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SAN JO IN COUNTY ENVIRONMENTAL REALrMEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION ❑ L NEW PLAN ❑ 2.CHANGE OF INFORMATION 701. PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. Moz. (Check one item only) ❑. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): w - _ '" I. FACILITV INFORMATION FACILITY IO#(Agency Use Only) ysF# FACILITY NAME ( S v p LA mm. FACILITY SITE ADDRESS 15c CC S . -A A 1 /t N yh sto^ CITY rly, G� f?3 o Mos. H. EQUIPMENT TESTING G ANDY PREVENTIVE'MAINTE AN!I E J J State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed 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 SERVICED 2111.ANNUALLY ❑ 99.O"PHLR f1)� (S eci M67 P z IIL MONITORING-LOGATIONS�, _ This monitoring plan must include a Site Plan showing the general tankand piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, line leak detector,monitoring system control panel,etc.). Ifyou already have a diagram(e.g.,curentUST 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 ORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all.that apply) ulo. CONTINUOUS ELECTRONIC MONITORING OFF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: t)ye..DRY ❑. b.LIQUID FILLED ❑. c.UNDER PRESSURE ? ❑ d.UNDER VACUUM M11- PANEL II.PANEL MANUFACTURER: &4&g Z"-r/ M12. MODEL#: !'A ora�dflo/(9/JD/XJr1 M13. LEAK SENSOR MANUFACTURER: L ZegaH M14. MODEL#(S):-.t^7/RL dp76.C3S'v'a! M1s. ❑ 2.AUTOMATIC.TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WA i_L TANK(S) e3� PANEL MANUFACTURER: M16. MODEL 4: M17. IN-TANK PROBE MANUFACTURER: Mla MODEL#(S): M19. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑. b.DAILY/NIGHTLY ❑ c.WEEKLY Mzo. ❑ d.MONTHLY ❑.e.OTHER(Specify): M21. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b..0.2 g.p.h. ❑ c.OTHER(Specify): M�2 M23. ❑ 3.INVENTORY RECONCILIATION ❑. &MANUAL PER 23 CCR§2646 ❑. b..STATISTICAL PER 23.CCR§2646.1 M>A ❑ 4..WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. ❑ 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(Rs,.,,.agency appmval) ❑ 99.OTHER(Specify). >rzs. %PIPE MONITORING_ PORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) ni30 CONTINUOUS ELECTRONIC MONITORING 0 PIPING SUMP(SYTRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: DRY ❑ b.LIQUID FILLED ❑.c.UNDER PRESSURE ❑ d.UNDER VACUUM M1O1 PANEL MANUFACTURER: YLIEZE12ho�-f� nnz. MODEL H: Koli LEAK SENSOR MANUFACTURER: �"I�,rw- M M34. MODEL#(S): Mss. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? a.YES ❑.b..NO MJ6. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC.PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Ms7. ❑ 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 MLLD MANUFACTURER(s): Mia. MODEL#(S): W9. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g,p.h..LEAK TESTS ELLD MANUFACTURER: M40. MODEL#: M41. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b..MINIMUM ANNUAL 0.1.g.p.h. M42. 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 M44. ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑.a.ANNUALLY ❑ b.EVERY 3 YEARS. ❑. c..OTHER(Specify) M45.. MU. ❑ 5.VISUAL MONITORING DONE: F-1 a.DAILY ❑.b.WEEKLY' [1.c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED-* M47. 'Regwrnsagmi Wrnv ••.A].o formo wingofunburid..menry generumr fuel pipinaonlyper MC§25281.5(b)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(ax3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) Mos. SJCEIID-d(07/03)-1/4 07/23/03