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° <br />FACILITY IDENTIFICATION I OPERATIONS OVERVIEW <br />BUSINESS NAME FACILITY # DATE <br />!1!2�eground Storage Tank Written Monitoring Plan, continued <br />Responsibility lbr Monitoring & Maintenance <br />Name /Title ofParty 1: BRYANJONSON <br />El routine monitoring maintenance of monitoring records <br />Duties: equipment inspections & record-keeping <br />Z problem & alarm / leak reporting <br />scheduling annual equipment certification Wor tightness testing <br />Name Title of Party 2: <br />SAM DELGADO <br />Person(s) responsible for <br />monitoring duties and routine monitoring maintenance of monitoring records <br />equipment maintenance <br />Duties: equipment inspections & record-keeping <br />E] problem & alarm / leak reporting <br />scheduling annual equipment certification Wor tightness testing <br />Name Title of Party 3: <br />C1 routine monitoring <br />Z maintenance of monitoring records <br />Duties: equipment inspections & record-keeping E] problem & alarm leak reporting <br />E] scheduling annual equipment certification Wor tightness testing <br />Cathodic Protection Systems <br />E] none E] impressed current system <br />sacrificial anode system <br />Indicate type of cathodic <br />protection system installed: Location(s): <br />(reqUired for stoO tanks or <br />Servicing company I Expert: Servicing company / Expert: <br />List any attachments to this document here: <br />Describe maintenance & <br />testing frequency: <br />13 tested triennially E) impressed current reading logged every 60 days Ej other: <br />Monitoring Reports Sent to EMD <br />Type of Report <br />When Due <br />Unauthorized Release Report <br />24 hours initial notification; 5 days for written report <br />Tank Tightness Testing Report <br />within 30 days of test or annually if system generated <br />Annual Monitoring System Certification /Test Report <br />annually; within 30 days of test evaluation <br />Annual Statistical Inventory Reconciliation Summary <br />annually; within 30 days of receipt from SIR contractor <br />Report <br />Indicate which monitoring <br />Line Tightness Testing Report <br />reports will be sent to our <br />format is: F1 printed from monitoring system <br />within 30 days of test <br />office (Hazardous Materials <br />independent third party report <br />Annual Automatic Tank Gauging Summary Report <br />annually; within 30 days after end of report period <br />Annual Monitoring Alarm Events Summary Report <br />annually; within 30 days after end of report period <br />F1 <br />Combined Monitoring Log and Annual Summary Report <br />annually; within 30 days after end of report period <br />Third Party Monitoring Annual Summary Report <br />annually; within 30 days after end of report period <br />Cathodic Protection Report <br />within 30 days of test <br />60 Day Impressed Current Log <br />annually; within 30 days after end of report period <br />List any attachments to this document here: <br />