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UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - PAGE 2 <br /> VI. DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATI I DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Ms0 <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) <br /> PANEL MANUFACTURER: Msl. MODEL#: M52. <br /> LEAK SENSOR MANUFACTURER: Ms3. MODEL#(S); M54. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a.YES ❑ b.NO M" <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M56. <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M'7. <br /> Z'2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: Zrpwn MSa. MODEL#(S): M,A('ir4h 7.4 o6. Mss. <br /> ❑ 3.VISUAL MONITORING DONE: [3a.DAILY C) b.WEEKLY(Regeureaag-cyapprovsi) Mho. <br /> ❑ 4.NO DISPENSERS <br /> 99.OTHER(Specify) niht. <br /> VII. ENHANCED LEAK DETECTION <br /> ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUSTIMPLEMENT ENHANCED LEAK M70. <br /> DETECTION(ELD)FOR THL LIST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMCD EVERY 36 MONTHS AS REQUIRED <br /> VIII. TRAINING <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mao. <br /> L Qj THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) <br /> 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS"' <br /> 99. ❑ OTHER(Specify): Msr <br /> 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. <br /> 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 <br /> January 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. <br /> This training will include,but is not limited to,the following: <br /> Operation of the UST systems in a manner consistent with the facility's best management practices. <br /> The facility employee's role with regard to the leak detection equipment. <br /> The facility employee's role with regard to spills and overfills. <br /> D Whom to contact for emergencies and leak detection alarms. <br /> For facility employees hired on or after January 1,2005,the initial training will be conducted within 30 days of the date of hire. <br /> IX. COMMENTS/ADDITIONAL INFORMATION <br /> Pleas use <br /> this section To InCCddeall+addiitional tL 2T system monitoring-related �nation(c g.,additional information required by your local agency): Mss <br /> llJ� Y s7' <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS OF I/1/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION – <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2715(b). <br /> XI. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:1 certify that the information provided herein is true and accurate to the best ofmy knowledge. <br /> OWNER/OPERATOR SIGNATURE REPRESENTING DATE: Mgt. <br /> ❑Owner M9o, <br /> ;E�-Operator — Cj <br /> OWNER/OPERATORME(print); M92' OWNER/OPERATOR TITLE: M93x LA,`)i k�� , <br /> S b©c rv�Fti <br /> (Agency Use Only) This plan has been reviewed pproved ❑Approved With Conditions ❑Disapproved <br /> Local Agency Signature: ✓ Date, <br /> Comments/Special Conditions: <br /> SJCEHD-d(07103)-3/4 07/23103 <br />