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UNDERGROUND STORAGE TANK y}� 'MONITORING PLAN -PAGE 2"N' p � 21. lAQt1TIORING OF AREAS BENEATH DLSPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) r xx QkI.CONTINUOUS ELECTRONIC MONITORING�O1p UNDER DISPENSER CONTAINMENT(UDC) MODEL M: S siMS; PANEL MANUFACTURER: ` i �+— Mv. AfODE1.#Icl ZG S x'. - M LEAK SENSOR MANUFACTURER: WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? to a.YES (r]a� b. 10 a.YES L-1WILL A UDC LEAK ALARM TRIGGER AUTOMATICPUMP SHUTWW"'I MOWN? Q a.YES ❑`.NO WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHU [12.MECHANICAL ASSEMBLY(,$.,FLOAT AND CHAINASSEMBL3)IN UDC TRIPS SNEAK VALVE IN CASE OF LEAK MssMODEL N(S): I ASSEMBLY MANUFACTURER: M6Q ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY L} la-WEEKLY IA:anyavcf ypv+vdl ❑ 4.NO DISPENSERS Mar. ❑ 99 OTHER(Spenfy) DETECTION F.:. cq ' h',a' s 'yIMAM CED J.;E•AKDF ... GTIOrF ,. 'aRa� , L WE HAVE BEEN NOTIFIED TffIED BY THE. M]0 c1 STATE WATERRESOURCESCDISSROL BOARDTKAS WE MUST NPLEMENT ENHANCED LEAK OR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644 1 ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIM ..�...Is : ..v.. x 4 aua REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that aPPIY) 1. ® THIS UNDERGROUND STORAG>ETANKM03i5TORlS1G PlAN%equleedl2. (Required) ). O7f3E FACILITY S BESTING T MANAGEMENT POR IRACTICES(Required"of 7!I/2004) 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATf0N9 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" Met. 99. ❑ OTHER(Specify): ar with all of the above documents relevant to theirjob duties and can access(hose documents when needed. Personnel with UST monitoring responsibilities are famili By)nyy 5,1064 tltia lacit(ty wiU have a`•Designated UST Operator"who has passed the operator exam administered bythe International Caxamicriancode the UST CC).systesy This re 1,2004,and annually theafter,the "Designated UST Operator" will vain facility employees in the piopu We training will include,but is not limited to,the following: ➢ Operationorthe llSTsys-rerrzs rare aaazr eirmsistrnr with the facility's best managementpractices. ➢ The facility employeo's role with regard to the leak detection equipment. D The facility employee's role with regard to spills and overfills. ➢ Whom to contact for emergencies and leak detectirm alarms. For facility employees hired on or after July 1,2004,the initial training will be conducted within 30 days of the date of hire. IX• COMWENTS/ADDITIONAL INFORMATION g total a ans. Please use this section to irrciude any additional UST sys[cmnsonitoring-related infortrration(e. additional information required by Your age X. PERSONNEL RESPONSIBILTTIES LICATION- AS OF 7/1/2004,THE"DESIGNATED UST QPERei7YAP"1DLYJTJFlED LN SECTION 111 OF THE CURRENT UST OP ETEC T KAV FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND A FACILITY COVERED BY THIS PLAN.AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPE NS HE ACILITY'S F(WiPMUST SYSTEMS IN ACCORDANCE WITH 23 CCR 271 i - ,, CERTIFICATION:I certify that the information rovided herein is true and acettrxh M the best of nor Jraaw7 M91 DATE: OWNERlOP RATOR SIGNATURE � Owner M . 1 Operator j I M9f. Mn' OWNER/OPERATOA TITLE: ONRJER/OPERATOR NAME(pnutp. This Ian has been reviewed and: APproved J3 Approved With Conditions ❑Lksap m"A (Agency Use Only) � Date: I.ocal Agrncy Signature: Commrnts/Speciel Conditions: 07/23/03