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• SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE 1 TYPE OF ACTION 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION Mol_ PLAN TYPE MONITORING IS IDENTICAI. FOR ALL USTs AT IT 11 FACILITY. M02_ (Check one item mdy) ❑ TI [IS PLAN COVERS ONLY 'I111: FOLLOWING US I S}Sl EM(S). I. FACILITY INFORMATION FACILITY ID a (.1g,nn Cis, Oniv) FACILITY NAME1 A IS Mm' FACILITY SITE ADDRESS S' N �w Moa. CITY v Mas. Q. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Slate law requires that testing, preventive maintenance. and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in Mo6. accordance with the equipment manufacturers' instructions, or annuallywhicheva is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED L ANNUALLY [1 99. OTHER (Specify): Mm' III. MONITORING LOCATIONS 'Phis monitoring plan must include a Site Plan showing the general tank and piping ]scouts and the locations where monitoring is peilbnncd (i. c., location of cacti sensor. line Teak detector, monitoring system control panel, eta). If you alrcadv have a diaeram N g., corcnt CS'I Monitoring Site Plan li'om a Monitoring Svslcm Certification form, Hazardous Materials Business Plan map, etc) which shows all le uircd inlbnnm lion, include it will this elan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOSAING MEIHOD(S): (Check all that appl)9 v°o. ❑ L CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT I$: a.. DR/yI El b. LIQUID FILLED [I c. UNDER PRESSURE El d. UNDER VACUUM MTI' PANEL MANUFACTURER: PP GY V -Our "nS X50 M12 MODEL 4: TLS 3-sy M15_ LEAK SENSOR MANUFACTURER: M U09LE55 MIA_ MODEL #(S): _LE2 7,060 M15. El2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(5) PANEL MANUFACTURER: M16_ MODEL#: 1,417. IN -TANK PROBE MANUFACTURER: MIs. MODEL#(S): M19, LEAK TEST FREQUENCY:I��^a. CONTINUOUS El b. DAILYMIGHTLY ❑ c. 11'E EKLY MLl LJ d. NION'LILY ❑ e. OTHER (Specify): M`21' PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ It. 0.2 g.p.h. ❑ c. OTHER (Specify): M22. M23. ❑ 3. INVENTORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 -h. STATISTICAL PER 23 CCR §2646.1 M24. ❑ 4. WEEKLY MANUAL TANK GAUGING (MIG) PER 23 CCR §2645 TESTING PERIOD: ❑ a. 36 HOURS ❑ Is 60 HOURS. M25' ❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): Mea M21. ❑ 6,VISUAL MONITORING DONE: Lxa. DAILY ❑ b. WEEKLY(Ra3Wreea,oneyappmva0 ❑ 99. OTHER (Specify): - M28. m'F • _ , V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLO WING METHODS) (Check all that apply) Mao 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SYTRENCH(ES) AND OTHER SECONDARY CONTAINMENT SECONDARYCONTAINMENTIS: E4 a. DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE El d, UNDER VACUUM M31' MJ2. MODEL #: 7!I Sf .�� -T�O� PANEL MANUFACTURER: g �Pe^�---1^cen M53' 7C� LEAK SENSOR MANUFACTURER: V CJl'&A `KOO� Mad' MODEL #(S): �+'PYOop M25. WILL APIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e, TURBINE) SHUTDOWN? 19 a. YES ❑ Is NO M36. g/� WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? �La. YES [1b. NO MECHANICAL LINE LEAK DETECTOR (MULL) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS M37."12. OFF PRODUCT FLOW WHEN A LEAK IS DETECTED �a � M38. �, M39, MLLD MANUFACTURER(s): U'6IPo(2.,LP.SS MODEL#(S): LC/Aa ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROI!TIMELY PERFORMS 3.0 g.p.b. LEAK TESTS ELLD MANUFACTURER:�"tF95 Moo. MODEL#: '6� M41. PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. M42. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? &-3. YES ❑ Is NO M41. WILL ELLD FAILUIRE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? PZ a. YES ❑ Is NO M94' ❑ 4. INTEGRITY TESTING TEST FREQUENCY: ❑, a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) Q(4, M45. M46. ❑ 5.VISUAL MONITORING DONE: a. DAILY ❑ b. WEEKLY- ❑ c. MM. MONTHLY & EACH TIME SYSTEM OPERATED-- MV. • notion. W., approval •• Allowed fw montibnng ofunbuned emwgmcy goaeralor toot piping only W HSC 925281.5(b)(3) ❑ 6. PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR §2636(aN3) ❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99. OTHER (Specify) Moa SJCEHD-d (07/03) - 1/4 07/33/03