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11/02/2005 11:14 #1 7007775870 NO.415 1?01 <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN--PAGE 2 <br /> _ V[.Dt, ERSER MONITORING, <br /> hIONCt•URING Ob'AlWAS 1SESNTATH DiSPENSER(S)IS PERFORNIED USING THE FOLLOII'7NG Mf3THOD(S)(Check all that apply) n'e <br /> ❑ i,CON77NUOUS ruff Rome MONI'fOR7NG OF LINDER DISPENSER CONT•AINNIENT(UDC) <br /> POrEl,MANUFACTURLft: MSI. IvlormL d:, us7 <br /> LEAK SENSOR MANUFACTURER: M"' MODEL N(S): <br /> WILL DETECTION OF A LEAD INTO THE LTDC TRIGGER AUDI.BiX AND VISUAL ALARMS? ❑ a,YES ❑ b•NO vss. <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? O a,YES ❑ b.NO also <br /> %QLL FAILURB/DISCONNECTION OF UDC MONITORING SYSTEM.TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a,YES ❑ LINO us7, <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g,FLOAT AND'CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVA.IN CAVE OF LEAK <br /> ASSKbIHLY NIANUFACTIIRER: M .,MODEL 1](8): us9. <br /> ❑ .1AISUALMONITORING DONE! ® a.DAILY ®b.WEEKLY(uapri�agcncyapprovat) a� <br /> a.NO UISPENSVIIS <br /> 59.OTHER(Specify) u61. <br /> Vitt. EN RA.NCED LEAK <br /> O 1, A*E Kvii u'rN A'OT TIED DY TM-ST'ATT WATER RESOURCES CON'1•ROL BOARD TmAT WE.MUST IMPLEMENT ENHANC1=D Ll;A1: a"a <br /> DETECTION(ELD)FOR T11,UST(S)COVERED BY THIS PLAN.PEAR 23 CCR¢2644,1,LZI D iS PERFORMED EVCRY 36 afONTIIS AS REQU1RZQ <br /> VIII. TItA1NIN( <br /> REFERENCE DOCUNIFEN'I'S MAINTAIM3D AN FACILiTY(Check-all that apply) <br /> 1, Of TI-IIS LIMA: STO)AGI_7'A3 :MONITORING PLAN(Required) <br /> 1 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 5. lcr THE FACILITY'S nrST MANAGEMENT PRACTICES(Required as of 1/0117065) <br /> 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5, CALIFORNIA UNDF.RGR(XrND STORAGE TANK LAW <br /> 6, ❑ STATE WATER RBSOURCL•S CONTROL BOARD (SWRC13) PUBLICATION: "HANDHOQN, FOR TANK OAVNFRS - MANUAL AND <br /> STATISTICAL iA'VENTORY RECONCILIATION" <br /> 7. ❑ SWRCB PUI3LICAnoN:'%VFEI:LY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br /> '99.❑ OTMER(Specify): <br /> Personnel with I QST monitnring responsibilities aro ramilipr with sit of the Above documents rolcvanl 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 ilia operator exam administered by the Tot"national Code Council(ICC). By <br /> Ianuary 1.2005,and annually thereafter,the "Designated UST Operator'/fill train facility ctnpinyccs in lite proper operation and ntaittten3me of the UST systems. <br /> 'This training will include,but is not limited to,the following: <br /> i Operation of the UST systems in a manner comisloot wide the facility's best management praeticcs, <br /> The facility employee's role with regard to the leak detection equipment. <br /> The facility employee's rote with regard to spills and ovcrfiRa. <br /> Y Whom to contact for emergencies and leak detection olarms. <br /> For facility nnptoyecs hired on or allcr January 1,2005,the initial training will be conduetod within 3o days orals date ofhire_ <br /> IX. COMMENTS/ADDITIONA,X.L INF OI;1vIATION <br /> Please Use this section to include any additional LIST system monitoring related information(AB,additional inforolation required by your local agency): 4285. <br /> X. PERSONNEL RESPONSIBILITMES. ' <br /> AS GF 11105,T71E"DESIGNATED UST OPERATOR"IDENTIFIED IN SFC770N III OF 71-IG CURRENT UST OPERATING PERMIT?6PPLIC,%77ON•• <br /> FACILITI'I°ORNI WILL 11AVL'ULTIMAT11 AUTTiORTTYFORI'L'1WOR UNG THEMONITORING ACTIVITIES AND MAINTAIM'YG LEAK pfiTFcMON <br /> EQUIPMENT COVERED SY TI-IIS PLAN,AND%qLL PERFORM AND DOCUNIFNT M1NIN'IMI MON77ILY VISUAL INSPECTIONS OP THE FACILITY'S <br /> UST SYSTIrNIS IN ACCORDANCE'WITH 23 CCR27150 <br /> . .XL,.O $JO / R,SINAT1 <br /> CERTIFICATION:I certify that the fnformadon provided herein is true unit ucturote to the beet of my knowledge. <br /> t)tvnitlLt'PrrtAT�lri SIGNATURE DATE: Not <br /> a <br /> nor Moo, <br /> operator <br /> 1 <br /> OWN'FR:OPERATOR NANT-,(Print): ` r'ros. 0\VNP;,1V0PIlATOR TITLE: �+ orot, <br /> 7 !re ) 4 CP C `,p F^V. 1 tem- recti <br /> t.'lgeni�Use On/r1 This plan has been reviewed end: Q Approved ❑Approved With Conditions ❑Disapproved <br /> Lo"I Agency Signature: Date: <br /> Comments ISpecial Conditions: <br /> S.tC 9110-d(07103)-314 0712.3/09 <br />