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C SAN JOAQUIWbUNTY ENVIRONMENTAL HEALTH IWRTMENT UNDERGROUND STORAGE TANK MO U llMONITORING PLAN - PAGE 1 ECENED TYPE OF ACTION ❑ 1 NEW PLAN ❑ 2. CHANGE OF INFORMATION JAN 15 2004 Mol. PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. NT HEALTH Moz. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): 1. FACILITY INFORMATION PERMJT/.thvlun FACILITY ID # (Agency Use Only) FACILITY NAME1 tyo G v S F�� 0 �- Fv �L.. M03. il M04.,,,� FACILITY SITE ADDRESS /"1 ; L �� CITY /-�p//i,Q MOS. IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE 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 anM ylllly, whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED ❑ 1. ANNUALLY [:199.OTHER (Specify): Mol. III. MONITORING LOCATIONS 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, 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 Materiais Business Plan map, cic.) which shows ala le used iu'.'onriation, hu.ludc it thii plan. IV. TANK MONITORING IT GIS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) Mlo. AA 1. C TINUOUS ELECTRONIC MONITORINGG (y TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS- Ly' a. DRY El b. LIQUID FILLED ❑ c. UNDER PRESSURE [Id. UNDER VACUUM M12. K 39 tl w M11 PANEL MANUFACTURER: /i S - 5� MODEL #: 0'15 - t)Re�l✓T, 13. LEAK SENSOR MANUFACTURER: yecde(_ i-C)C14f M14. MODEL #(S): 3 M15. ATIC TANK GAUGING (ATG) STEM USED TO MONITOR SINGLE WALL TANK(Sl 7 L S - 3 �� M16. MODEL #: MIT A)!ANEL MANUFACTURER: IN -TANK PROBE MANUFACTURER: M's- MODEL #(S): Mt9" / LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY M2 1. Mzo. n 4�` F1 d. MONTHLY El e. OTHER (Specify): PROGRAMMED TESTS: ❑ a. 0.1 h. ❑ b. 0.2 h. ❑ c. OTHER(Specify):M22. g.p.h. g.p.h. M23. ❑ 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 F1 b. 60 HOURS Mzs. ❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 TEST FREQUENCY: [I a. ANNUALLY [Ib. BIENNIALLY [I c. OTHER (Specify): M26. Mz7. ❑ 6.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) M30. ❑ 1. CONTfvUCUS Ei. C T RONIC R'O'4iTORING OF PIPING SUh4P(S)/TRENCH(ES) AND OTHER SECONDARY CONTAF1�1 1j1T SECONDARY CONTAINMENT IS: E�'a. DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM $1'1 M'1. M33. PANEL MANUFACTURER: S 3 �() M'- MODEL #: z o� _7 LEAK SENSOR MANUFACTURER: -? 'r loci M34. MODEL #(S): Sa-++tet 5" WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? 0a.YES ❑ b. NO ILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO M36. M37. 2. HANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS D� OFF RODUCT FLOW WHEN A LE AK IS DETECTEDr_ JJiti*� g1 q 1 ON. -d M38. C) MOM39. MLLD MANUFACTURER(s):81 Fe��fe $5 I��ullei' DEL # S'M�fl ttP F1 LV Si7'MLD �� ❑ iz:r., 49NIG • W r EAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS Mao MODEL #: ELLD MANUFACTURER: M41. r//. AJ YT PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. [Ib. MINIMUM ANNUAL 0.1 g.p.h. Maz. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO M44. ❑ 4. INTEGRITY TESTING TEST FREQUENCY: Ela. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) M45. M46. ❑ 5.VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY' ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED" M47. • Requires agency approval I • • Allowed for monitoring of unburied emergency generator fuel piping only per HSC §25281.5(b)(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. SJCEHD-d (07/03) -1/4 07/23/U3