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UNDERGROUND STORAGE TANK MOIN-.ITORING PLAN--PAGE Z VL DISPENSI±R MONITORING MONITORING OF AREAS BENEATII DISPENSERS)IS PERFrjRNfED USING THE FOLLOWING ME MODS)(Check all that apply) Nilo ❑ 1.CONTTNUOUS MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANELMANUFACfUREER. Mss. MODEL 4: tsx. LEAK SENSOR MANUFACTURER. Tia MODEL fl(S)- WILL DETECTION OF A LEAD IN THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a YES ❑ b.NO t tss. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP Sl TDOWN? ❑ a.YES ❑ b.NO WILL.FAILURF)DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ K NO M57- 2.MECHANICAL COMITNUOS MONITORING(e.g-,FLOAT AND CIIAIN ASSEMBLY)IN UDC TRIPS SIM'AR VALVE IN CASE OF LEAK MANUFACTURER- rt a MODEL#(S): M59. ❑ 3.VISUAL MONITORING DONE: ❑ a DAILY ® b.WEEKLY 4.NO DISPENSERS (Specify) Met. ❑ 99.OTI3E;IL VII: ENHANCERLEAK DETECTION [] I,WE HAVE BEEN NOTIFIED BY THF STATE WATER RESOURCES CONTROL BOARD THAT WE MIDST PERFORM ENHANCED Lia i wta DETECTION(ELD)FORT HE UST(S)COVERL•D BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 35 MONTHS AS REQUIRED VIII. TP-MNING REFEEN RCE DOCUMENTS MAINTAINED AT FACILITY(Check all drat apply) M° 1. 0 TTIIS UNDERGROUND STORAGE TAtv`It;MONITORING PLAN(Required) 2. ER OFERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as efJanuary 1,2405) 4. ❑ CALIFORNIA UN17MGROUND STORAGE TANK REGULATIONS 5. Q CALIFORNIA UNDERGROUND STORAGE TANK LAW ti. ❑ STA-M WATER RESOURCES CONTROL BOARD (SVIRCB) PUBLICATION: `ITANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. l S WRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99.© OTHER(Specify): Not.Persoiurl with LIST monitoring sesponst nitres ate tar t al l o the a' ve oLume-nts re evant to r jo duties tart can access acwnents v icn ne xlcd By January 1,2005,this facility will have a-Designated UST Operator"who has passed the C,:tifb,-=- UST Sytem Operator Exam administered by the In1cmational Code Council(ICC)_ By July 1,2005,and annually thereafter,the 'Designated LIST Operator"will ill train facility employees in the proper operation and maintenance of the UST systems.71is training vvill include,but is not limited to,the followin . Y Opcmation of the USTsystetns in a manner consistent with the facility's best management practices. The facility employee's role with regsrd to the leak-detection equipment. D The fsoility employee's role with regard to spills and overfills. 'r Whom to contact far emergencies and teal:detection alarms.. For facility employees hired on or after July 1,2005,the initial training will be conducted%within 34 days of the date of hire_ ^^ IX. COMVIE 'TRA:DDITIONAL INFORMATION Please use this section to include any additional UST sysmm monitoring-gelated information(e.g.,additional information required by your local agency): a sss. Type of overfill prevention: Audible,Nisual Alarm X. TERSONNEL RESPONSISIIJI'I'`IES AS OF JANUARY 1, 2005. THE `DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION Ill OF THE CURRENT UST OPERATING FERMIT APPLICATION—FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE:MONITORING ACTIVTITFS AND MAINTAINING LEAK DE MC71-ION EQUIPMENT COVERED BY IDBS PLAN TITLE 23 CCR§2715(c),ANIS WILL PERFORM AND DOCUMENT MMNIU vi MON-HILY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH TITLE 23 CCR§2715(c). KI. ONVNERIOPERAT011 SIGNATURE CERTIFICATION:I eertify that the information provided herein is true and accurate to the best of my knowledge. O ERATURSIGNA EP9FSENT'TN9 DATE: Q Owner tM Operator O OPERr1TC}RNAME(p��rt): Rt42. OtVNI�tfOPERATORTITLI' M ency Use Oily) This plan has been reviewed and: Approved ❑Approved With.Conditions ❑I> :hprovd Local.Agency Sig ahtre: fie" i z -q Comments/Spxxiai Conditions: hwxfwvre-d(9/24104)-314