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UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - PAGE 2 <br /> DISPENSER 1YIO1o1LT..ORING <br /> M50. <br /> ` ENSERS)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> M NITORING OF AREAS BENEATH DISPVk <br /> s 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) Mr. <br /> ((( PANEL MANUFACTURER: VeedPr — Root 51. MODEL#: TLS3000 <br /> M53 MODEL#(S): 794380 -209 Ms". <br /> LEAK SENSOR MANUFACTURER: Veeder —Root Mss. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ® a.YES ❑ b.NO <br /> ® ❑ <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES b.NO Ms6.M57. <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a.YES ❑ b.NO <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK M59.B <br /> ASSEMBLY MANUFACTURER: MODEL#(S): <br /> M60. <br /> ( 3.VISUAL MONITORING DONE: XX a.DAILY ❑ b.WEEKLY(Requires agency approval) <br /> ❑ 4.NO DISPENSERS M61. <br /> ❑ 99.OTHER(Specify) <br /> SII . ENHANCED LEAK DET! <br /> ECY'ION <br /> Myo. <br /> E] 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK <br /> DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> VIII. TRAINING <br /> Y) M90 <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY'(Check all that apply) <br /> I. n THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 7/1/2004) <br /> 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" MF1 <br /> 99. ❑ OTHER(Specify): <br /> ith all of the above documents relevant to their job duties and can access those documents when needed. <br /> Personnel with UST monitoring responsibilities are familiar w <br /> By July 1,2004,this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By July <br /> 1, 2004, and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems This <br /> training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br /> ➢ The facility employee's role with regard to the leak detection equipment. <br /> ➢ The facility employee's role with regard to spills and overfills. <br /> ➢ Whom to contact for emergencies and leak detection alarms. <br /> For facility employees hired on or after July 1,2004,the initial training will be conducted within 30 days of the date of hire <br /> IX. COMMENTS/ADDITIONAL INFORMA"I'ION ;> M65 <br /> -related information(e.g.,additional information required by your local agency): <br /> Please use this section to include any additional UST system monitoring <br /> ,4 it/JG <br /> L) <br /> }►= I kJ —/ <br /> PERSONNEL RESPONSIBILII IES <br /> AS OF 7/1/2004,THE"DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION— <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2715(b). <br /> .OWNER/OPERATOR SGNAT iJRE, <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. M91. <br /> OPERATOR S1GNA RE REPRESENTING DATE: <br /> ❑Owner M9o. 6-18-04 <br /> ROperator <br /> M93. <br /> M92. OWNER/OPERATOR TITLE: <br /> O OPERATORNAME(print): MASTER MECHANIC <br /> DENNIS HUNTER <br /> " (Agency Use Only) This plan has bee eviewed and: Approved ❑Approved With Conditions ❑Disapproved <br /> af Date: - <br /> Local Agency Signature: <br /> Comments/Special Conditions: Chi <br /> 07/23/03 <br />