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e , Feb 02 07 12: 27p Wils Way Chevron 2099426 06 p. 2 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION L NEW PLAN r_12.CHANGE OF INFORMATION atal. PLAN TYPE Er MONITORING IS IDENTICAL FOR ALL LISTS AT THIS FACILITY. Moa. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S). I. FACILITY INFORMATION FACILITY ID#(Agencv Use Only) - - ntn3. FACILITY NAME wt Lsarj w.11 C t ;J FACILITY SITE ADDRESS t}3,+-py, t stL&tyj yy:� it Mao. CITY S,-�f�� Mos' II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in Mab• accordance with the equipment manufacturers'instructions,or anti 11 ,whichever is more frequent. Such work must be performed by qualified personnel. M07. MONITORING EQUIPMENT IS SERVICED I.ANNUALLY ❑ 99.OTHER(Specify): III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(Le.,location of each sensor, line leak detector,monitoring system control panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form Hazardous Materials Business Plan map,etc.)which shows all required information include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mta. V1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) L>B SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM Mtt, PANEL MANUFACTURER: E6b!--y_4Ca7 M13. MODEL#: 'ILS 34;c, M13, LEAK SENSOR MANUFACTURER: Vcl3a h114. MODEL#(S): 7'r`�3 1� 'f y� M13. 2..AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKS) PANEL MANUFACTURER: M16. MODEL#: M17' IN-TANK PROBE MANUFACTURER: oT Mla MODEL#(S): M19. LEAK'FEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY M20. ❑ d.MONTHLY ❑ e.OTHER(Specify). M21. PROGRAMMEDTESTS: ❑ a.0.1 h. ❑ b.02 h. ❑ c.OTHERS cif M22. 1423. g.p.h. g.p.h. (Specify): ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: C] a.36 HOURS ❑ b.60 HOURS M25' ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY'. a.ANNUALLY L] b.BIENNIALLY ❑ c.OTHER(Specify): Mar. M27. ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(mgwrmayencyapproval) MZx. ❑ 99.OTHER(Specify): V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. Yl.CONTINUOUS ELECTRONIC MONITORING,917 lfR PIPING SUMP(S) ENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: Ra.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM Mat. PANEL MANUFACTURER: � rl'C M32. MODEL#: 1LS- ISO M33, LEAK SENSOR MANUFACTURER: V i�-ilii i M34. MODEL#(S): `iat'ap- � Mas. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? Ira.YES ❑ b.NO MN �� WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? [/a.YES (Ib.NO 1437. Q 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 t^ N� Mas MLLD MANUFACTURER(s): �= Pea M1t3R MODEL#(S): ❑ 3.ELECTRONIC LINE-LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: Moa. MODEL#: M41. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO 1,143. WTI I-ELLD FAILUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES C] b.NO Mao. 4.INTEGRITY TESTING TEST FREQUENCY: �NNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) Mas. Mats. ❑ S.VISU.AL MONITORING DONE. ❑ a.DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. *Requires agency approval *"Allowed for mnitoring of buried emergancp generator fuel piping only per HSC W2111.5(b)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTTON FROM MONITORING PER 23 CCR§2636(ax3) ❑ 7 NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) M48. SJCEHD-d(07/03)-1/4 07/23/03