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AL { SAN JOAQUOU COUNTY ENVIRONMENTAL HEALTH D _ =M01' UNDERGROUND STO' TANKMONITORING LAN -PAGE 1 TYPE OF ACTION I.NEW PLAN ❑ 2.CHANGE OF INFORMATION M02. PLAN TYPE 19 MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): L FACILITY INFORMATION 1 FACILITY ID#(Agency Use Only) 1 " 1 - 1 - `� O M03, FACILITY NAME Too O U t< Moo. CITY p AtOs- FACILITY SITE ADDRESS 1 f_& FACILITY II. 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 M0& accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. u07 MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 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 Materials Business Plan map,etc.)which shows all required information.include it with this plan. IV. TANK MONITORING Mlo. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: a DRY b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d UNDpE}R�VACUUM T� 1 i PANEL MANUFACTURER: �j1� �tl LEAK SENSOR MANUFACTURER: LIFE D t� Q�T AP14' MODEL#(S): At 3 F12.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANx(S) MIT M16. MODEL#: PANEL MANUFACTURER: Mfg. MODEL#(S): M19. IN-TANK PROBE MANUFACTURER: M20. LEAK TEST FREQUENCY: ❑ a CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M21 ''! ❑ d.MONTHLY ❑ e.OTHER(Specify): M, 22. M_3. c.OTHER(Specify): PROD D TESTS: Ela.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ Mza ❑ 3.WVENTORY RECONCILIATION ❑ a MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 11425. Mp TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): ❑ 6.VISUAL MONITORING DONE: ❑ a DAILY ❑ b.WEEKLY(Rcqui"agcncyapproval) Hex. ❑ 99.OTHER(Specify):-- V. Specify): V. PIPE MONITORING M30. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAIIATIENT yJW SECONDARY CONTAINMENT IS: a DRY [Ib.LIQUID FILLED El c.UNDER PRESSURE ❑ d UNDER VACUUM Af31. PANEL MANUFACTURER: Vel (�j]� M32. MODEL#: _ .0'724390-��' f'S (f M34. MODEL#( J Y M35. YP LEAK SENSOR MANUFACTURER: M36. a.YES b.NO WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ M37 WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? [I a YES Elb.NO [�K.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICASrOR SHUTS OFF f PRODUCT FLOW WHEN A LEAK IS DETECTED DT J- MLLDMANUFACTURER(s): Q�`C1QQETQ0 Mag MODEL#(S): S tLJ I ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS 1Mal. ELLD MANUFACTURER Moo. MODEL#: Mae. PROGRAMMED LINE INTEGRITY TESTS: [IINIM a.MUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1&P.IL M43 WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ❑ b.NO M44' WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? C] a YES ❑ b.NO l ❑ 4.INTEGRITY TESTING U45. Mab. TEST FREQUENCY ❑ a ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ❑ 5NISUAL MONITORING DONE: ❑ a_DAILY ❑ b.WEEKLY* ❑ e.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" M47- +..Requira agcnoy approval "Alkmcd for monitoring of unburied anogmcy gcncrwor fuel Piping only perwc§25291.5(b),(3) ❑ 6 PIPING IS SUCTION pIP AI t MEETING ALL REQ NTS FOR,EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 7 NO PROD # OR OTE FtI L PIPING LS CONNECTED TO THE iJST(s) g ti 4 Og_3111 { f