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R EG D UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK JAN 1 b 213MONITORING PLAN — Pae I of 2) TYPE OF ACTION ❑ 1 NEW PLAN ❑ 2.CHANGE OF INFORMATION SAN JOAQUIN COUNTY PLAN TYPE 1,I MONITORING IS IDENTICAL FOR ALL USTs A THIS FACILITY (Check one irem onlr) Q2,THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(Sy HEALTH DEPARTMENT I. FACILITY INFORMATION FACILITY ID tt(Agena•Use Oehl 1 FA - vvo - 38 BUSINESS NAME(Same as F"cilin'Vnnie OBAI ✓ O / ��YR BIiSIN�(E�SS SITE.AppDD��RESS �/l�-� -� 1"3 CITY n� T�� vNL�L ✓dM177 l'✓ SSI II. QUIPMENT ESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)most be performed at the frequency specified br the eyuipmem manufacturers'instructions,or annually,whichever is more frequent Such worA must be performed by qualified personnel.Iv CCa 3xrn±an 2r,3x.2a+n MONITORING EQUIPMENT IS SERVICED I.ANNUALLY 99.OTHERS cit' ❑ ( Pe Y)� Jw�Se IH. MONITORING LOCATIONS ❑ 1 NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN 9 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED S ''J CCR§Y.312634 IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) rea(ak JR I CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) +•""` WITH AUDIBLE AND VISUAL ALARMS.R3 CCR 3210.±6341 SECONDARY CONTAINMENT IS a. DRY Q ❑ c.PRESSURIZED ❑ d.UNDER VACUUM J•""' �' ❑ b LI UID FILLED PANEL MANUFACTURER- 1�ov A'N J•"" MODEL G: XTLS 4•""' LEAK SENSOR MANUFACTURER. 2xrAli 4•NL° MODEL N(S): �j J•"`I" ❑ 2 AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGL F WALL TANK(S).123 cca 32(431 PANEL MANUFACTURERJ•"`I'- MODEL H: Jw''11 IN-TANK PROBE MANUFACTURER. J•"'"IJ MODEL A(S): J•"'" LEAK TEST FREQUENCY. ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLYax"m ❑ c.WEEKLY ❑ d MONTHLY ❑ c OTHER(Speeify): DNi11 PROGRAMMED TESTS. 0 a.0.1 g.p.]I ❑ b.0_ • h. _ ...._... 'S P ❑ c.OTHER(Specify): J•n�-o, ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION DCCR§2(1,11 _ 21 ❑ 1.WEEKLY MANUAL TANG GAUGING(MTG)I23 CCR 32rwl TESTING PERIOD: ❑ a.36 HOURS Elb.60 HOURS Jx,22 ❑ i TANK INTEGRITY TESTING PER 123 CCR 42(43 If - - - +•+l--i TEST FREQUENCY. ❑ a.ANNUALLY [I ❑ cOTHER b.BIENNIALLY (S d'px y): +•A"x . 4•A"2s ❑ 99. OTHER(Specify). _ - - - v4:ri$r J•A"21 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) "Check"/( rharapply) I� I CONTINUOUS MONITORING OF PIPE/PIPING SUM PIS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS 2x I,ax SCCONDARY CONTAINMENT IS: a DRY +•""=° )$' ❑ b LIQUIDFILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM PANEL MANUFACTURER 94 9" +•"6311 MODEL p: X LEAK SENSOR MANUFACTURER: 4"`322 MODEL k(S) L37 +•x433 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP I,e.'TURBINE)SHUTDOWN ❑ a.YES ❑ b.NO J•"i" FAILURE/DISCONNECTION OF THE MONffORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES ❑ b.NO 4•""3s �'_. MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 30 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED I23CC1L316361 MLLD MANLJFACTURER(S). f�i QIw" 4,37 MODEL k(S): `717P114 SrrMw ❑ 3 ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.133 CCR321•36I J•""3' ELLD MANUFACTURER(S): 4`"1-"' MODEL k(S): Jw"I PROGRAMMED IN LINE LEAK TEST. g p ❑ b.MINIMUM ANNUAL 0.1 g.p.h. ❑ a.MINIMUM MONTHLY 02 h ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO J•"13 ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ &YES ❑ b.NO 4•"1J4 X4.PIPE INTEGRITYTESTING - - .._ -+•""+s TEST FREQUENCY. Oa.ANNUALLY b.EVERY 3 YEARS ❑ c.OTHER(Specify) �+4•r a�Jr• ❑ i VISUAL PIPE MONITORING. �,O +•M4+" FREQUENCY ❑ a.DAILY ❑ b WEEKLY ❑ c.MIN MONTHLY&EACH TIME SYSTEM O •n1lor.eJr i ny of b xe emerya,Mr_kmv vor Fuel ppnaoN±W HSC bX31 ❑ 6 SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR 421311,111 ❑ 7 NO REGULATED PIPING PER HEALTH AND SAFETY CODE.DIVISION 20.CHAPTER6.7 IS CONNECTED TO THE TANK SYSTE� _ 44-51 ❑ 99.OTHER(Specify) J $± 4•x"3, L'PCF CST-D(12/2007)-114 www.unidms.org