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08/-57/2007 MON 9: 08 FAX 2094683433 SJC EHD 0004/009 • • UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 2 VI. DISPENSER MONITORING MONITORING OF AREAS BENEATH DiSPENSER(S)iS PERFORMED USiNG THE FOLLOWING MCTI-IOD(S)(Check all that apply) Mso. 1.CONTINUOUS ELECTRONIC MONITORING OF UNDO f�DISPENSER CON'T'AINMENT(UDC) ry PANEL MANUFACTURER: C� M51 MODCI,4: I HSZ. LEAK SI-NSOR MANUFACTURLIZ: V�� ayL. r�Er6� M53 MODL;I,#(S):_-76t=i�(�b�=�1 M54. WILL.DLTrC"PION OF A LEAK INi O T'Hl UDC TRIGGER AUDIBLE AND VISUAL ALARMS? `� a.YES ❑ b.NO Mss. WiLL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP Sf IUT'DOWN? a.YES ❑ b.NO M56- WIL.L FAiLURIVINSCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b.NO Myr ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK 1 ASSEMBLY MANUFACTURER: Mss. MODEL 4(8): M59. ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(RgLflresagency approval) Wo. ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) Mcl. VII. ENHANCED LEAK DETECTION ❑ 1.WE LIAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THA"I'WL'MUS"['IMPLLzME:N"['I;NIIANCh1)LEAK Mr" DFTECTION(FLD)I-OR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,Fi.i)IS PERFORMED FVF.,RY 36 MONTHS AS REQUIRED_ VIII. TRAINING REFS CNCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mao. I. n-us UNDERGROUND STORAGli TANK MONfrORING PLAN(Required) 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. THE FACILITY'S BEST MANAGF,MENI'PRACTICES(Required as of 1/01/2005) 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL, AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99.❑ OTHER(Specify): stat. Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered.by the International Code Council([CC). By January 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. This training will include,but is not limited to,the following: Y Operation of the UST systems in a manner consistent with the facility's best management practices. The facility employee's role with regard to the-leak detection equipment. ➢ The facility employee's role with regard to spills and overfills. Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after January 1,2005,the initial training will be conducted within 30 days of the date of hire. IX. COMMENTS/ADDITIONAL INFORMATION Please use this section to include any additional UST system monitoring-related information(e.g.,additional information required by your local agency): Mas. OP tt) )1 &T ctcp/ 0Lkk-1r--r11 X. PERSONNEL RESPONSIBILITIES AS OF 1/1/05,THE`DESIGNATED UST OPERATOR" IDE"NTIFIE"D IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION —. FACILITY FORM WILL,HAVE ULTIMATE AUiHORIPY FOR PF.,RFORMiNG THE MONITORING AC'T'IVITIES AND MAIN"PAINING LEAK DETECTION EQUIPMENT COVERED BY-1.1[[S PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY ViSUAL INSPECTIONS 0i'THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2715(b). XI. OWNER/OPERATOR SIGNATURE CWrIFICA'r][ON:I certify that the information provided herein is true and accurate.to the best of my knowledge. OWNER/OPERATOR SIGNATURE Rlil'RESFNT[N(i DATE: M91. / ❑Owner neo. ❑Operator / .0 OWNER/OPERATOR NAM- print): aa�z OWNER/OPERATOR TITLE: M`�3. (Agency Use Only) This plan has been reviewed and: Approved ❑Approved With Conditions .�❑Disapproved Local Agency Signature: Date: -� . Comments/Special Conditions: