LEAK 'I'E:ST$ ANI) R11;NTLIC'i'S OR SHUTS 0h1^
<br /> PRODt1C'i'IY.t)W W411iN A LEAK 1S DETECTED
<br /> MLLD MANI A=AC'1"1IRI.l't(3); Mia• MODFI.N('S); M3e1
<br /> [l I?IE?C TICONIC'LINI;LEAK DH'TFCTOR(Fld.r))T11A'I`ROU'rINCLY PERFORMS 3.0 g.p.h,LEAK'I'USTS
<br /> WAX)MANl1FA('I'IJRkiR: Miff. MODEL N: M41.
<br /> PROti14AMMI;V LINE INTEGRITY TESTS! ❑ u,MINIMUM MONTHLY 0.2 g,p.h. ❑ b,MINIMUM ANNUAL 6.1 g,p•)f, M+2.
<br /> W11.1,hL IA)l)ETIVI'ION OF A PINING I.1':AIC TRIUGER AUTOMATIC PUMP SHUTDOWN? ❑ : YUS © b.NO MJl'
<br /> WILL 111.1,1)FAll.11141:J))ISt'()NNlif"l'IUN'I'RIUGER AUTOMA'r(C PIIMP SlIVI'DOWNY ❑ i YES Q h.NO n+44-
<br /> ® 4 INTEiGEt!'IY'4"f{S'i'IN(i
<br /> 'TEST FRUQULNCY: ❑ a.ANNl1AIA.Y ❑ h.1(VI;RY 3 YEARS [j c•.0171144(SP40ty) MaS, Mac.
<br /> ❑ 5 VI.M.IAl,MONI'I'UItINC'i DONR: ❑ a•DAILY ❑ b.WEEKLY* ❑ .,MIN.MONTHLY 6t EACIt'1'IMIi SYN'IVM OVERA'I' V- M47.
<br /> •adaulru agency 4".-1 ••AllawW ai,r nwnilurmg ul'w,aurluJ m,cryo,cy a.:awrn4.,r lual pill na unly p v l lSC X23?d 1.9lbaJl
<br /> ❑ h I'IPINCi IS SUCTION PII''INC MlIFTINO AIA,RU+IUIRLMENTS FOR EXEMPTION FROM MONI'T'ORING PER 23 CCR§26,16(x) 1)
<br /> ® 7 NO PRODUCT Om 141"MOTE DILL PIPINU IS CONNECTED TO THE UST(s)
<br /> ❑ 'ht.(1'11IN4(Spet:il'y) Mva.
<br /> KI(EHE-d(07J103)-114 .� 07/2"1
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