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at SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE 1 TYPE OF ACTION ❑ I.NEW PLAN 6 2.CHANGE OF INFORMATION Mol' PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs ATTHIS FACILITY. M02. (Check one item only) ❑ THIS PLAN COVERS ONLY THF.,FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) FACILITY NAME C' � �Yom(- �'L1 � � M03. FACILITY SITE ADDRESS `OCC O Moo CITY �c, U Mo' II. EQUIPMENT T TING AND PREVENTIVE MAINTETllZANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06, accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT 1S SERVICED V 1.ANNUALLY ❑ 99.OTT IF-R(Specify): M07. III. MONITORING LOCATIONS 1-his monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, line leak detector,monitoring system control panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mln. ❑ I.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL.)SPACE(S)OR SECONDARY CONTAINMENT-VAULT(S) SECONDARY CONTAINMENT IS: 0 a.DEl b.LIQUID FILLED c.UNDER PRESSURE d.UNDER VACUUM DM11. PANEL MANUFACTURER: S2 Dy 1 �j M12 MODEL#: -TILS-356 M13 LEAK SENSOR MANUFACTURER: U2QC -Re f'e7Ct M14. MODEL#(S): 4;)3 N115 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16. MODEL#: Mn. IN-TANK PROBE MANUFACTURER: M18. MODEL#(S): M19. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS M20 Q ❑ b.DAILY/NIGFITL,Y ❑ c.WEEKLY [I d.MONT]ILY ❑ c.OTI IFR(Specify): M21, PROGRAMMED TESTS: ❑ a.0.1 h. El b.0.2 h. El c.OTI IER(Specify): M'-'- h23, ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL.PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25 ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FRE UENCY: a.ANNUALLY M26, M27. Q ❑ h.BIENNIALLY ❑ c.OTHER(Specify): ❑ &VISUAL,MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) 99.OTHER(Specify): M28. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. L CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/T•RENCI-I(F-S)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: 0 a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31. PANEL MANUFACTURER: -QM32. M33. LEAK SENSOR MANUFACTURER: f-e(ik r KOr_ - M34 MODFI,#(S): ab t M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES Q6 b.NO 1,136. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M37. ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFT PRODUCT FLOW WHEN A LEAK IS DETECTED MLLD MANUFACTURER(s): M38. MODEL#(S): Mi9 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: M40. MODEL#: M41 PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M°' WILL ELLDFATLLIRE/DISCONNEC-f1ON'I'RIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44 ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTITER(Specify) M45 M46, ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ h.WEEKLY* ❑ c.MIN.MONI LILY&EACI-1-1'IML:SYS-I-fiM OPERA 1'Ir.D*' M47 ' Requires agency approval -Allowed for monitoring of unhuried emergency generator fuel piping only per IISC§25281,5(h)(3) 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) M48 SJCF,HD-d(07/03)-1/4 07/23/03