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Jul 21 08 04:27p 209-367-5424 p.3 SAN JoAQUjN OUNTX ENVIRON311MAL HEALTH DE TMENT UNDERGROUND MR4GE TANK MONITORING PL -PAGE I TYPE OF ACTION ❑ L NEW PLAN MITCHANYGE OF INFORMATION nm2 PLAN TYPE GkGONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING CST SYSTEM(S): I. FACILITY INF® TION T ACILITY ID ii(Agency Use Only) - M03. FACILITYNArL1E c�q,� ZnIF113 t?trs C®u Qowls're4al3 PAawacN4GAAAaJE M . FACILITY SITE ADDRESS t'2 E S. SftiAl A 714 u7W%2 g IL-r MOA CITY 5-.MC, py y 05 II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of mordwrine equipment(e.g.,sensors,probes,lino Icak detectors,air-.)be performed in Mme• accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work most be performed by qualified personnel. VONITORING EQUIMIENT IS SERVICED ISIk A'vITTL:ALLY ❑ 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 perfonued(i.c.,location of each sensor, line leak detector,monitoring system control panel,eta). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form.Hazardous Materials Business Plan map,cta)which shoos ail required information,include it with this plain. IV. TANK MONITOR NG M YOKING IS PERFORNIED USTtiG THE FOLLOWING METHIDD(Sx(Cha�k all II&A apply) Comm.Noll UOUS ELECTRONIC MONITORINGOF TAI%K ANNULAR(INTERSTM AL)SPACE(S)OR SECONDARY CONTAINMEW, V AULT(S) SECONDARY CONTAINMENT IS: &01 DRY ❑ b.LIQUID FILLED ❑ a UNDER PRESSURE ❑ d.UNDER VACUUM PANEL MANUFACTURER: V F.fLA§r Z' --A a0-r M12 mmm g: T'L s -35o M!3. LEAK SENSORMANUFACMIZER: V9I494- ARdT M14. MODEL.#(S)c Mrs. ❑ 2 AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL-MTUREANUFACR: M16. MODEL#: Mt7. IN-TANK PROBE MANUFACTURER: Atrs MODEL#(S): M tz LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ a WEEKLY M2Q. ❑ d.MONT[ELY ❑ a OTHER(Spczifyk M221i. 1123. PROGRAM(VIED TESTS: ❑ a.0.1 g p.h. ❑ b.0-2 g.p.h. ❑ a OTHER(Specify): ❑ 3.INVENTORY RECONCILIATION C] a.MANUAL PER 23 CCR§2616 ❑ b.STATISTICAL PER 23 CCR§2646I 1124. ❑ 4.WEEKLY MANUAL TANK GAUGING(MM)PER 23 CCR§2645 azo$ TESTING PERIOD: C] a 36 HOURS ❑ b.60 HOURS ® S.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ® a ANNUALLY [3b-BIENNIALLY [3e-OTHER(Specify): N=& Mz. ❑ 6.VISUM,MONITORING DONE: ❑ a.DAILY ❑ b_WEEKLY M--s- 3,-m-0 M2& ❑ 99.OTHER(Specify): V. PIPE MONITORING MO OPING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mia. 1 TCONMNUOUS ELECTRONIC MONFTORIN�G,OOF PIPING SU-NIKSYMENCH(ES)AND 0-111ER SECONDARY CONTAINUENT SECONDARY CONTAINMENT IS: 1_v f a DRY ❑b.LIQUID FILLED ❑ c-UNDER PRESSURE ❑ d.UNDER VAC JUM Mat. P,U4E.L.MANUFACCt3RELL' V'F: ^Rwe'T sin MODEL#: NoM=f-1J74b.I• M33 ? LEAK SENSORMANUFACf[WIL VIE 1t:OIFA -Me 011' Mia. MODEL#(S): 20 _ M35. VLTLL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOIAW � a.YES [Ib.NO M355. R'IId.FAILUREIDISCONNECTION OF THE MOAIITORIN G SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN" 11"$YES C] b.NO M37. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 gbh. LEAD TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOI!.WHEN A LEAK:IS DETECTED MLLD ImfAttvFACTURER(a): YAft112 tS5 Mas. MODEL M(S)4 e..�? 2oe9a 1439. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUFINEL Y PERFORMS 3.0 g p h.LEAK TESTS ELLD MANUFACTURER M m MODEL#: a(al. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p b. ❑b.MINIaLUh i ANNUAL 0.1 g.plt Moa. WILL ELLD DETECTION OF A PIPING LEAF(.TRIGGER AUTOMATIC PUMP SHUIDOOWN'$ ❑ a-YES ❑ b.NO WILL ELLD FAILURF-DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOR'V? ❑ a.YES ❑ b.NO MA`• ❑ 4.INTEGRITY TESTING 'FFREQUENCY: ❑ a.ANNUALLY ® b.EVERY 3 YEARS ❑ c.OTHER(Specify) etas. Mab. EST ❑ 5.VISUAL MOMTORWG DONE-. ❑ a.DAILY ❑b.WEEKLY" ❑ eMtN.1VIONTHLY&EACHTLVIESYSMIOPERATED- 1,147. .Aaquita agency%T-,t "'°Al�wOd fee obrug ofunbaimd.amm.¢orygm�G:fiat pipina may pm nLSC§2528[S(bx3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MOivTTORING PER M CCR§2636(a)(3) ❑ 7.No PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) SYSTEM WAS RtMar'ITiE irSr__r Ma& ❑ 99.OTHER(Specify) SSC! d(07!03)-19 0723!03