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U7/'L-L/'LUtlE9 11:Y3 9163/1Y450 bZ MANI I ANFNLA-- PAGE 05/10 U"PRCROUND STOUGE TArfX MONITORING PLAN -PAGE 2 ... N 7 MONITORING OF AREAS BENEATH DISPENSER(S)TS pplero .......... 7 7 HAIM)USING THE FOLLOWING METHODS) I-CONnNUOU81:1,ECMONZCMONrroRmGoptiNDpRo�spENarp (Check all that apply) .. ,CON'tATNMENT(UDC) PANEL MANUFACTURER: LA6��C,4, 14.111 MODEL ff: LEAK SENSOR MANUFACTURER: Mss. M0DEL#(S):M14A6v - 9-- W.14. WILL DETECTION OFA LEAK INTO THE I=TRIGGER AUDIBLE AND VISUAL Aj-ARMS? WILL A UDC LEAK ALARM TPJMER AUTQMAI:tC rLiMp SNuTr)OWN7 On.YES 0 b,NO 14$1- 0 A.YES h.No MS& WILI..FAILUREMISCONNr,CTIONOrUI)C MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SIIUTT)OWN7 Yrs PIs.No M57. Ll 2.MECHANICAL ASSEMBLY(c.&.FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SFIjtAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER: Mse, IWODFL#(S): 1VISUAL MONTIT)RINGDONF fa DAILY I,�Wr 4.NO DISPENSERS wowq moo. ❑ 99.OTH ❑ 1. wF HAVE BL'FN NOTIFIED BY TIfF,STAIL• WATER RLSOURCFS CANTROL 90ARD THAT wE ST IMPLEMENT ENHANCED TZAK M)0.MFD EVERY 36 MONTHS AS REQU[SE13 Thr kEFFIV:NCE DOCI-LMEN71i MAINTAINED AT FACH.17y(Check nll that apply) 1. Q 'IH75 tMpERGRpUND STORAGE TANK MONI7URMO PLAN(RrgviredJ Ms"' Is r I ❑ THF,FACILITY'S EST MANAGEMENTPRACTICES(Required apt nr 1/0112005) 4. [1 CALIFORNIA UNDERGROUND STORAGE TANK RFCTVLATIONS 5. ❑ CALE17ORNIA UNDERGROUND 3-JURA(7,r TANK LAW 1, ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATIS-11CAL INVENTORY RECONCILIATION" 7. El SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99. 0 UTHER(Specify):." 1401. Persoprinal with USI'monitaring rerponsibilivici are fitnilsor with all of the above doctimords rcicvmft to theirjob Option mid can access those cloctimentp when needed, By January 1:2005 this facility will 11"o a*'Dosignated UST Operator"who has passed the operator memin administered by the International Code Council(ICC). By Inspiary 1.2005,and annuallytherealker,the "Designated UST Operator'will train fitcility O"PlOY--in the PmPcr operation and maintenance of One UST systems. This training will iftchldc,Intl in not limited to,the following: P 013frotlan ofthe USTsystems in a Manner consistent with the facility's boat management prnctiaa. > The facility cmPlaYea's role with regard rothe leak dotection cquitinp.m. )s The facility employee's role with regard to spills and > Whom to contact for emargencm.111d leak depiction alprinu. For facility employees hired on or eflor jamespy,1.2005,the initial training will be conducted within 30 dayn,of the date of him. Plenae use Iiia aedion to include arty ndditiansl U9Tsystcm monitnrinR-relatad irdmmstion(ag,.ndd)lirmnl infomudion requirod by your locnl ngensy): Mas. A QMEL ESPONsm54fiW777:7-T.— AS Or 111/03, 1 HE"DESIONATFU UST OPERATOR-IDENTIFTFE) IN SECTION ITT OF THE CURRENT UST OPERATING PERMIT APPLICATION PACIT,ITY FORM WILL HAVE ULTIMATE AUTIAORFTY FOR PERFORMING TITE MONITORING ACTIVrIIE8 AND MAWTArNINO LFAIC,DETECTION EQUIPMENT conjup BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS iN ACCORDANCE WITH r CCR 2713 .................. .............. CER1171FICATIO1V:I cwtiry that the information prorvided herein is true and accurate to the bcgt ormy knowledge- OWNE"PrRATOR SIGNATURE UZBZIE;liTllg DATE: Downer We. 13 Operator — —1 b-13 OWNER/OPCRATORNAMP.(print): M921 OWNFR/OPFRATKAR TITLE: M91 42 qew I ZA& ClldP" (Agenssop rj"q Only) 'Iiia plaq has ban revieuradand: Approved E]Approved With Covalftions ❑Disapproved Local Agency Signstime! Data: Comp"emls/Spacift?Conditions: AI,EHDA 07/23/0