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t SAN JOAQUIN*UNTY ENVIRONMENTAL HEAL l H ltJ&x tvir-i., UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE 1 Mal. TYPE OF ACTION ❑ 1.NEW PLAN [12.CHANGE OF INFORMATION Maz. 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#(Agency Use Only) - Mo3.- FACILITY NAME '� FACILITY SITE ADDRESS ° CITYLo Mos. H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc-)be performed in Mob. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED g L ANNUALLY E] 99.OTHER(Specify): M07 III. MONITORING LOCATIONS 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 map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mlo. 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS; ;g DRY ❑ b.)LIQUID FILLED ❑ c_UNDER PRESSURE ❑ d.UNDER VACUUM PANEL MANUFACTURER: M12. MODEL#: LEAK SENSOR MANUFACTURER: aa14. MODEL#(S): Mss. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TAS PANEL MANUFACTURER: MLa. MODEL#: ML7. IN-TANK PROBE MANUFACTURER: Mlg. MODEL#(S): M19_ LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20 ❑ d.MONTHLY ❑ e.OTHER(Specify): PROGRAMMED TESTS: ❑ a.0.1 g.p.h_ ❑ b.0.2 g.p.h. ❑ c.OTHERM22. M73 (Specify): ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR¢2645 TESTING PERIOD: Ela.36 HOURS ❑ b.60 HOURS Mzs. ❑ S.INTEGRITY TESTING PER 23 CCR§26411 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY E] c.OTHER(Specify): M26 M27 ❑ 6.VISUAL MONITORING DONE: 0 a_DAILY ❑ b.WEEKLY(Requi-agency approval) MZg ❑ 99.OTHER(Specify): V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M30. kif t.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: a�RY K LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31. �/ M32. MODEL#: M33. PANEL MANUFACTURER: e D {y LEAK SENSOR MANUFACTURER: f/ M34 MODEL#(S): 0t] 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? ❑ a.YES ❑ b.NO M37. ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 gp.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED - MLLD MANUFACTURER(s): Mag. MODEL#(S): M39. g 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT UTINEJ�Y PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER:-OE 4 M4°. MODEL#: M41. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. El b.MINIMUM ANNUAL 0.1 g.p.h. M42. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ff a.YES ❑ b.NO M43. WILL ELLD FAILURFJDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b_NO M44. ❑ 4.INTEGRITY TESTING TEST FREQUENCY` ❑ a.ANNUALLY C1 b.EVERY 3 YEARS ❑ c.OTHER(Specify) Mos. Moe. ❑ $.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED. M47. -Requires agency approval "Allowed for monitoring of unburied emergency generator fuel piping only per HSC 12526 L.S(b)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 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