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AM SAN JOAQU i COUNTY ENVIRONMENTAL REALTIJIVPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE 1 MOI. TYPE OF ACTION (� 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION Mot. PLAN TYPE MONITORING IS IDENTICALR ALL USTs AT THIS FACILITY. (Check one item only} El PLAN COVFOLLOWING UST SYSTEM(S): ACILITYINFO TION FACILITY ID#(Agency Use Only) Moa FACILITY NAME Moa CITY Mos. FA17 CILITY SITE ADDRESS F NTENANCE IL EQUIPMENT TESTING AND PREVENTIVE ) p Mob. State iaw requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc. p ernnel. in accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. M07. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY 99.OTHER(Specify): ❑ IIL'MONITORING LOCATIONS eifbi�ed(i.e location of each sensor, This monitoring plan must include a Site Plan showing the general tank and piping layouts urrent UST Monitoring Site Plan an t e locations where monitoring is from a Monitoring System Certification i line leak detector,monitoring system control panel,etc.). 1f you already have diagram n,e.g.,include it with this form,Hazardous Materials Business Plan map,etc. which shows all required information, nIan. IV. TANK MONITORING M10. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) ® 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) Mit. c.UNDER PRESSURE ❑ d.UNDER VACUUM SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ M12 M13. MODEL#: A PANEL MANUFACTURER: Mts. Mla. MODEL#(S): LEAK SENSOR MANUFACTURER: ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANtK� MODEL#: M17 PANEL MANUFACTURER: MIS MODEL#(S): M19. IN-TANK PROBE MANUFACTURER: c.WEEKLY M20 ❑ ❑ LEAK TEST FREQUENCY: El a. DAILY/NIGHTLY M21 a.CONTINUOUS ® e.OTHER(Specify): C1 d.MONTHLY M22. M23. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. [❑ c.OTHER(Specify): M24. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 [1 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 ❑ b.60 HOURS M25. TESTING PERIOD: E] a.36 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 X426, M27, TEST FREQUENCY: ❑ a.ANNUALLY El b.BIENNIALLY ❑ c.OTHER(Specify): ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) M29 ❑ 99.OTHER(Specify): V. PIPE MONITORING M30. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S){Check all that apply) ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMPS)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT M31 SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ M". MODER PRESSURE ❑ d.UNDER VACUUM M33. MODEL#: PANEL MANUFACTURER: Mas. Mia. MODEL#(S): LEAK SENSOR MANUFACTURER: M36. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ® a.YES ❑ b.NO M37. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATC LEAK TESTS SHUTDOWN? ©RIOTS ® SHUTS OFF 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. M3F PRODUCT FLOW WHEN A LEAK IS DETECTED M31. MODEL#{S): MLLD MANUFACTURER(s): ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS M41. Mao. MODEL#: ELLD MANUFACTURER: M42. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL a.YES ❑ b.NO M43' WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mao. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ 4.INTEGRITY TESTINGM45 M46. a.ANNUALLY ❑ b.EVERY 3 YEARS E] c.OTHER(Specify) TEST FREQUENCY: ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED"" M47. Requires agency approval ❑ $.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑""Allowed for monitoring ofunburied emergency generator fuel piping only per HSC§25251.5(b)(3) " ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Mos ❑ 99.OTHER(Specify} 07/23/03 SJCEHD-d(07/03)-1/4