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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 M01. TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION Mol. PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEMS) qz FACILITY ID#(Agency Use Only) M03. FACILITY NAME '- (� MOS. FACILITY SITE ADDRESS g, t State law requires that testing,preventive maintenance,and calibration of nitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06. accordance with the equipment manufacturers'instructions,or annuall ichever is more frequent. Such work must be performed by qualified personnel. M07.. MONITORING EQUIPMENT IS SERVICED 1 ANNUALLY ❑ 99 OTHER(Specify) ., 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 milij etc.)which shows all required information include it with this plan. i 5 wf F e7W- M7 r gra ate., MO RING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) Mi 1. SECONDARY CONTAINMENT IS: ❑ a.DRY LIQUID FILLED ❑ c.UNDER PRESSURE_❑ d.UNDER VACUUM M12 MODEL#: I L-S - CJS M13 PANEL M15. 1-i M14. MODEL#(S): GI LI g O- 303 LEAK SENSOR MANUFACTURER: VP�e J -'�®� ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKS) MIT PANEL MANUFACTURER: MODEL#: Mis. MODEL#(S): M19. IN-TANK PROBE MANUFACTURER: M20 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M21. . [Id.MONTHLY ❑ e.OTHER(Specify): Mz2. M73. PROGRAMMED TESTS: [I a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): M24. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 M25 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 M26. M27. TEST FREQUENCY:VI ❑a�TNUALLY ❑ b.BIENNIALLY E] c.OTHER(Specify): SUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY(Requires agency approval) M28 ❑ 99 OTHER(Specify) £ c a p; %,.., �r '.��?. .� t.�..r,,.. .,. -.,, � .,a .`.'$r .,,14E„ .� ,?' �... .,...�;� ., ;a .., ,.: ,;.., M30. MO ORWG IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING0'FOPING SUMP(Sy MNCH(ES)AND OTHER SECONDARY CONTAINMENT M31. SECONDARY CONTAINMENT IS: a.DRY ❑A LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M33. W2. MODEL#: L� "'- Z � PANEL MANUFACTURER: Mas, LEAK SENSOR MANUFACTURER: - W4. MODEL#(S): �� t-1 3 D -3 a.YES ❑ b.NO M36. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑ M37 WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR fSHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETE,C T�De Q - � M31. MODEL#(S): _I L-� lJ M39, MLLD MANUFACTURER(s): �/ [13.ELECTRONIC LINE LEAK DETECTO�(ELLD)THAT ROUTINELY PFtiRFORMS 3.0 g.p.h.LEAK TESTS Q o c�"C Moo. MODEL#: ��l'I ACU- �D.3 Mal. ELLD MANUFACTURER: ��C_ �� IzMae. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M43 b.NO❑ . WILL ELLD DETECTIONOF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN. ❑ a.YES Maa ❑ WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES b.NO 4.INTEGRITY TESTING Mas. M46. TEST FREQUENCY: LLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) S.VISUAL MONITORING DONE: a.DAILY D b.WEEKLY* ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. *Requires agency approval -Allowed for rnonitoring of unburied emergency generator fuel piping only per HSC§25281,5(6)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(ax3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) M48 ❑ 99.OTHER(Specify)_ 07/23/03 SJCEHD-d(07/03)-1/4