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OCT-1-2007 08:17A FROM: TO:4683431 P.1/3
<br /> LT"ERGROUND STORAGE TANK MONITORING PLAN
<br /> For use by Undoes Member Agencies or where approved by your Local Jurisdiction
<br /> Authority Cited: Title 23 CCR,Sections 2632(d)(1),2634(d)(2),and 2641(h)
<br /> M01.
<br /> TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION
<br /> PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Mux
<br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S);
<br /> :
<br /> FACILITY ID#(Ageny tfee Only) Li
<br /> -:
<br /> FACILITY NAME C t•' ona-soD Ela 4
<br /> Mos.
<br /> FACILITY SITE ADDRESS
<br /> 232 tJ• 1.��®�adu ��• Moa, CITY ��ca4k-fan CCa.
<br /> :.r:. ..•R.FM .' 4f.•RJ••. .,,.. 1:1;.f.':j1,�,w�..,:[,•F1�4�'.�J.,J.�. �',�'J'w.17Na,Ab, ..'.1Y,1� �. . Fkl.',.�:tl�.d'��.;`,'.,_:.::,. .�-...:'�'"r�':'.'`a..
<br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e g.,sensors,proms,line leak detectors,etc.)be performed in M�
<br /> accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel.
<br /> M07.MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify):
<br /> 7.
<br /> i'ate-w..,'w,•P�-`�'++M4`�+''�.Y � . YT � : :: �... .. '.
<br /> 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,
<br /> 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
<br /> form Hazardous Materials Business Plan ma etc.)which shows all required information include it with this an.
<br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mlo.
<br /> Mi.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S)
<br /> SECONDARY CONTAINMENT IS: ❑ a.DRY 3Kb.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d,UNDER VACUUM Mi'
<br /> PANEL MANUFACTURER: Qa a O-) Vc..a M13,
<br /> M12 MODEL#: Cj- C
<br /> LEAK SENSOR MANUFACTURER: Mla_ MODEL#(S): MIs.
<br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR Sltj&F.WALL TANK(S)
<br /> PANEL MANUFACTURER: MI6. MODEL#: Mn.
<br /> IN-TANK PROBE MANUFACTURER: nils MODEL#(S): M19.
<br /> LEAK TEST FREQUENCY. 19a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20•
<br /> ❑ d.MONTHLY [Ie.OTHER(Specify): hut'
<br /> PROGRAMMED TESTS: ❑ a,0.1 g.p.h. ❑ b,0.2 g.p.h. ❑ c,OTHER(Specify): &,l M23-
<br /> �'`', ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 WA
<br /> ❑ 4,WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645
<br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M5
<br /> ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1
<br /> TEST FREQUENCY: a.ANNUALLY ❑ b.BIENNIALLY [3c.OTHER(Specify): Mab_ M27.
<br /> ❑ 6.VISUALMONITORfNG DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval)
<br /> M28.
<br /> ❑
<br /> 99.OTHER(Specify):
<br /> ;.-:' .. ... .::. .::.•'. *gyp ..p ;'" ' `' 'i
<br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mia.
<br /> 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyntENCH(ES)AND OTHER SECONDARY CONTAINMENT
<br /> SECONDARY CONTAINMENT IS: Vra.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM Msl'
<br /> PANEL MANUFACTURER M32. MODEL#: J t�Tl S '?, O M33.
<br /> LEAK SENSOR MANUFACTURER: M39' MODEL#(S): l/`Z�q `�l@43 "352 Mas.
<br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE:)SHUTDOWN? IR a.YES ❑ b.NO M36.
<br /> WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? JR a.YES ❑ b.NO M37.
<br /> ❑ 2,MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF
<br /> PRODUCT FLOW WHEN A LEAK IS DETECTED
<br /> MLLD MANUFACTURER(s). Mas. MODEL#(S): M39.
<br /> 'A 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS
<br /> ELLD MANUFACTURER: eco e'e M40, MODEL#: \/�.Se✓tGC ��$L\ Mal'
<br /> PROGRAMMED LINE INTEGRITY TESTS: Ra.MINIMUM MONTHLY 0.2 g p h. ❑ h.MINIMUM ANNUAL 0.1 g.p.h. Mae•
<br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? Ea.YES ❑ b.NO Mai'
<br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b.NO M44._
<br /> 4,INTEGRITY TESTING
<br /> TEST FREQUENCY: s,ANNUALLY ❑ b.EVERY 3 YEARS [3c.OTHER(Specify) Mas Mab.
<br /> S.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY° R c.MIN.MONTHLY.&EACH TIME SYSTEM OPERATED** Mal.
<br /> •Requires agency approval ••Allowed for rnwitorins of unbuned emmaanoy generator fuel piping only per HSC#23281$(b)(3)
<br /> �1 ❑ 6.PIPING IS SUCTION PIPING MEETING ALI.REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3)
<br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s)
<br /> Maa
<br /> E] 99.OTHER(Specify)
<br /> UN-022A-1/S www.unidocsorg Rev.IW14/03
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