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8/30/04 MON 15:32 FAX 0 UNDERGROUND STIORAGE TANK , MONITORING PLAN—PAGE 2 .V1:•DIS ' ITS Ike l X!�I TClI ]G•: .• ; .. . :.: . MONITORING OF AREAS BENEATH DISPENSFR(S)IS PERFORMED USING THE FOLLOWING Mh"TFTOD(S)(Check all that apply) �y 0 1.CONTINUOUS FLFCTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANEL MANUFACTUREL M51- MODEL#- M52. LEAK SENSOR MANUFACTURER: Ms- MODEL#(S): WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDTBLE AND VISUAL ALARMS? ❑ a.YES ❑ b.NO Mss. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ e YES ❑ b.NO0 WILL FAILURFIDISCONNECrION OF UDC MONrrORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN! ❑ a YES ❑ b-NO M� ❑ 2.MECHANTCAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)FIN UDC TRTPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER: 8256- MODEL#(S): HS0 ❑ 3.V1$UAL MONITORING DONE: ❑ n.DAILY ❑ b.WEEKLY tacgaircc.gen y owh) M6u• 19 4.NO DISPENSERS ❑ 99.OTHER(Specify) Nst' •:•.....,':Y J1.. hrt\a7-C%�l�:Ts` •:Liii :•.4+ �:+�V•bY.: ❑ 1.WE HAVE BEEN NOTIFYD BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT 11-14R"CL•D LEAK M7e• DETF.CTTON(FLD)FOR THE UST(S)COVERYD BY THIS PLAN.PER 23 CCR¢2644.1,ELY)TS PERFORMED EVERY 36 MONTHS AS REQTIIRED ' G: .TRAININ REFERENCE DOCUMENTS MAINTAINED AT FACiLTrY(Check all that apply) • 1. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. ® OPERATING MANUALS FOR ELECTRONIC MONTTORTNG F,QUIPMENT(Required) 1, ® THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 711/2004) 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 RECONCTLFATTON" 7- ❑ S WRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99.❑ OTHER(Specify): MR1. Pccs000d with UST monitoring responsibilities are familiar with au of the above documenm relevant to dicir job duties and can access those documents when needed, By July i,2004,this facility willbave a"Designated UST tur"who has passed the operator exam admintstercd by the international Code Council(ICC). By July 1,2004,and annually theseaf>cr•,the "Dosignated UST Operator"will train facility umrployees in are proper operation and mnintenanoe of the UST systems.Thin training will include,but is not limited to,the following: D Operation of the UST system in a manner consistent with the facility's lest rrmnagcmcnt practices, ➢ The 9acility employee's role with regard to the leak detection equipment > The facility employee's role with regard to spills and overfills. > Wlhom to contact for emergencies and leak detection alarms• For facility employees hired on or after July],2004,the initial training will be conducted within 30 days of the date of biro. Pleuse use this section to include nay additional UST system monit(o'rring-related information(mg.,additional information required by your local agency): M85. • 'Y6...'g.EJ�.�7Vl:'i®.lu': :A _Vl\ AA1112114Rir5'_.......,,-. ....w.:.• AS OF 7/l/2004,THE"DESIGNATED UST OPERATOR"IDENTIFIED IN SECTION ILC OF THE CURLt- UST OPERATING PERMIT APPLICATION— FACTLITY FORM WILL HAVE.ULTIMATE AUTHORITY FOR PEMRMING TILE MONITORING ACfMTIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN,AND WTLL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF TTiB I•'ACL.I'1'Y'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR&2715@). CERTIFICATION:I certify that the information provided herein is true and accurate to fire best of my knotivledge. OWNER/OPERATORSIGNATURE REPRESENTING DATE: Myr e �a Owner ash. IN Operator UWN UPERATORNAME(ptint): M97• OWNER/OPERA//TO��RTITLE (Agency Use Only) This plan has been reviewed and: Approved ❑Approved With Conditions ©Disapproved Local Agency Sigoanno: Date' Commenls/Specacd Conditions: SJCI;HD-d(07/03)•314 07/23/03