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AIL m1h <br /> UNDERGROUND STORAGE TANK <br /> µ�ONIT[O1�.2IN�Gyry,PLAN -. ,PAGE <br /> AN --PAGE 2, <br /> s., w tC r jiYl' •,6 MY19.'.N.SE1�°+Yf.oNITYo <br /> F N 1,�i.E•f. ,x r17q'ra ..t .f.) :o E <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) +sc <br /> [�1.CONTINUOUS ELECTRONIC MONiT G Cie :^ffR DI NSER CONTAINMENT(UDC) <br /> (j <br /> PANEL hSANUFACTURER: =�x st <br /> M .' � t� <br /> MODEL# I ��—' <br /> LEAK SENSOR MANUFACTURb, Mss MODEL#(S): <br /> WILL DETECTION OF A LEAK INTO E UDC TRIGGER AUDIBLE AND VISUAL ALARMS? S ❑'b.NO <br /> WILL AUDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? NO >isa <br /> LY YES ❑ b. <br /> WILL FAILURE/'DISCONNECTION OF:UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? YES ❑ b.NO "57 <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK, <br /> ASSEMBLY MANUFACTURE s Mss. MODEL#(S): X159 <br /> 3.VISUAL MONITORING DONE: 8.DAILY ❑ b.WEEKLY(Requires agenayapproval) Moo <br /> ❑ 4.NO DISPENSERS <br /> ❑ 99.OTHER(Specify) ei <br /> ENHANCED EAKa DE'I?ECTION .,._ <br /> I, <br /> ❑ I.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK `A70 <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 /> 'UIII.<'TRAINING. , <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all thatapply) 7naso <br /> I. ,f5 THIS UNDERGROUND STORAGE TANK MONITORING.PLAN(Required)4 <br /> 2. ,Q OPERATING MANUALS FOR ELECTRONIC MONITORiG EQUIPMENT(Required) <br /> 3. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 7/1/2004) <br /> a. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS " ' " " ' <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK'LAW - <br /> 6. ❑ STATEWATER'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" <br /> 99. ❑ OTHER(Specify): „ <br /> Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to theirjob duties and can access those documents when needed. <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 Jul) <br /> I, 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 t 2004,`the initial training will be conducted within 30 days of the date of hire. <br /> IX. '-COMMENTS/ADDITIONAL INFORMATI ON' <br /> Please use this section to include any additional UST system monitoring-related information(e.g.,additions nformation required by your local agency): hiss <br /> • I <br /> .'X. PERSONNEL RESPONSIBILITIES. , <br /> AS OF 7/1!2004,THE"DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION Ill 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 U CCR§2715(b). <br /> XL 0WNER10PERATQ.R•SIGNATURE.• <br /> CERTIFICATION:I certify that the In( rovided herein Is true and accurate to the best of my knowled e. <br /> ;OW�'NER/�IOIPERAT�ORSIGN�ATURME����x-%fRE)',RESENTMQ DATE: �� 2 ®�.�tGi. <br /> ,Pfwner M9o. <br /> ❑Operator <br /> 01 OPERATOR NAME M92, ys <br /> (PHnt): OWNER/OPERATOR TITLE: <br /> c� 1M 2_.- �- — <br /> (agent)-Use Only) This plan has been reviewed and: Approved ❑Approved With Conditions ❑ Disap roved <br /> Local Agency Signature: Date: <br /> Comments/Special Conditions: <br /> SJCEHD-d(07/03)-3/4+ 07/23iO3 <br />