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UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE 2 <br /> F71. <br /> .,�,',�cx%g�,�A�..� Mso. <br /> ORING OF AREAS BENEATH DISPENSERS)IS PERFORING THE FOLLOWING METHODS)(Check all that apply) <br /> ONTINUOUS ELECTRONIC MONITORI G OF UNDER DISP�TiSER CONTAINMENT(UDC) L _ a 5 Msz. <br /> PANEL MANUFACTURER: — MODEL#: c3 <br /> /�^ M54. <br /> LEAK SENSOR MANUFACTURER: P0� lrr Mss. MODEL#(S): t J <br /> M55. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? Fa <br /> ES Elb.NO M56. <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? Msz. <br /> WILL FAILUREIDISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? YES El b.NO <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEARaVALVE IN CASE OF LEAK M59. <br /> ASSEMBLY MANUFACTURER: MODEL#(S): <br /> M60. <br /> 3.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY(Requires agency approval) <br /> ❑ 4.NO DISPENSERS M61 <br /> ❑ 99 OTHER(Specify) <br /> 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK <br /> DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644 1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> Fg <br /> jl <br /> 77 <br /> r�R.i.�N <. . � a ., ii.I,_.�.. ., x �, Mao. <br /> REFERF,piC$DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> L a S UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. 11 R TING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) <br /> 4 IFORPIIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" Mai <br /> 99.❑ OTHER(Specify): <br /> ith all of the above documents relevant to their job duties and can access those documents when needed. <br /> Personnel with UST monitoring responsibilities are familiar w <br /> By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By <br /> January 1,2005,and annually thereafter,the "Designated UST Operator"will Vain facility employees in the proper operation and maintenance of the UST systems. <br /> This training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br /> A The facility employee's role with regard to the leak detection equipment. <br /> The facility employee's role with regard to spills and overfills. <br /> Whom to contact for emergencies and leak detection alarms. <br /> For facility employees hired on or after January 1,2005,the initial training will be conducted within 30 days of the date of hire <br /> a <br /> „r additional information required by your local agency): Mss <br /> please use this section to include any additional UST system monitoring-related information(e.g., <br /> x et: s <br /> % <br /> AS <br /> OF 1/1/05,THE"DESIGNATED UST OPERATOR"IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION - <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR 2715 b <br /> Mm <br /> RTIFICATI rti at information rovided herein is true and accurate to the best of my knowledge. M91. <br /> OWNER/O E RSI REPRESENTING DATE: <br /> ❑O i M90. <br /> perator �i <br /> M93. <br /> M9z. OWNER/O ERATOR TITLE: <br /> OWNER/OPE E(print): f o <br /> ® 2 Ir1►�'U�T�� a.G 1 � <br /> (Agency Use Only) This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑Disapproved <br /> Date: <br /> Local Agency Signature: <br /> Comments/Special Conditions: <br /> 07/23/03 <br /> SJCEHD-d(07/03)-3/4 <br />