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Sep 30 04 02:34p RRW&NDER SINGH 209 10142 p.3 For ttse by Unidocs Member Agencies or where approved by your Local Jurisdiction Awhority Cited., Title 23 CCR, Sections 2632(d)(1), 2634(d)(2), and 2641(h) TYPE OF ACTION t EW PLAN ❑ 2. CI IANGE OF INFORMATION swl. PLAN TYPE VMONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. sto2 (Check one item only) ❑ THIS PLAN COVERS ONLY TILE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) FACILITY NAME . FACILITY SITE ADD SS� L eta. CITY 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 N106. accordance with the equipment manufacturers' instructions, or annua�llyy�"hichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED `L}' 1. ANNUALLY ❑ 99. OTHER (Specify): ata? 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 (i.e., location ofeach 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 MO )TORING IS PERFORMED USING THE FOLLOWING MD'HOD(S): (Check all thatapply) ane (VI. CONTINUOUS ELECTRONIC MONITORING O ANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: a. DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM PANEL MANUFACTURER: M12 MODEL #: LEAK SENSOR ,XJANUFACTURER: X114. MODEL #(S): 79 ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: s06 MODEL #: M37 - IN -TANK PROBE MANUFACTURER: t f18 MODEL #(S): slro. LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY 0 c. WEEKLY ❑ d. MONTHLY ❑ e. OTHER (Specify): � PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. F-1 b. 0.2 g.p.h. ❑ c OTHER (Specify): M 2. %M l� '. INVENTORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23.CCR $2646.1 st'-'t ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 TESTING PERIOD: C] a. 36 HOURS ❑ b. 60 HOURS se5. 1>P 5. INTEGRITY TESTING PER 23 CCR 6264 .1 TEST El c. OTHERS cif tir=e, TEST FREQUENCY: a.�NNUALLY F1 st27. b. VISUAL MONITORING DONE: a. DAILY ❑ b. WEEKLY(Regur 3gmcyapp,o-1) ❑ 99. OTHER (Specify): Nes V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) `t3o VITORING I. CONTINUOUS ELECTRONIC MONITORING OPIPING SUMP(S)ITRENCH(ES) AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS- a. DRY b. LIQUID FILLED ❑ C. UNDER PRESSURE_ ❑ d. UNDER VACUUM star fit❑ PANEL MANUFACTURER; I/ 1��I��t/tJ� at3` MODEL #: I2.5 LEAK SENSOR MANUFACTURER: M1ua. MODEL#(S): WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? ❑ a. YES ❑ b. NO R[36 WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO s°7 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED MLLD MANUFACTURER(s): M39. MODEL N(S): ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS ELLD MANUFACTURER: Y /�i'�� A00'7- `140 MODEL #: PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2g.p. h. ❑ b. MINIMUM ANNUAL 0.1 g.p h. st'2 WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES (;aVb O st'3 WILL ELLD FAILUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES b. NO uu. �,� Ind 4• INTEGRITY TESTING -/ TEST FREQUENCY: L� wANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) '445, VS. M* VISUAL MONITORING DONE: j-}�`'}///. DAILY ❑ b. WEEKLY$ ❑ C. MIN. MONTHLY & EACH TIME SYSTENI OPERATED- U47. Requires al_,`7 approval °° AII1 ed for monitoring of mboned emergency grneralo* fuel piping only per tISC §25281 .5(b)(3) ❑ 6. PIPING IS SUCTION PIPING MEETING ALL K6QU3R.EMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR $2636(x)(3) ❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99, OTHER (Specify) Blas UN -022A- 115 w»w.unidocs.arg Rev. 10/14/03