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r, SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 FEB 2 3 2004 M01. TYPE OF ACTION ❑ 1.NEW PLAN El 2.CHANGE OF INFORMATION PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. n r ENVIRONMENT IRI (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) Y '? ICES TIT I Ll FACILITY ID#(Agency Use Only) /� g �.,, �y S O M03. FACILITY NAME i�" ( 6l / ° CITY gj0ek FACILITY SITE ADDRESS 7 3- . 3M04A e s State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MOT MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, line leak detector,monitoring system control panel,etc.). Ifycu already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,etc.1 which shows all required information,include it with this plan. MIO. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) J 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) Mt l SECONDARY CONTAINMENT IS: 16 a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M12. MODEL M13. PANEL MANUFACTURER: V w M15. LEAK SENSOR MANUFACTURER: Z,6EQE& l�J 3P M14. MODEL#(S): 0 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TA mt K(S) MIS. PANEL MANUFACTURER: MODEL#: Mia MODEL#(S): M19. IN-TANK PROBE MANUFACTURER: hLo. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY OTHER(Specify): M21. e. ( ❑ d.MONTHLY ❑ pe Y)� M22. AL3. PROGRAMMED TESTS: Ela.0.1 g.p.h. El b.0.2 g.p.h. ❑ c.OTHER(Specify): hL4. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 M75 TESTING PERIOD: E] a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 M26 M27 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) M26. ❑ 99.OTHER(Specify): M3o.' MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(Sy/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT M31 SECONDARY CONTAINMENT IS: 29 a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM PANEL MANUFACTURER: v �_� M32. MODEL#: M34. MODEL#(S): - M35. LEAK SENSOR MANUFACTURER:V +. / M36 WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES El b.NO WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M32 ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED M38 M39. MLLD MANUFACTURER(s): MODEL#(S): ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: M40 MODEL#: M41. M42. PROGRAMMED LINE INTEGRITY TESTS: Ela.MINIMUM MONTHLY 0.2 g.p.h. Elb.MINIMUM ANNUAL 0.1 g.p.h. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO hf43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING M45. M46, TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑res WEEKLY* ..Allo❑for monitoc. ring of buried emergency generTHLY&EACH ator fuel piping onE SYSTEM ly per HSCn§25281.5(bx3) Requires agency aPP ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(ax3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Mas. ❑ 99.OTHER(Specify) 07/23/03 SJCERD-d(07/03)-1/4