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Jun 15 07 ll:ila p.8 <br />is 0 <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 2 <br />' VI. DISPENSER MONITORING <br />MONITORING OF.AREAS BENEATH DISPENSER(S) IS PERFORATED USING THE FOLLOWING METFIOD(S) (Check all that apply) M") <br />!� <br />1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSED CONTAIN MF. T (UDC) PANEL MANUFACTURER: !^C� y �—� n. Msr <br />LEAK SENSOR MANUFACTURER: v •i MODEL Y: NMI <br />�t; MODEL#(S): <br />WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL, ALARMS? M, <br />WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? °� a. YES ] b. NO atss. <br />WILL FAILURE/DISCONNECTION t t 1 t '] s. YES ❑ b. NO MSfi, <br />OF LDC MONITORING SYSTEM TRIGGER At.TONIATIC PUMP SHUTDOWN? . YES b. NO 1117 <br />❑ 2. MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br />ASSEMBLY MANUFACTURER: n159. <br />'K.3.VISUAL MONITORING DONE: a. DAILY MODEL X(S): Msv. <br />❑ b. WEEKLY IReqturcs ay+cnc..pprovzl) A160. <br />❑ 4. NO DISPENSERS <br />❑ 99. OTHER (SDx cifv) <br />WIL <br />VII ENHANCED LEAK DETECTION <br />❑ 1 WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMEN'r ENHANCED LEAK <br />V1 70. <br />DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN PER 23 CCR §2644 I ELD IS PERFORMED EVERY 36 MO r1 -IS AS REQUIRED <br />VIII. TRAINING <br />REFERENCE DOCUMENTS MAINTAINED AT FACII_ITl' (Check all that apply) <br />I. THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) Mar) <br />2 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) <br />3. (] ` :rHE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of Uoj/20o5) <br />4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />5. 4]l CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />6. ® STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />STATISTICAL RECONCILIATION" <br />7. ❑ SWRCB PUBLICATION: : TION"WEEKLY MANUAL TANK GAUGING FOR SMALI. UNDERGROUND STORAGE TANKS" <br />99• ❑ OTHER (Specify): <br />MXL <br />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. <br />By January 1, 2005 this facility will have a "Designated UST Operator" who has passed the operator exam administered by the International Cade Council (ICC). By <br />January I, 2005, and annually thereafter, the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems. <br />This 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 f cility 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 January I, 2005, the initial training will be conducted within 30 days of the date of hire. <br />Please <br />IX. COMMENTS/ADDITIONAL INFORMATION <br />use this section to include any additional UST system monitoring -related inronnation (.e.g., additional information required by your local agency): M35. <br />X. PERSONNEL RESPONSIBILITIES <br />AS OF 1/1/05, THE "DESIGNATED USF OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERAT11 ING 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 DOCUMENTMINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br />UST SYSTEMS IN ACCORDANCE WITH 23 CCR $ 2715(b). <br />XI. OWNER/OPERATOR SIGNATURE <br />CERT IFdC:1'fiOti: I cerfifi'nt tat the information provided herein is true and accurate to the best ofmy knowledile- <br />D NER/nP RATnR c[C,*Wa n v <br />NAME <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 />LU Owner Ntgo. I / r <br />Operator <br />ntr_. I OWINL UOPERA ORT TLE:�_— <br />❑ Approved ❑ Approved With Conditions ❑ Disapproved <br />Date - <br />07/23/03 <br />