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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 ,..,`K. M61 TYPE OF ACTION ❑ ].NEW PLAN GCHANGE OF INFORMATION MV PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agenry Use Only) I I I — MLL: FACILITY NAME 9,AlIsc-Ao Mus FACILITY SITE ADDRESS I j C L.N Mod CITY H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line Irak detectors,etc.)be performed in MI. accordance with the equipment manufacturers instructions,or annually,whichever is more frequent Such work most be performed by qualified personnel. a Ma) MONITORING EQUIPMENT IS SERVICED 14 1.ANNUALLY ❑ 99.OTHER(Specify). III. MONITORING LOCATIONS This monitoring plan most include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(ix,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 Ha tardous Materials Business Plan map,etc.)which shows all required information include it with this pin. IV. TANK MONITORING MIG MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) *0 1.CONTINUOUS ELECTRONIC MONITORINq OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS IFa DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSU��R)E)4/ d.UNDER VACUUM MII. PANEL MANUFACTURER: Vin � TC -s so Mll. MODEL 0: a?�2C7D""�ZZ-�S�- MI3. LEAK SENSOR MANUFACTURER: MI<. MODEL#(S): MD. UfOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKf5) PANEL MANUFACTURER: M16- MODEL#: M17 IN-TANK PROBE MANUFACTURER: MIR. MODEL#(S): MIs. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20. ❑ d.MONTHLY Ll e.OTHER(Specify): Mzl' PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): M22. M23. ;5-1.1 VENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS Mzs. $5.INTEGRITY TESTING PER 23 CCR§2643.1 ,,�� TEST FREQUENCY: r-1 a.ANNUALLY [3b.BIENNIALLY [I c.OTHER(Specify): M26. Mn I—o�vISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY tllegnirtr Xgency appmvd) M28 D19<0THER(Specify): V. PIPE MONITORING ,MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mau. pr 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)TRENCH(ES)AND OTHER SECONDARY CONTAINMENT la SECONDARY CONTAINMENT". DR/y/ [Ib.LIQUID FILLED ❑ c.UNDER PRESSURE _❑ d.UNDER VACUUM M31. PANEL MANUFACTURER: „�'' '3 CO MSz. MODEL#: M31. LEAK SENSOR MANUFACTURER. /gT(zajz f7b,--'r- Mld. MODEL#(S): •• Z� Mas. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? a.YES ❑ b.NO M36, WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? Iia.YES ❑ b.NO M31 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK 15 DETTECT�ED Mia �2V ST.RM 4-O'C M39. MLLD MANUFACTURER(s): Q--�� -� - MODEL ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: Mao. MODEL#: M41. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M63. WILL ELLD FAILUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M61. .INTEGRITY TESTING r6-A� [I [I �/ TEST FREQUENCY: ' NNUALLY b.EVERY 3 YEARS e.OTHER(Specify) /� *- Mos. M46 �� . ❑ 5.VISUAL MONITORING DONE: 0 a.DAILY ❑ b.WEEKLY- ❑ C.MM.MONTHLY R EACH TIME SYSTEM OPERATED— M47. 1�� •Requim-aemy ggmval ••AIIawW for monnonng ofwWned emcge aenm rfud Piping only per HSC§25281 WING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) O PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) MdX .OTHER(Specify) SJCEHD-d(07/03)-1/4 0723/03