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4 UNDERGROUND. STORAGE TANK MONITORING. PLAN - PAGE 2 MONITORING OF AREAS BENEATH DISPENSERS) IS. PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) PANEL MANUFACTURER: �� Mst. MODEL #: M52. LEAK SENSOR MANUFACTURER: ,�r�) MS3 MODEL #(S)' ,Q ►�r—�,—LT OI� M54 WILL DETECTION. OF A LEAK INTO THE UDC. TRIGGER AUDIBLE AND VISUAL ALARMS? 5. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC. PUMP. SHUTDOWN? M56. WILL FAILURE/DISCONNECTION.OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? B M57. (2. MECHANICAL ASSEMBLY (e.g., FLOAT. AND CHAIN. ASSEMBLY) IN UDC TRIPS. SHEAR VALVE IN CASE OF. LEAK ASSEMBLY MANUFACTURER Msa. MODEL #(S): M59. ❑ 3. VISUAL MONITORING DONE: [&a -DAILY 0. . b. WEEKLY (Requires agency. approval) M60. ❑ 4. NO DISPENSERS M61. ❑ 99 OTHER (Specify) tam z- ❑ 1. WE HAVE BEEN. NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M7 NOTIFIED DETECTION (ELD) FOR THE UST(S) COVERED BY THIS. PLAN_ PER 23. CCR §2644.1, ELD. IS PERFORMED EVERY. 36 MONTHS AS REQUIRED REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) Mao. THIS. UNDERGROUND STORAGE TANK MONITORING. PLAN (Required) 2. 'fes'` OPERATING MANUALS. FOR ELECTRONIC. MONITORING EQUIPMENT (Required) 3. , THE FACILITY'S. BEST MANAGEMENT PRACTICES (Required as of 1/01/2005) 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:. "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND. STORAGE TANKS" Mai 99. ❑ OTHER (Specify):. 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 1, 2005 this facility will have a "Designated UST Operator" who. has passed the. operator exam administered by the International Code. Council (ICC). By January 1, 2005, and annually, thereafter, the.. "Designated UST. Operator" will train facility. employees in the. proper operation and maintenance 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 facility'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. ➢ Whom to contact for emergencies and leak detection alarms. For facility employees hired on or. after. January 1, 2005, the initial paining will be conducted within 30. days of the date of hire Please use this section to nclude. any additional UST system monitoring -related information (e.g., additional information required by your local agency Mils. fjv%n ove+��l �v��+40% (�l,ZrGC�� -4XIC ,� -04k- S e -r e( s AS ". IDENTIFIED. IN SECTION III OF THE CURRENT UST OPERATING. PERMIT APPLICATION OF 1/I/05, THE "DESIGNATED UST OPERATOR — FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION FACILITY FORM WILL HAVE ULTIMATE AUTHORITY EQUIPMENT. COVERED BY THIS PLAN, AND. WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS. IN ACCORDANCE WITH 23 CCR .2715 W.ga e d herein is true and accurate to the best of my knowledge CERTIFICATION: I certify that the informs M91 DATE: OWNER/OPERATOR SIGNATURE pwrter M90 lJ 3 7 Operator rrT ^p moo, TOR OWNER/OPERATOR TITLE: Approved With Conditions ❑. Disapproved (Agency Use Only) This plan has been reviewed and: Approved ❑ PP Local Agency Signature: Commcnts/Special Conditions: SJCEHD-d (07/03) - 3/4 Date: 'h 0 07/23/03