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Underground Storage Tank Monitorinan - Page 2 of 2 VI. DISPENSER MONITORIN=apply) M50.MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWINGMat apply)1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT ( MDCM52.PANEL MANUFACTURER: eederROOMss0-2n8 M54.LEAK SENSOR MANUFACTURE R: Veederl-29- — a. YES ❑ b. NO Mss.WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALA® a. YES ❑ b. NO M56. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a. YES 11b. NO M57. ❑ 2. MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEARS VALVE IN CASE OF LEAK M59. ASSEMBLY MANUFACTURER: MODEL #(S): M60. ❑ 3.VISUALMONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY(acquir« agency appro ❑ 4. NO DISPENSERS M6L ❑ 99, OTHER (Specify) VII. ENHANCED LEAK DETE TION M 0. ❑ I. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD TH T WE MUST LEMENT ENHANCED LEAK DETECTION (ELD) FOR THE USTI COVERED BY THIS P R23 CCR §2644.11ELD S PERFO D EVERY 36 MONTHS AS REQUIRED VIIL ING M80. REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that appl I. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Requ ed) 2. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPME T (Required) 3. ® THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of JA nary 1, 2005) 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATI N: "HANDB K FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY REC CILIATION" 7. ❑ SWRCB PUBLICATION: "WEEKL AL TANK GAUGING FOR SMALL DERGROUND STORAGE TANKS" Mgt, 99. ❑ OTHER (Specify): Personnel with UST monitoring responsibiliti s are familiar all of the above documents relevant to their job duties and can access those documents when needed. By January 1, 2005, this facility will have a " signated UST peva l who has passed the California UST Sytem Operator Exam administered by the International Code Council (ICC). By July I, 2005, and an natty thereafter, t e "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems. This training will include, ut is not limited t , the following: ➢ Operation of the UST systems in a mann r consistent with a facility's best management practices. ➢ The facility emplo e's role with regard the leak detecti n equipment. • The facility employ 's role with regard t spills and ov Is. ➢ Whom to contact for mergencies and leak ketection ala For facility employees hired n or atter July 1, 200 the initial ining will be conducted within 30 days of the date of hire. IX. COMMENTS/ADDITIONAL INFORMATION MBS. Please use this section to includ any additional UST system monitoring -related information (e.g., additional information requireby d your local agency): Note regarding Section X. Pe ing certification of a Designated UST Operator, the following person has authority for performing the monitoring activities and maintaining leak lection equipment covered by this plan. NAME: JOB TITLE: X, PERSONNEL RESPONSIBILITIES AS OF JANUARY 1, 20 THE "DES NATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION — FACILITY RM WIL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIP OVE D BY THIS PLAN, AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S US TEMS CORDANCE WITH 23 CCR § 2715(b) mrrn> I OPERATOR NAME (print): Martin (Agency Use Only) Local Agency Signature r t nrnvided herein is true and accurate to the best of my knowledge This plan has been reviewed and: Comments/Special Conditions: N Owner M90. 00 AugUSt 14, 2006 M92. OWNER/OPERATOR TITLE: Gasoline & Environmental Com{ ❑ Approved ❑ Approved With Conditions ❑ Disapproved Date: Mgr UN -022A - 2/3 vvww.unidocs.org Rev. 10/14/03