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DocuSign Envelope ID:618BCOD1-3A2D-412B-BA33-27E602E49359 <br /> SA N 10 A Q U I N Environmental Health Department <br /> COUNTY— <br /> 1. MONITORING: All monitoring equipment must be listed in the State Water Resources Control Board <br /> Division of Clean Water Program Local Guidance Letter 113. <br /> Check Code <br /> Box Section <br /> 23 All secondary containment units (e.g. tank annular spaces, secondary piping, sumps, <br /> 2632CR under-dispenser containment, etc.) monitored for leaks using approved electronic leak <br /> 2636(f) detection systems. <br /> Electronic monitoring sensors located at the following points: <br /> ° At the bottom of the interstitial space of each secondarily-contained tank, <br /> positioned as near as possible to the bottom of the tank. <br /> Manufacturer Veeder-Root Model 794380-303 <br /> ° In each collection sump, positioned as near as possible to the bottom of the <br /> collection sump. Additionally, in any sump acting as secondary containment for <br /> unused tank openings which connect to the primary space. <br /> Manufacturer Veeder-Root Model 794380-208 <br /> 23 CCR <br /> 2632 <br /> 630(d) ° In dispenser pans which do not drain into secondary containment piping. (Note: <br /> A mechanical switch which triggers a shear valve may be substituted but this <br /> system will not qualify for the annual line tightness test exemption under 23 CCR <br /> 2636(g)). <br /> Manufacturer N/A Model N/A <br /> ❑Along secondarily-contained pipe runs which do not meet the 1/8 inch-per-foot <br /> slope requirement, positioned in the depressed or low-lying areas. <br /> Manufacturer Model <br /> 23 CCR Automatic line leak detectors installed to monitor underground pressurized piping. <br /> 2636(f) <br /> 1� HSC Manufacturer Veeder-Root Model 859oso 001 <br /> 25290.1 h <br /> 25290.2 <br /> Alarm panel provides both audible and visual alarms. It is located in a protected area <br /> y 23 CCR and within sight and hearing distance of on-site personnel and hard-wired to a <br /> 2632(c)(2)(B) dedicated circuit. <br /> Manufacturer Veeder-Root Model 860091-302 <br /> J. OTHER COMPONENT INFORMATION: <br /> COMPONENT MANUFACTURER MODEL COMPOSITION <br /> Xerxes C710028 Fiberglass Reinforced <br /> SUMP C710020 Plastic(FRP) <br /> B8250-D30 <br /> UNDER-DISPENSER S Bravo Systems B8257-D30 Fiberglass Reinforced <br /> CONTAINMENT B8254-D30 Plastic(FRP) <br /> F-07RS-0-DF F-10RS-0-DF Fiberglass Reinforced <br /> S Bravo Systems 11 F-07-GR F-20-S-F g <br /> PENETRATIONS Plastic(FRP) <br /> F-32S-T-F F-43S-T-F <br /> 8of8 <br />