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SANJ_ OUNTY ENVIRONMENTAL HEALT PARTMENt' <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- PAGE IE: <br /> OCT 2 9 2003 <br /> TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION )=I�SV)hj F Mot. <br /> PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. EP;tiqji/ E.5 <br /> (Check one item only) THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) -- <br /> M03. <br /> OIL <br /> FACILITY NAMEAllFACILITY SITE ADDRESS ti �✓� �� Moa. CITY ��� Mos. <br /> /�-1 � 71 N <br /> IL EQUIPMENT TESTING AND PREVENTIVEMAINTENANCE . <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06. <br /> accordance with the equipment manufacturers'instructions,or a,nually,whichever is more frequent. Such work must be performed by qualified personnel. <br /> M07. <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): <br /> III. MIDNITORING LOCATIONS <br /> This 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, <br /> 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 <br /> form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. <br /> IV. TANK MONITORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mto. <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITO G OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS: a.DRY El b.LIQUID FILLED ❑ c.UNDER PRESSURE El d.UNDER VACUUM Mt t. <br /> PANEL MANUFACTURER: M12. MODEL#: ]_�S-ySSU M13. <br /> LEAK SENSOR MANUFACTURER: Mta. MODEL#(S): Mts. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(Sl MIT <br /> PANEL MANUFACTURER: M16. MODEL#: <br /> IN-TANK PROBE MANUFACTURER: Mts. MODEL#(S): M19. <br /> ,�, M20. <br /> LEAK TEST FREQUENCY: a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY <br /> d.MONTHLY ❑ OTHER Met. <br /> e. y): <br /> hL2. M23. <br /> PROGRAMMED TESTS: [I a.0.1 g.p.h. C3 b.0.2 g.p.h. ❑ c.OTHER(Specify): <br /> 3.INVENTORY RECONCILIATION E] a.MANUAL PER 23 CCR§2646 El b.STATISTICAL PER 23 CCR§2646.1 Mza. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: F1 a.36 HOURS E] b.60 HOURS MzS. <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR 2643.1 <br /> M26. M27. <br /> TEST FREQUENCY: a.ANNUALLY C] b.BIENNIALLY ❑ c.OTHER(Specify): <br /> ❑ 6.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY(Requires agency approval) <br /> M28. <br /> ❑ 99.OTHER(Specify): <br /> V. PIPE MONITORING <br /> MONITORING IS PERFORMED t/Jlli G THE FOLLOWING METHOD(S)(Check all that apply) <br /> 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND 01 HER SECONDARY COATTAINMENT <br /> SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED c.UNDER PRESSURE ❑ d.UNDER VACUUM <br /> IN31. <br /> PANEL MANUFACTURER: M32. MODEL#: M33. <br /> LEAK SENSOR MANUFACTURER: Mia. MODEL#(S): M35. <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES ❑ b.NO M36. <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M37. <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED <br /> MLLD MANUFACTURER(s): Mss. MODEL#(S): M39. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> M40. MODEL#: Mat. <br /> ELLD MANUFACTURER: <br /> g.p.h. M4z. <br /> PROGRAMMED LINE INTEGRITY TESTS: Ela.MINIMUM MONTHLY 0.2 g.p.h. F1 b.b.MINIMUM ANNUAL 0.1 <br /> M43. <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? [Ia.YES Elb.NO <br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. <br /> ❑ 4.INTEGRITY TESTING <br /> TEST FREQUENCY: Ela.ANNUALLY ❑ b.EVERY 3 YEARS [3 c.OTHER(Specify) Mas. Mab. <br /> ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" M47. <br /> *Requires agency approval **Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281.5(6x3) <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) <br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> M48. <br /> ❑ <br /> 99.OTHER(Specify) <br /> SJCEHD-d(07/03)-1/4 07/23/03 <br />