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12/02/2008 14:45 FAX 9163712540 BZMAINT <br /> SAN JOAQUiN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN -PAGE 1 <br /> MDI. <br /> TYPE OF ACTION EW PLAN ❑ 2.CIPANGE OF INFORMATION Maz <br /> PLAN TYPF MONITORING IS IDENTICAL FOR ALL USTs A'f THIS FACILITY. <br /> (Click one item only) ❑ THIS PLAN COVERS ONLY <br /> THE FOLLOWING. FAI TTY I <br /> ICNIPORMA.TION <br /> FACILI'T'Y ID#(AgencY 1159 On1Y) Mm. <br /> FACILITY NAME 0 A, C16 AM FM <br /> MN. CITY S'1 nt_ 0/j <br /> FACILITY SITE ADDRGSS L{ 55 J�' H �'( ({ 1 <br /> II. EQULPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> State law rey hb that testing,preventive maintenance,and alibi IR) of monhming equipment(e.g.,sanaors,probes,line leak datecto[s,etc J be performed in otos <br /> accordance with the equipment munufecturors'vupumiona,or ennunllhichever is more frequent Such work must be perforated by goal IRed pennnne. sun <br /> MONITORING EQUIPMENT IS SERVICED CSI 1.ANNUALLY ❑ 99.OTHER(Specify).A, <br /> in. MONITORING LOCATIONS <br /> This monitoring plan must include a Site Plan sh wing the general tank and Dining layouts Maine locations where tnnnitorirrg B pert'ormed(i.e.,location of mch sensor, <br /> line leak detcclor,monitoring system control panel etc.). If you already have o diagram(c.g.,current UST Monitoring Site Plan from a h4onimriftg System Certification <br /> form Ilaranloua Materials business Plan ma "' e'°IV l TANK MONITOe!RING fll to Ian, <br /> Min. <br /> MO)�RORINU IS PERFORMBD USINO'1'HE FOLLOWING METHOD(S):(Check all that apply) <br /> or 1.CONTINUOUS ELECTRONIC MONIIORFNG,,,O///ggg...'TANK ANNULAR(INTERSTITIAL)SPACF(S)OR SECONDARY CONTATNMEN'i'VAULT(S) Mrr <br /> SECONDARY CONTAINMENTIS: ❑���T1r1U PILLED Q c.UNDER PRESSURE ❑ d.UNDER VACUUM MI <br /> PANELMANUFACTURElt: iD� M12 MODEL#: LS Sso <br /> t iiGAJG2 T Mu. <br /> LEAK SENSOR MANVPACTURCR; M1a. MODEL#(S): <br /> - -- <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATO)SYSTEM USED TO MONITOR SINGLE WALL EANK(Sl <br /> MIT <br /> PANEL MANUFACTURER: MODP.L#: <br /> MIs. MODEL 9: httl <br /> IN=TANK PROBE MANUFACTURER: MTa. <br /> b.DAILY NIGHTLY ❑ c.WEEKLY <br /> LEAK TEST FREQUENCY: [3s.CONTINUOUS C] Mpi, <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): Ma MM. <br /> PROGRAMMED TESTS: ❑ u.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify) <br /> ❑ 3.INVL•NTORY RECONCILIATION ❑ n.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR 92646.1 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTO)PER 23 CCR§2645 M25. <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS <br /> ❑ 5,INTEGRITY TESTING PER 23 CCR§2 3.1 Mtb. Mat. <br /> IBSTFREQUENCY: s.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(SPeL*): <br /> ❑ 6,VISUALMONITORINODONB: ❑ A.DAILY ❑ b,WEEKLY(R.M..pasty W.,) raze <br /> ❑ 99.01IIFR(Specify): <br /> V. PIPE MONITORING <br /> Mxn. <br /> MO�t ORING IS P'F.RFORMED USING THE FOLLOWING ME'1'HOD(S)(Check all that apply)) <br /> CONTINUOUS ELECTRONIC MONITORING 0 PIPING SUMP(SMENCH(F8)AND OTHER SECONDARY CONTAINMENT M3I <br /> SECONDARY CONTAINMENT 1 ::// 'I-Ju.D//RS�V CI b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d,UNDER VACUUM <br /> PANEL MANUFACTURER: V YGK 4p-T fix. MODELM ']-L 3$0 Mlt <br /> . Mae. <br /> LEAK SENSOR MANUFACTURFRV � �g T — MNMODEL#(s): 3. 3 Mrs. <br /> WILL APIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.0,TURBINE)SHUTDOWN7 ❑ a.YES ❑ b.NO W7W ILL FAILUREMTSCONNEC ION OF THE MONITORING SYSTEMRI <br /> TRIGGER AUTOMATIC PUMP SI•AITDOWN7 ❑ a.YES ❑ b.NO <br /> MECHANICAL LINE LEAK DETECTOR (MLI.D) THAT ROUTINELY PERFORMS 3.0 g.p.11, LEAK TEST'S AND RESTRICTS OR SINTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DiffECTRDQ M29, <br /> 1/ MLLD MANUFACTURER(,): V M Ma"' MODEL#(S): ( L :;too C) <br /> Uf 3.ELECTRONIC LINE LEAK D W'ECTOR(E D)THAT'ROt nCL''Y PERFORMS 3.0 g,p.R LEAK TESTS - CPT t <br /> EI.I.D MANUFACTURER: . .`MFS '_T MM' MODELC <br /> PROGRAMMED LINE INTEGRITY TESTS: [3a.MINIMUM MONTHLY 0.2 g.p.h. L3 b.MINIMUM ANNUAL ,I g.p.h. Mai. <br /> WILT.ELLD DFTECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN'! ES e,'ES Q b.NO a"a <br /> WILL,ELLU FAILUREYDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? Va.YES ❑ b.NO aNs <br /> ❑ 4.INTEGRITY TES"PING Mu. Mw <br /> TEST FREQUENCY: ❑ n.ANNUALLY ❑ b.EVRRY 3 YEARS ❑ c.OTHER(Specify) <br /> ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY• ❑ 0 NUN.MONT71LY at EACH TIME SYSTEM OPERATED-- MO. <br /> •Req,in.ypry.ppmrel ••Alla„NMnxMnan,µoravbanW ryg.,x.b,n,n drama Mb D.r HSC 42sxsrNbkn) <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENT'S FOR EXEMPTION FROM MONITOKING PER 23 CCR§2636(a)(3) <br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO TILE UST(s) Maa <br /> ❑ 99.OTIMR(gpecim <br /> 07/23/03 <br /> SJCEHD-d(07/03)-v4 <br />