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UNDERGROUND STORAGE TANK <br />MoNffORING PLAN - PAGE 2 <br />MONITOR—ING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING - <br />0 1 - CONTINUOUS MONITORING OF LINDEpTHE FOLLOWING METHOD(S) (Check all that aly) <br />, DISPENSER CONTAINMENT pp(UDQ <br />PANEL MANUFACTURER: —K v% (1 0" <br />LEAK SENSOR MANUFACTURER: Ms" MOI <br />WILL DETECTION OF A LEAK IN THE it L4 L ma MODEL IA(S): <br />UDC TRIGGER AUDIBLE AND VISUAL ALARMS? <br />WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP, SHUTDOWN? OP a. YES D■b. NO <br />WILL FAILURE/DISCONNECTIONff a. YES 0 b. NO <br />OF UDC MONITORING SYSTEM IT i UGGER AUTOMA71C PUMP SHUTDOWN? & a. ES <br />N ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br />[:1 2. MECHANICAL CONTINUOS MONITORING (e.g., FLOAT AND CRAI♦ <br />y ObNO <br />MANUFACTURER: MSS. MO#(S): <br />0 3.VlSUAL MODEL <br />NITORING DONE: ipa.DAILY 0 b. WEEKLY <br />0 4, NO DISPENSERS <br />C1 99. OTHER (Sq.__ivj <br />F07 <br />LTJ I M �_ PI <br />M32 <br />M54. <br />Mss. <br />M56. <br />M57. <br />M59. <br />M60. <br />211 <br />ji 4 1 ,i 0 ''i , , 0 V �� I <br />Ist•Z I r, 2 11 Q191- <br />Z 0; 4 <br />01ill 0i•14 <br />MIAMI= 9 *4 ...... <br />VM. <br />2EFERENCE DOCUMENTS MAlA! PAINED AT TRARfiNG <br />t• TSI THIS UNDERGROUND STORAGE NK MI ONITORING PLAN (Required) Mao. <br />OPERATING MANUALS FOR ELECTRONIC MONITORiNG EQUIPMENT (Required) <br />'S BEST MANAGEMENT PRACTICES (Required as 01'Jannary 1, 2005) <br />THE FACILITY <br />❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />0 CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />El STATE WATERES <br />STATISTICAL INREESNOMURRCESECONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND <br />CONCILIATION. <br />❑ SWRCB PUBLICATION: -WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERr <br />9-0 OTHER (Specify): WOUND STORAGE TANKS- <br />ersonnel with LIST monitoring <br />1 Eli C!,tartvt . ..... I ....... . .... <br />Y January 1, 2005, this facility will have a -Designated UST Operator- 11 1,111CIII , — ­ access is <br />ode Council (ICC Who has passed the California LIST Sytern operator mose <br />13Y July 1, 2005, and annually thereafler� the - Exam administered by the Inten onal <br />Designated LIST Operator" will tad <br />UST systems. This training will include, but is not limited to, the following: train facility employees in the proper operation and maintenance <br />Operation of the UST systems in a manner consistent with the facility's best management practice, <br />> The facility employee's role with regard to the leak detection equilml <br />> The facility employee's role with regard to spills and overfills. <br />> Whom to contact for emergencies and leak detection alarms. <br />H' facility employees hired on or alter July 1, 2005, the initial training will be conducted within 30 days of the date orhire. <br />g {e! info tian (t:.g., additiotal info tion required by your t l a <br />Mss. <br />OF JANUARY i, 2005, THE "DESIGNATED USE ONNEL RESPONSIBILrMS <br />FI INSECTIONIJJOFTHE CURRENT"'J-51UPhRATINGPEWIT <br />PLICATION -FACILITY FORM WILL HAVE ULTIMATE AUTHOt2TfY FOR PERFORMING THE MONITORING ACTIVITIES ANDAK DETECTION EQUIPMENT COVERED $Y THIS PLAN TITLE 23 CCR MAINTAINIG <br />§ 2715(c). AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY <br />.UAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS ITV CE WITH TITLE 23 CCR § 2714c). <br />rri't-n I <br />certify that the information provided herein is true and accurate t- <br />"­OV`ZKA I UK blUNATURE of my knowled me. <br />"MA-ar <br />� ' <br />t " "22IRMLLIMI <br />XttC4 DATE: a. Owl Map. I M91, <br />NER/OPERATOR NAME (print:).- <br />C'LkRPAL_ 'SU <br />ncy use Only) <br />I Agency Signature: <br />This plan has been reviewed and: <br />nenI Conditions: <br />*c -d (9)2 4104) - 3/4 <br />to, M <br />OWNER/OPERATOR TITLE: <br />0 Approved with Cool 0 Disapproved <br />— Date: <br />