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SAN JOAQU COUNTY ENVIRONMENTAL HEALTH;)rFARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE 1 TYPE OF ACTION ET 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION Mui PLAN TYPE ❑ MONITORING 1S IDENTICAL FOR ALL USTs AT THIS FACILITY. Ml0 (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): L FACILITY INFORMATION FACILITY 1D#(Agency Use Only) ` M103. FACILITY NAME FACILITY SITE ADDRESS L-115 JQ0 -j?)tAC_yI � � 11°4 CITY Dc ,�O� Mos I.I. '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 perforated in M06. accordance with the equipment manufacturers'instructions,or annually hichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICFD ANNUALLY ❑ 99.OTHER(Specify): MOT 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 ofeach 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 MMC) "I OR1NG IS PERFORMED USING THE FOLLOWING ME-rHOD(S):(Check all that apply) ,t ' I 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: &3-.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M11, PANEL MANUFACTURER: o p M12. MODEL#: )( 71aS Mil LEAK SENSOR MANUFACTURER: tz4]�►Ar.l M14. MODEL#(S): G-s" 3 M15. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16. MODEL#: MtT IN-TANK PROBE MANUFACTURER: M18. MODEL#(S): M19 LEAK TEST FREQUENCY: ❑ a,CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20. ❑ d.MONTHLY ❑ e.OTHER(Specify): M21 PROGRAMMEDTESTS: ❑ a.0.1 g.p.h, ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): M22. M23. ❑ 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: ❑ a.36 HOURS ❑ b.60 HOURS Mei ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26 M27. ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency epp.ww) ❑ 99.OTHER(Specify): M28 V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METiIOD(S)(Check all that apply) Nr'" 9'1.CONTINUOUS ELECTRONIC MONITORIN�G,/QF PIPING SUMP(S)!TRENCHES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: Lid g DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31. PANEL MANUFACTURER: 11,*4 A,..s Max. MODEL#: �C `1t✓S Mas. LEAK SENSOR MANUFACTURER: r t rt_ 11134 MODEL#(S): t--S-3 M35. 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 21b.NO M37. L`7 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 IS DETECTED 1 MLLDMANUFACTURER(s): dr-. 1`�er-t D M39 MODEL#(S): :5-rf r�1��.17 f SQA I M39 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: Moa. MODEL#: M41 PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p,h. Mat WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M" 4.INTEGRITY TESTING �� TEST FREQUENCY: Lam'a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46. ❑ 5,VISUAL MONITORING DONE: ❑ a,DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY&EAC-H TIME SYSTEM OPERATED** M47- *Requires agency approval -Allowed for monitoringof vuburied emergency generator fuel piping only per HSC§25281..5(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) ❑ 99.OTHER(Specify) M48 SJCEHD-d(07/03)-1/4 07/23/03