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01/08/2004 08:23 2094683433 FIFTH FLOOR PAGE 13 a ft SAN JOAQM COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE I TYPE OF ACTION 0 1. NEW PLAN 2. CHANCE OF INFORMATION moil PLAN TYPE [J MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY- MCI ((;bcck one item only) L] THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): FACILITY ID # (Agwwy Use Only) FACILITY NAME FACILITY SITE ADDRESS mol. CITY M05. state law requires that testing, preventive maintenance, and calibration of mortilaring equipment (e.g., sensors, probcs,)inc leak detector,,, etc.) be performed in MOC accordance with the equipment manufacturers' instructions, or annually, whichever i� more frequent. Such work must be performed by qualified persojincl. MONITORINGEQUIPMENT IS SERVICED El 1. ANNUALLY rl 99. OTHER (Specify)- M07 his i ring plan must include a Site Plan showing the general tank and piping layouts and the location-; where monitoring is performed (i.e,. loc -f each w-nsor, line leak detector, monitoring system control pancl, ctc.)- If you already have a diagrarn (e,g., current UST Monitoring Sitc Plan from a Mcmitoring Systern Certiflc;ation form, Hazardous Materials Busircss Plan etc,) which shows all rcqviTcd information, include it with this plan. cr MONITORING IS PERFORMED USING TRE FOLLOWING METHOD(S): (Check all that apply) M10. a]. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAuLT(S' ), SECONDARY CONTAINMENT IS: a. DRY Kb. LIQUID FILLED c. UNDER PRESSURE d. UNDER VACUUM M'l- 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER; M16. MODEL #: MIT IN -TANK PROBE MANUFACTURER! mls- MODF-L*(S): M19. LEAKTEST FREQUENCY: a. CONTINUOUS b. DAILYINIGHTLY WERYLY MM 4. MONTHLY c. OTHER (Specify): PROGRAMMED TESTS: n a. 0. 1 g,p.h. jj b. 02 g,p,h, c. OTHER (Specify): V5:2 W3 3. INVENTORY RECONCILIATION [3 a. MANUA). PER 23 CCR §2646 171 b. STATISTICAL PER 23 CCR§2646-1 NC4, r_1 4. WEEKLY MANUAL TANK CiALJGINQ (MTG) PER 23 CCR §2645 TESTING PERIOD: . Q a. 36 HOURS [I b, 60 HOURS 5. INTEGRITY TESTING PER 23 CCR §2643.1 M.!6 N127. TEST FREQUENCY: a. ANNUALLY 0 b. BIENNIALLY El c. OTHER (Specify): El 6 -VISUAL MONITORING DONE: a. DAILY b. WEEKLY (Requim zgency appro�D 99. OTHER (Specify): MM 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 CONTAINMENT SECONDARY CONTAINMENT IS: a. DRY [I b. LIQUID FILLED 0 c. UNDER PRESSURE 1. UNDERVACLIUM X M11 PANEL MANUFACTURER, P-C�Ot MODEL #: _T L- 5 35-0 M33. WILI, A PIPING LEAK ALARM TRjGG9R AUTOMATIC PUMP (i.c., TURBINE) SHUTDOWN? Xa. Yi.,Snb.. NO WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? 1:1 a. YES [I b- �10 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 S.p.h. LL -AK TESTS AND RESTRICT'S OR SIT�JTS OFF pR0DuCj- FLOW W14EN A LEAK IS DBT M39. do MODEL A(S)" o96 -5-rx MLLD MANUFACTURER(s): -r, 3- 5LECTRONIC LINE LEAK DETECTOR. (ELLD) THAT ROUTINELY PERFORMS 2.0 g.p,h. LEAK TESTS PROGRAMME)) LINE INTEGRITY TESTS: a, MINIMUM MONTHLY 0.2 - h. Q b. MINIMUM ANTOJAL 0.1 U.?.h. M4.2, WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SIJUTDOWN? a. Yl�$ b. NO M43. WILL SLLD rAILLME/DISCONNSCTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ED 4. INTEGRITY TESTING W5, TEST FREQUENCY: a. ANNUALLY b. EVERY 3 YEARS El c, OTHER (Specify) 9 0 MTN. MONTHLY& EACH TIME 15YSTEM QPERATEr- M46, M47. [I 5.VISUAL MONITORINO DONE: a, DAILY b. WEEKLY* c. 0 6. PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR §26366(a)(3) 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) 99. OTHER (Specify) M48. suc=`d (0,m3)^1/4 v7/2J/U3