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Feb 20 04 09:17a RR DER SINGH 209 41 0142 p_1 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN _- PAGE 1 TYPE OF ACTION Ed I. NEW PLAN ❑ 2. CHANGE OF INFORMATION M01 PLAN TYPE [2` MONITORING IS IDENTICAL FOR ALL LISTS AT THIS FACILITY. M02. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION . . FACILITY ID # (Agency Use Only) u (-I;(% FACILITY NAME u� �`. ``i� `,�.y\ ti.] `'.:}. l l `'i' CA\ MOa '' FACILITY SITE ADDRESS/i� ��, 121SGp�,� �i M04.CITY 7: / Mos II. EQUIPMENT TESTING AND MVENTIVE MAINTENANCE 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 MONITORING EQUIPMENT IS SERVICED. [D;) ANNUALLY ❑ 99. OTHER (Specify): Mol M. 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 of each sensor, line leak detector, monitoring system control panel, etc.). If you already have a diagram (e.g.. currerd UST Monitoring Site Plan. froma.Monitoring System Certification form, Hazardous Materials Business Plan map, etc.) which shows all required information, include it with this �lan. . IV. TANK MONITORING M_ 0,WORING IS PERFORMED USING THE FOLLOWING METI-IOD(S): (Check all that apply) M10 1. CONTINUOUS ELECTRONIC MONITORING OFTANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: a. DRY _b. LfQU1D FILLED [I c. UNDER PRESSURE d. DER VACUUM Mt l PANEL MANUFACTURER: Mr" MODEL#: �� 'a 13. LEAK SENSOR MANUFACTURER: M14. MODEL #(S): %. �`S "O �O M13. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: Mr6. MODEL#: nu7. IN -TANK PROBE MANUFACTURER: Mlg. MODEL#(S): M19. i LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY M20 ❑ d. MONTHLY ❑ e. OTHER (Specify): Met PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): Er 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: ❑ a. 36 HOURS ❑ b. 60 HOURS 5. INTEGRITY TESTING PER 23 CCR �§2,6�43.1 TEST FREQUENCY: b. BIEALLY [Ic. OTHER (Specify): M26 NUALLY ElNNI M27 �Itei'a.. 6.VISUALMONITORING DONE: aa, DAILY ❑ b. WEEKLY oteg iresagencyapproval) ❑ 99.OTHER (Specify): M28 V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) Mia [9KCONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM M31. PANEL MANUFACTURER: M3= MODEL #: _ �L S ntsa LEAK SENSOR MANUFACTURER: Mia• MODEL #(S): Mss WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? a. YES ❑ b. NO Ms6 WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERAUTOMATIC PUMP SHUTDOWN? ❑ a. YES 01b. NO M37 a''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 I MLLD MANUFACTURER(s): n>3s. MODEL#(S): 3. ELECTRONIC LINE LEAK DETECTOR �E LD) TBIAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS �L �^ r ? s �^ ELLD MANUFACTURER: �% K /% zici % °t'i MODEL #: .? 7 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 E b( 0 Maa. �/ WILL ELLD FAILURVDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES B' b. NO Q 4. INTEGRITY TESTING / TEST FREQUENCY: [� NNUALLY El b. EVERY 3 YEARS ❑ c. OTHER (Specify) Mo5. DA1LY Mab [ j 5.VISUAL MONITORING DONE: [�� ❑ b. WEEKLY"` ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED" M47_ " Requires agency approval . "Allowed for monitoring of unburied emergency generator fuel piping only per HSC ¢25281.5(b)(3) ❑ 6. PIPING IS SUCTION PIPING MEETING ALI. REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR §2636(a)(3) ❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99. OTHER (Specify) M48. SJCEHD-d (07/03) -114 07/23/03