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UNDERGROUNDSTORAGETANK MONITORING PLAN — PAGE 2 VI. DISPENSER MONITORING MONITORING OF AREAS BENEATHDISPENSER(S) IS PERFOILA]ED USING TIIL F0LL0%i ING AIE I IlOD(S) (Check all that apply) pl5o ❑ L CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) LS M52. PANEL MANUFACTURER: HfPf ,-Wr M51. MODEL #: TLS LEAK SENSOR MANUFACTURER: klaqode5i I p ZOvv M53. MODEL #(S): Lb 7 Pbj v M54. WILL DETECTION OF A LEAK INTO THE C TRIGGER AUDIBLE AND VISUAL ALARMS? YES ❑ b. NO M55. 10-a. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? 9 a. YES ❑ b. NO Mss WILL FAILURE/DISCONNECTTON OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? [�ra. YES ❑ b. NO M57, ❑ 2. MECHANICAL ASSEMBLY (e.g„ FLOATn AND CHgJ,I_N ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER: /hjdu LYf eQ GL Mse. MODEL #(S): UQy�(h1u 11),�6ZIJe.-M" El3.VISUAL MONITORING DONE: [�a. DAILY ❑ b. WEEKLY (R,nirwageaaro rwaJ) Mso. ❑ 4. NO DISPENSERS ❑ 99. OTHER (Specify) 5151 VII. ENHANCED LEAK DETECTION . WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL. BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M-0 DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §2644.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED II. TRAINING RFFLIRENCE DOCUbO{N'FS MAINTAINED AT FACILITY (Check all that appl)) M80. 1. THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 3. THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of 1/0(/2005) 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99. ❑ OTIIHR (Specify): 1,181. Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to theirjob duties and can access those documents when needed. By January I, 2005 this facility will have a"Designated UST Operator" -who -has passed the operator exam administered by the International Code Council (ICC). By January 1, 2005, and annually thereafter, the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systema. This training will include, but is not limited to, the following: ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. ➢ The facility employee's role with regard to the leak detection equipment. ➢ The facility employee's role with regard to spills and overfills. ➢ Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after January 1, 2005, the initial Irainine gill be conducted within 30 days of the date of hire. IX. COMMENTS/ADDITIONAL INFORMATION i tl onimi lodla111 Idda,o,,all91 sastem moniuning-rclatal in Cornmtion (ag., nddilional ivfonnaliom required by your tical agency): 1185 '�an* 'll c�) oY�✓ �/evtVl�iot� : 9S `� fhu� ofi� /=/R� [/ v� L(JG 1 n tJ((7 Cloos OU�rG� 41AfiWt X. PERSONNEL RESPONSIBILITIES AS OF U 05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OP 'CITE CURRENT USI OPERATING PER\IIT APPLICA'HON - FACILITY FOW WILL HAVE UL'IENIATE AU'IIIORITY FOR PERFORMING 1111- MDNI1'4121NG AC'11 Al lllI S :ANIJ MAIN I AIN'ING LE.1K DE'I'ECfION EQUIPNIF I' O.'FRED BY IIIIS PLAN, AND \\ ILL PERFOR-M AND DOUL NU NI MINIM[ NI NION'1'IILI' V IM AL 1NSP1 CIIONS 01: IIIb: F:ACE.I'l Y'S UST SYS"F:MCC ORDAN('I. A71'fH 23 CCR § 2715(6). IN Xi. OWNER/OPERATOR SIGNATURE CERT; FTC: F I cerfify that the information provided herein is true and accurate to the best of my knowledge. OW ' OF KA GNA'IURE REPRESENTING DATE: M91. Owner M90. 0 S Operator OWNE RATOR (print): 11,192. - OWNER/OPERATOR TITLE: Mss (Agency Use Only) This plan has Len reviewed and: ❑ App rored ❑ Approved With Conditions ❑ Disapproved Local Agency Signature: Date: Comments/Special Conditions: SJCEHD-d (07/03) - 3/4 07/23/03