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y J SAN JOAQIWCOUNTY ENVIRONMENTAL HEALT PARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - PAGE 1 <br /> TYPE OF ACTION ElI.NEW PLAN ❑ 2.CHANGE OF INFORMATION Mot. <br /> PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. maz. <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) - - <br /> M03. <br /> FACILITY NAME W iLjr- C0 LJ1,X (p <br /> FACILITY SITE ADDRESS j ly 1 EAS-- KAA J LA M14 I CITY �� } M05. <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors etc.)be performed in M06 <br /> accordance with the equipment manufacturers'instructions,or ann()ajky,whichever is more frequent. Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED 11.ANNUALLY ❑ 99.OTHER(Specify): Mal. <br /> .III. MONITORING LOCATIONS <br /> 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 of each sensor, <br /> 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 <br /> form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. <br /> IV. TANK MONITORING <br /> M NITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mto. <br /> 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS: X a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM Mt 1 <br /> PANEL MANUFACTURER: . (1.Ii1o7 r�/'S��J IFS`A M12. MODEL#: o�r„ E M13. <br /> LEAK SENSOR MANUFACTURER: JE M14 MODEL#(S): MI5. <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM 1fED TO MONITOR SINGLE WALL TANK(S) <br /> PANEL MANUFACTURER: E.tl/1 C- ( k-..6oye-Cs M16. MODEL#: Mtn. <br /> IN-TANK PROBE MANUFACTURER: AA- pylw V� MIs, MODEL#(S): M19. <br /> LEAK TEST FREQUENCY: X a.CONTINUOUS b.DAILY/NIGHTLY ❑ c.WEEKLY M20. <br /> El d.MONTHLY El e.OTHER(Specify): Met. <br /> PROGRAMMED TESTS: 11a.0.1 g.p.h. El b,0.2 g.p.h. ❑ c.OTHER(Specify): M2z, M23. <br /> Mza. <br /> X3.INVENTORY RECONCILIATION [-] a.MANUAL PER 23 CCR§2646 -51b.STATISTICAL PER 23 CCR§2646.1 <br /> X4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTIG PERIOD: ❑ a.36 HOURS F1 b.60 HOURS M25. <br /> N <br /> 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY El b.BIENNIALLY -M c.OTHER(Specify): 11+fI 'Lv� M2fi. Mzr. <br /> 2<6.VISUAL MONITORING DONE: .2!IL's.DAILY ❑ b.WEEKLY(Requires agency approval) <br /> mcs <br /> ❑ 99.OTHER(Specify): <br /> V. PIPE MONITORING <br /> MONITORING 1S PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMPS)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: O a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM <br /> M31. <br /> . <br /> PANEL MANUFACTURER: M32MODEL#: M33. <br /> LEAK SENSOR MANUFACTURER: m34. MODEL#(S): M35. <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? 11a.YES Elb.NO M36. <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO <br /> M37. <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED <br /> Mas. MODEL#(S): M39. <br /> MLLD MANUFACTURER(s): <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> ELLD MANUFACTURER: M40 MODEL#: Mal. <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ g�P• <br /> a.MINIMUM MONTHLY 0.2 h. [:] b.MINIMUM ANNUAL 0.1 g.p.h. Mae. <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? Ela.YES [-Ib.NO Mai_ <br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44 <br /> F-1 4.INTEGRITY TESTING <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS E] c.OTHER(Specify) Mos. Mss, <br /> g 5.VISUAL MONITORING DONE: jka.DAILY ❑ b.WEEKLY* ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" M47, <br /> •Requires agency approval '*Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281.5(b)(3) <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) <br /> 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> Mas. <br /> ❑ <br /> 919.OTHER(Specify) <br /> SJCEHD-d(07103)-114 07/23/03 <br />