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SAN J A t TY ENVIRONMENTAL HE EPARTMENT <br /> 0 N COUNTY-ENVIRONMENTAL AL <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - PAGE <br /> TYPE OF ACTION ❑ I2�W PLAN ❑ 2.CHANGE OF INFORMATION <br /> PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> L ,FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) <br /> FACILITY NAME <br /> ��- <br /> FACILITY SITE ADDRESS if Q �.�- M°a. CITY <br /> EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE° <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in oo <br /> accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. <br /> titONITORING EQUIPMENT IS SERVICED ANNUALLY ❑ 99.OTHER(Specify): ' <br /> III. MONITORING LOCATIONS <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 Certi Ilcatiixt <br /> form,Hazardous Materials Business Plan map,etc.)which shows all re Hired information,include it with this plan. _ <br /> IV. TANK MONITORING <br /> 1110 TORJNG IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) <br /> 1.CONTINUOUS ELECTRONIC MONITORING 0 ANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMEN IS: a.DRY _`❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d. UNDER VACUUM <br /> PANEL MANUFACTURER: M12. MODEL#:—T <br /> LEAK SENSOR MANUFACTURER: M14 MODEL#(S): 2 C "'s <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S� <br /> i <br /> i PANEL MANUFACTURER: MI6. MODEL#: <br /> IN-TANK PROBE MANUFACTURER: MIB. MODEL#(S): <br /> I <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 "'' <br /> ❑ 4. WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS <br /> ❑ 5. INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): <br /> I ❑ <br /> 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) y <br /> f ❑ 99.OTHER(Specify): <br /> V. PIPE MONITORING <br /> .\I NITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> 1.CONTINUOUS ELECTRONIC MONITORING PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: (�}' DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d. UNDER--VACUUM <br /> PANEL MANUFACTURER: Ms- MODEL#: <br /> LEAK SENSOR MANUFA OftQ Z <br /> z 4, ! Maa MODEL#(S): __•__ g"" I', <br /> WILL A PIPING LEAK ALARM TRIGGER.AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? a.YES ❑ b. NO <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? YES ❑ b. NO <br /> j .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 DETECTRD <br /> MLLD MANUFACTURER(s): [ tit t�a✓ M}B MODEL#(S): -�� 1 C''M ' "}y <br /> ( ❑ 3. ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> ELLD MANUFACTURER: Moo. MODEL#: <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. "41 <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO <br /> Ll <br /> l <br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO <br /> I ❑ :. N'TEGRITY TESTING <br /> j TEST FREQUENCY: At ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) "'5 "'° <br /> ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY' ❑ c.MIN.MONTHLY&EACH Tt`tE SYSTEM OPERATED' <br /> I <br /> • <br /> � Requires ag,ncy aPProval Allowed for monitoring of unburicd emergency generator fuel piping only P<r HSC.2e•231.S,t A;1 <br /> ❑ 6. PIPING IS SUCTION PIPING MEETING ALL 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 /> ❑ 99.OTHER(Specify) "s <br /> SJCEHD-d(07/03)-1/4 07/33/03 <br />