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09/24/2027 08:17 2094626171 STOCKTON PETROLEUM PAGE 02/05 <br />• • <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />UNDERGROUNDSTORAGETANK <br />1h40NITORING PIAN - PAGE I <br />TYPE OF ACTION ❑ I, NEW PLAN 2, CHANGE OF INFORMATION <br />soot <br />PLAN TYPE MONITORING 151DEW [CAL FOR ALL USTs AT TNIS FACILITY. <br />W12 <br />(Chuk one item only) ❑ THIS PLAN COVERS 011;LY THF FOLLOWING US7SYSTEM(5): <br />I. FACILITY INFORMATION <br />FACILITY IU 4f7gencv1111 On(37,��— <br />FACILITY NAME ����4/� __�� # <br />Mm, <br />FACILITY SITE ADDRESS d.n� / Mao. ' CITY <br />_.. ..�/--OQ <br />MI6 <br />. <br />IIEQU lVI�1V'r TESTINCIAND PREVENTIVE MAINTENANCE <br />SlatC law Icquirec that testing, preventive maintenance. and calibration of monitoring equipment (ag., sensors, probes, line leak deket rs, etc,) he perfonnod is <br />N. <br />accordance with the aIulpment manufaeurrurs' instructions, ur annually, whichever is more frequent. Such work must be performed by qunlifled peraonnel, <br />MONITORING EQIIIPMHNT IS SERVICED X I, ANNUALLY ❑ 90, OTHER (Speciry): <br />Mal <br />III. MONITORING LOCATIONS <br />This motivating plan must include. a Sitc Plan showing the general hink and piping layouts and the Iecaticom where monitoring is performed fl.e., location Murch sensor, <br />line look deleetnr, monitoring system cnntnal panel, cm..I. Ifyo i alrendy home a diagram (ail., current UST Monitoring Site Pian from a Monitoring System Ceniftcation <br />fvm5, Hazardous Materials, Fattiness Plan mae, etc.) wN;oh shows all required information, include k with this plan, <br />IV- TANK. MONITORING <br />MONITORING IS PERFORMED USING TME POLL:IWING MFTMOD(S): (Check all that apply) <br />Mul. <br />1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAI.) SPACE(S) OR SECONDARY CONTAINMENT' VAULT(S) <br />SECONDARY CONTAINMENT 1S: jlj a. DRY Q It. LIQUID FII„LED ❑ c, TINDER PRESSURE: ❑ d, I)NDGR VACUUM <br />PANEL MANUf''ACTI,IRF•R; Eil/�.� Mlf. <br />MI' <br />_. _ f � MODEL 0; �L.i-c,��}-e <br />5117. <br />LEAK SENSOR MANUFACTURER: MODEL /ZrspT MU' MODEL@(S); /yje <br />MIs. <br />�. <br />❑ 2, AUTOMATIC I-ANK GAUGING (ATG) SYS71:iM USED TO MONITOR SIN.G1,6 WALL TANK(51 <br />PANELMANIIFACTURFR: M1° MODEL N: <br />MIt <br />IN -TANK PROBE MANUFACTURER: MIs. MODEL fi(R); <br />Mill <br />LEAK TEST FREQUENCY: ❑ u, COFI'1'INUQIIS ❑ b. DAILYN101'IfLY ❑ e. WEEKLY <br />Mm' <br />❑ d. MQ'',ITHI,Y ❑ e. QTHFR (Speelfy): 5471 <br />PROURAMMF.DTESTS: 0 a. 0,1 (I p.h. ❑ b. 0,2 g.p,h. ❑ c. OTHER(Spccity): Mal <br />Mal <br />❑ 3. INVIiNTORV RECONCILIATION ❑ a. MAI- UAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR 52646.1 <br />Ma{ <br />❑ 4, WEEKLY MANUAL TANK GAUGING (MTO; PER 23 CCR §2645 , <br />TESTING PERIOD: ❑ a. 36 F')UPS ❑ b. 60110UR5 <br />Mzs. <br />❑ 5. INTEGRI'T'Y I "TING PER 23 CCR $2643.1 <br />'rNTFREQUENCY: ❑ a. ANN UALLV ❑ h. I31ENNIAIA.Y ❑ c. OTHER(Speelly): Mu. <br />Mar. <br />❑ 6.VISUAI, MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY(Rana=wxmmx>ppmrnll <br />[j 99, OTHEIi (Spccify) <br />Woo <br />_ V. PIPF, MONITORING <br />MONITORING IS pHRFORMED USING THE FOLLt::'WING MF.THOU(S) (Clleek nil that apply) <br />Mu <br />OU 1, CONTINUOUS ELECTRONIC MONITORING OF PIPING 8I3MP(SyrRENCH(ES) AND OTHER SECONDARY CONTA INMBN'f <br />SECONDARY CONTAINMHNT IS: Ra. DRY [] h, LIQUID FILLED [Ic. UNDER PRFSSUR$ E]d. UNDUR VACUUM <br />M-1 <br />PANEL MANUFACTURER: I/ I;F,�,��— M32, MODELI): <br />LEAK SENSOR MANUFACTURER: (/E"c��.�. Meta M34, h40Dp11)(q): <br />WILL A PIPING LEAK ALARM TRIGOE)1, AUTOMATIC PUMP (i.e., TIJAISINF.) smuTDOWN'? ,� a. YES ❑ b, NO <br />M75. <br />WILL. FAILURUJDISCONNECTION OF TV MONITORING SYSTEM TRIGGER AUTOMATIC PUMP S14U'I'DOWN? JIM a, YES ❑ h, NO <br />M51 <br />[� 2. MrVIANICAL LINIi LEAK DF.TF.CTOR (F4LL13) T11AT ROUTINELY PF.RFOKMS 3.0 g,p,h. LEAK TESTS AND RESTRICTS OR SHUTS <br />OFF <br />PRODUCT FLOW WHEN A LEAK IS Di 4C'I ED <br />MLLD MANUFACTIIRER(s): 'IEQ��!r 9 Ma.S' MODEL t?(S): <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (FL :'1) THAT ROUTINELY PERFORMS 3,D gph. LEAK TESTS <br />ELLD MANUFACTURER: M'"'' MODEL N: <br />Mal, <br />PROGRAMMED LINE INTE(IRITY TrSTI: (] a, MINIMUM MONTHLY 0.2 g,p.h, ❑b. MINIM ANANNIJAI, 0, 1 g.p.h. <br />M42. <br />WILT.- ELLD DETECTION OF A PIPING LI iAK TRIGGER AUTOMATIC PUMP SHUTDOWN? 00 it. YES ❑ It, NO <br />Moa <br />WILL ELI.n FAI LURIVOISCONNCCTIO1, TRIGGER AUTOMATIC PUMP SHUTDOWN?f� a. YQS [I b. NO <br />M44 <br />El 4. INTEGRITY'I'ISTING <br />TEST FRUQUENCY; ❑ a. ANN; IALLY b. EVRRY 3 YEARS ❑ c. OTHrR (Specify) M4s, <br />oma <br />Xr S.VISUAL MON) WRING DONE! IV a. DAI,Y ❑ b. WEEKLY' ❑ C. MIN. MONTt41.Y R. EAt.1H'(7ME SYSTEM OPP,RA1'ED"o <br />MM. <br />'LNTSSFOK X17^'NIO�PoA(nng0ailorinanhnM1unalGmnry;my'yenumlor fYd plrny mly pro Harl §a,5ga1_1taN.q <br />❑ 6. PIPING IS SUCTION PIPING MB$TING ALL !'EQUIRF,MENTS FOR EXEMPTION FROM MONITORING PER 23 CCR 52636(a)(3) <br />❑ 7, NO PRODUCT UR REMOTE FII d. PIPING IS I ONINECTED TO THE us-r(s) <br />❑ 99,OTIIER(.SpeCify) <br />7CEIiD-d (07/03)- 114 <br />