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I UNDERGROUND STORAGE TANK MONITORING PLAN — PAGE 2 VI DISPENSER MONITORING M50.MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) ❑ 1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) MODEL #: 1019Y390_7108 Msz. PANEL MANUFACTURER: Ms3. LEAK SENSOR MANUFACTURER• Ua, ef r MODEL #(S): h d1-52141 e^ ! �j Mss. a. YES ❑ b. NO "tss. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS. M16. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? 'a. YES El b. NO WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO Mss. ❑ 2.kNICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR $VALVE IN CASE OF LEAK M59 #1 ASSEMBLY MAN ACTURER: MODEL #(S): Mho. ❑ 3.VISUAL MON E: ❑ a. DAILY ❑ b. WEEKLY (Requires agency approval) ❑ 4. NO DISPE N161. ❑ 99 OTHER (Speclfj�%� VII. ENHANCED LEAK DETECTION M70 ❑ I. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §2644.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII. TRAINING Mso. REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) Y) 1. C1IN THIS UNDERGROUND STORAGE TANK MONITORG PLAN (Required 2. ❑ OP TING MANUAL FSR E EC TRONIC MONITORING EQUIPMENT e cared '/ 3. ❑ THE FACIL Y' F. T MANAGEMENT PRACTI— (Reautred as of 7/1/2004) 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANKREGULATIONS 5. ❑ CALIFO UNDERG GE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" mts1. 99. ❑ OTHER (Specify): th all of the above documents relevant to their job duties and can access those documents when needed. Personnel with UST monitoring responsibilities are familiar wi B Jul 1, 2004, this facility will have a "Designated UST O erator" who has passed the operator exam administered by the International Code Council (ICC). By July 1, 200 , an annus y e eslgnated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems. This training will include, but is not limited to, the following: ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. ➢ The facility employee's role with regard to the leak detection equipment. ➢ The facility employee's role with re-ard ls. Whom to contact for emergencies and leak detection alarms. For facility employees hired or after Jul 1 2004, the initial trainin will be conducted within 30 days of the date of hire. on Please use this section to include any additional UIX. COMMENTS/ADDITIONAL INFORMATION ; M85 ST system monitoring -related information (e.g., additional information required by your local agency): X. PERSONNEL RESPONSIBILITIES �S OF 7/1/2004, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION — FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN, AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR 2715 b . M. OWNER/OPERATOR SIGNATURE, CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. Mgt REPRESENTING DATE: TOR NAME (print): (Agency Use Only) This plan has been reviewed and: Local Agency Signature: Comments/Special Conditions: U Owner M90.6❑Operator � � , L M927 OWNER/OPERATOR TITLE: /yw w ❑ Approved ❑ Approved With Conditions ❑ Disapproved Date: 07/23/03 SJCEHD-d (07/03) - 3/4