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OCT-1-2007 08:18A FROM: TO:4683433 P.2/3 Underground Storage Tank Monitoring Plan—Page 2 of 2 MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) ❑ t CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANEL MANUFACTURER; MS1 MODEL N: M52. LEAK SENSOR MANUFACTURER: M" MODEL 4(Sy M54, WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a.YES ❑ b.NO Mss. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M56. WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M57. 92.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAJN ASSEMBLY)IN'� TRIPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER. J fflJD MS' MODEL#(S}: M59. ❑ 3.VISUALMONITORING DONE- Q a.DAILY [] h.WF..EKLY(Requires aaency,Mpvw)13D4' M60. ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) M61. a' G E'mo Q 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD TI-IAT WE MUST IMPLEMENT ENHANCED LEAK M7o. DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED a.. REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mao. I' THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of January 1.2005) 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION:"WEF..KLY MANUAL.TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99.❑ OTHER(Specify): Mai. Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their Job duties and can access those documents when needed. By January I,2005,this facility will have a"Designated UST Operator"who has passed the California UST Sytem Operator Exam administered by the International Code Council(ICC). By July 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance i of the UST systems.This training will include,but is not limited to,the following: Operation of the UST systems in a manner consistent with the fltcility's best management practices. ➢ The facility employee's role with regard to the leak detection equipment. ➢ The facility employee's role with regard to spills and overfills. Y Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after July 1,2005,the initial training will be conducted within 30 days of the date of hire. : . . ... ., -rx. C...gm Please use this section to include any additional UST system monitoring-related information(e.g.,additional information required by your local agency): Mss Note regarding Section X.Pending certification of a Designated UST Operator,the following person has authority for performing the monitoring activities an ain fining pk detection equipment covered by this plan. NAME: JOB TITLE: IS910 vawe st".-A--cc si"O.0— 1 �jLett 14ta�Y-e.�4 RE rON-MRa. AS OF JANUARY 1, 2005, THE -DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION—FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY T141S PLAN,AND WILL..PF,R.FORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR§271 S(pl. XI; f:} R/®PERATOR SIGNATURE CEIMIFICATION:.I certify that the information provided herein is true and accurate to the best of ml knowledge. OWNER/OPERATOR SIGNATU 1L DATE: j rr q�cd M91. M. Onerator M9o. 5/)s�//4)J 6,t�> OWNER/OPERATOR NAME(print): M92. OWNER/OPERATJOR TITLE: M93 (Agency(Ise Only) This plan has been reviewed and: Approved ❑Approved With Conditions ®Disapproved Local Agency Signature: Date; 1 Uo I�!1 Comments/Special Conditions: UN-022A-3/5 www.unidoes.org Rev.10/14/03