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AM a <br /> SAN JOA671N COUNTY ENVIRONMENTAL HEALTH D'PARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - PAGE 1 <br /> TYPE OF ACTION I.NFW PLAN ❑ 2.CHANGE OF INFORMATION slob <br /> PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. ism <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use OnI}J <br /> FACILITY NAME WIN l6 COUN My CSTA-17t <br /> O/q M03. <br /> FACILITY SITE ADDRESS � Moa. CITY Z_ Mos. <br /> till �• �lE'T'f��J4-N L !�� L �J� <br /> IL 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 Mob. <br /> accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY <br /> ❑ 99.OTHER(Specify): Moz. <br /> IIL 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 21an. <br /> IV. TANK MONITORING <br /> MONITORING 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: 10 a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M"- <br /> PANEL <br /> 1.PANEL MANUFACTURER: 411 BAlp-LO M12, MODEL#: ig­M G M13. <br /> LEAK SENSOR MANUFACTURER: V -- -T,ft°tta. MODEL#(S): _ E4 2-47 M15 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTI,M I ISW TO MONITOR SINGLE WALL TANKS} <br /> PANEL MANUFACTURER: - ,__ . ' 1 M16- MODEL#: M1117 <br /> IN-TANK PROBE MANUFACTURER: M1lt MODEL#(S): - _ M19. <br /> LEAK TEST FREQUENCY: a.CONTINUOUS b.DAILYINIGHTLY ❑ c.WEEKLY M2o. <br /> _j d.MONTHLY ❑ e.OTHER(Specify): M21 <br /> PROGRAMMED TESTS: ❑ a.0.1 h. g.p.h. ❑ c.OTHER(Specify): N122. Mn. <br /> g.p.h. ❑ b.0.2 h. <br /> r4. 3.INVENTORY RECONCILIATION EJ a.MANUAL PER 23 CCR§2646 'b.STATISTICAL PER 23 CCR§2646.1 M24. <br /> t 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25, <br /> 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY „�'c.OTHER(Specify): r�_ h126. M27. <br /> F VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY(Requires agency approval) <br /> ❑ 99,OTHER(Specify): Nl2s. <br /> V. PIPE MONITORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M30 <br /> 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: x a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31 <br /> PANEL MANUFACTURER: W M32. MODEL#: P,M Ll N133, <br /> LEAK SENSOR MANUFACTUR R: 07>01L P-60 Mia MODEL#(S): 20 N05. <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e,,TURBINE)SHUTDOWN? in a.YES ❑ b.NO M36. <br /> WILL FAILURE/DISCONNECTION OF THE MONI RING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? .g a.YES ❑ b.NO M37. <br /> 2.MECHANICAL LINE LEAK DETECTOR (MLLD) TH ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED �7 <br /> MLLD MANUFACTURER(s): IE1124 RA4kjV�� -'CP&M" VI -C Mas MODEL#(S): {- y 51- <br /> El 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (,Z2006 <br /> ELLD MANUFACTURER: Mao. MODEL#: M41. <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.l g.p.h. Mae <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b NO Mai. <br /> WILL ELLD FAILUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Maa. <br /> ❑ 4.INTEGRITY TESTING <br /> _ TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) Mas. M46. <br /> A,, 5.VISUAL MONITORING DONE: a,DAILY Elb.WEEKLY* [I C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" Mal <br /> *Requires agency approval ..Allowed for monitoring of mbuned emergency generator fuel piping only per HSC§25281.5(b)(7) <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) <br /> 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> ❑ <br /> 99.OTHER(Specify) N148. <br /> SJCEHD-d(07103)-1/4 07123/03 <br />