Laserfiche WebLink
:7 <br />L� <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 2 <br />MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />❑ 1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) M52. <br />M51 MODEL #: <br />PANEL MANUFACTURER: M54. <br />LEAK SENSOR MANUFACTURER: Mss_ MODEL #(S): <br />M55. <br />WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a. YES ❑ b. NO M56 <br />❑ a. YES ❑ b. NO <br />WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? MIT <br />WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO <br />[ 2. MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE M EL (SE OF LEAK �X/ � / M59. <br />ASSEMBLY MANUFACTURER:&C) /�M60. <br />[�3.VISUAL MONITORING DONE: Y ❑ b. WEEKLY (Requires agency approval) <br />❑ 4. NO DISPENSERS M61. <br />❑ <br />99. OTHER (Specify) <br />1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE;vIUST IMPLEMENT ENHANCED LEAK <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 />M80. <br />REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) <br />I, � THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) <br />2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) <br />3, THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of 7/1/2004) <br />4.CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />5, l!7 CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />6. STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />STATISTICAL INVENTORY RECONCILIATION" <br />7. ge SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" Mat. <br />99. ❑ OTHER (Specify): <br />Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant m their job 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 July <br />1, 2004, and annually thereafter, the "Designated UST Operator" will train facility employees in the proper operationnd maintenance of the UST systems. This <br />a <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 1, 2004, the initial training will be conducted within 30 days of the date of hire. <br />Please use this section to include any additional UST system monitoring -related information (e.g., additional information required by your local agency): <br />AS OF 7/1/2004, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III 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 23 CCR 2715(b). <br />CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. M91 <br />OWNER/OPERATOR SIG NAT REPRESENTING DATE: <br />E] owner <br />M90. / - Z Z T <br />ATOR NAM(print): <br />(Agency Use Only) This plan has been reviewed and: <br />Local Agency Signature: _ <br />Comments/Special Conditions: <br />SJCEHD-d (07/03) - 3/4 <br />OWNER/OPERATOR TITLE: <br />❑ Approved ❑ Approved With Conditions . ❑ Disapproved <br />Date: <br />07/23/03 <br />