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Jul ?1 08 04:27p 209-367-5424 p.4 UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 2 VI.DISPENSER MONITORING MONT'ORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING NIETHOD(S)(Check all that apply) SOO. [S�I CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANEL MANUFACTURER: V»SOI A-R M51' MODEL#: R'b.S-3S� M5z LEAK SENSORMANUFACTURER: Mme- MODELA(S):_ 2OR M54. WILL DETECTION OF ALEAK INTO TETE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? a YES ❑ b.;\TO M55. %M L A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? �9a.YES '#%'ILL FAILUREtD1SCONNECUON OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC P[Ae SHUTDOWN? )�'a.YES ❑ b.NO 1AS7 ❑ 7-MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE W CASE OF LEAK ASSEMBLY MAINUFACI'URER: MS& MODEL,-,(S)C M59. ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ Is.WEEKLY(Regains age w wpm W) MG(X ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) Mfi1. . ENHANCED LEAK DETECTION ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES COIN'TRCL•BOARD THAT WE MUST IMPLEMENT EAT-LANCED LEAK a�' DETECTION(ELD)FOR TIS UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.I.ELD IS PERFORMED EVERY 36 MO\''THS AS REQUIRED VIII. TRAINING RFFRRR DOCUMENTS MAINTAINED AT FACILITY(Chock aff that apply) M80. 1. S UNDERGROUND STORAGE TANK MONITORING PLAN(Req aired) 2. ' PERMING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. [r THE FACILITY'S BEST MA NAGl?MMNf PRACTICES(Required as of I101n905) 4. [-'^CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. CALIFORNIA UNDERGROUND STORAGE TANK LAW b. STATE �A7ATER.RESOURCES CONTROL BOARD (SWRCB) PUBLICATION:"HANDBOOK FOR TANK OWNERS -MAN[AL AND STATISTICAL INVENTORY RECONCILEATION" 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE.TANKS" 99.❑ OTFIFR(Specify): Nest. Personnel with UST monitoring respotutbilities ane famma"barwith all ofthe above documents relevautto their job duties and can access those documents when needed By January I,2005 this facility will have a"Designated UST Operatoe"who hank passed&L operator exam administered by the International Coda Codi(ICC). By January 1,2005,and annually thereafter,the "Designated UST Operator"will traits facility employees in the proper operation and maintenance of the UST systems. This training will include,but is not limited to,the following: 'e Operation of the UST systems in a summer consistent with the facility's best management practices. ➢ Ila facility employee's role with regard to the leak detection equipment. Y The facility empbyee's role with regard to spills and ovc&lis. ➢ Whom to contact for emergencies and leak detection alarms. For facility employ ots hired eta or after January 1,2005,the initial training will be conducted within 30 days of the data of hire. LY. CO MENTSIADDITIONAL INFORMATION Please use this section to include any additional UST system monitoring-related information(e.g.,additional information requked by your local agency): utas. 11) tJLQ,PXL&. =S padav-zoteb ey Ara op"I 4150 c�I�tt. Ca1a.t r �..' Otit PRej s'S At-Sim vagpdAmea Sy MU® A r'7'1'1€ vlesoetReft TL-S+-3,T0 6L C-10-SI-S. 9 09"1-4- X. PERSONNEL RESPONSIBILITIES AS OF 111105, THE`DESIGNATED UST OPERATOR IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATLNG PERN TT APPLICATION- FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACl'IVTTJES AND MAINTAINING LEAK DEIMCTION EQUIPMENT COVERED BY TkHS PLAN,ARID WILL PERFORM AND DOCUMENT MINMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2715(b} XI. i/OPERA.TOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the crest of ml knowled PERATOR SIG TUR$ REPRESENTING DATE: MI. ❑Owner M90 &,vA.,f ZGor for OPERATOR AME(print)_ A29z OPERATOR"flTLE: j)eSLTa,0-J °L J'as EPN IBA y LAWATAGAGWOJ6 (Agency Use Only) This plan has boon reviewed and Apprm od ❑Approved With C.WMons ❑rr�� pproved Disa OSLocal Agency Signature: Ann Date: � oJ' v Comments/Special Conditions: SJCEHD-d(07/03)-314 07/23103