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SAN JOAQUINIMUNTV ENVIRONMENTAL HEALTH D&RTMENT UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE 2 VI.DISPENSER MONITORING MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M50. ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANEL MANUFACTURER: M51 MODEL#: M52 LEAK SENSOR MANUFACTURER: M53- MODEL#(S): M54. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a.YES ❑ b.NO Mss. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M16 WILLFAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mss. 2r 2.MECHANICAL ASSEMBLY(e.g.,FLOAT ND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK DC ASSEMBLY MANUFACTURER: J Q M" MODEL#(S): M59 ❑ 3.VISUALMONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requirm agemy approW) M60 El 4.NO DISPENSERS ❑ 99.OTHER(Specify) M61 VII. ENHANCED LEAK DETECTION ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M70 DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII. TRAINING REFS ENCS DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mso. 1. [9 THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. CR OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. 19 THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION' 7. ❑ SWRCB PUBLICATION_"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99. ❑ OTHER(Specify): M81 Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. 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 January 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. This training will include,but is not limited to,the following: ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. D The facility employee's role with regard to the leaf;detection equipment. The facility employee's role with regard to spills and overfills. ➢ Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after January I,2005,the initial training will be conducted within 30 days of the date of hire. IX. COMMENTSfADDITIONAL INFORMATION Please use this section to include any addition I UST system monitoring-related inf rmation(e.g.,additional info 1 required by your local agency): Mss TYPE OF OVERFILL PREVENTION= �.�� at.: /� � e X. PERSONNEL RESPONSIBILITIES AS OF 1/1/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION — FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS 1N ACCORDANCE-WITH 23 CCR¢2715(6). XI. OWNER/OPERATOR SIGNATURE CERTIFICATION: I certify that the information provided herein is true and accurate to the hest of my knowledge. OWNERI0PEI2AT SIGNA U 7 RERE ESENTIN_G DATE: M91. . Owner M90. Operator �/ o ERIOPERATO E(print): M92' OWAERJOPkATOR TITLE: "193 O el e�s- s l rl� 1 r Li (Agency Use Only) This plan has been reviewed and: pproved ❑Approved With Conditions �❑jyDi]sapproved Local Agency Signature: Date: Comments/Special Cond' ns: SJCEHD-d(07103)-314 07/23/03