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Ah UNDERGROUND STORAGE TANK MONITORING PLAN—PAGE 1 TOPE OF ACTION I.NEW PLAN [D2.CHANGE OF INFORMATION mol. PLAN TYPE 2rMONITORING IS IDENTICAL FOR.ALL USTs.AT THIS FACILITY. Mot (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S). 1 I. FACILITY INFORMATION 1 FACILITY ID k(Agenq Use Onity I — — BUSINESS NAME(Same as FACILITY NAME) M°= BUSINESS SITE ADDRESS 1 , �l ' CITY :�.3� % 1N 1.'.�l h' DY h` i II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing preventive maintenance.and calibration of mcnitonng equipment(e g.,sensors,probes,line leak detectors,etc.)be performed at the frequency specifiedby the equipment manufacturers' Instructions,or annually, whichever is more frequent, and thar such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED _,e1.ANNUALLY ux. ❑ 99 OTHER(Specih) III. MONITORING LOCATIONS This monitoring plan must Include a Site Plan shoving the general tank and piping layouts and the locations%%here monitoring is performed(i.e.,location of each sensor. line leak detector,monitoring System control panel,erc.). if you alread;have a diagram(eg..current CST Monitoring Site Plan from a Monitoring System Certification font.Hazardous Materials Business Plan map.etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Min 'I CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS ❑ a.DRY b.LIQUID FILLED 2c PRESSURIZED MI I I I ❑ ' Q c ❑ d.VACUUM PANEL MANUFACTURER: Cs t Wt.. 1=A+� Mu MODEL k: 6111_ N131 LEAK SENSOR MANUFACTURER _11 LL '1 i' MODEL k(S). 426 X+is C] 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKS) -r l PANEL MANUFACTURER: 1416 MODELk: tililr.:� Mit IN-TANK PROBE MANUFACTURER'. 1A1b MODEL k(S) Ml% LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M' ❑ d.MONTHLY ❑ e OTHER(Specify): A121 1 PROGRAMMED TESTS: ❑ a.0.1 g.p.h- C b.0.2&Ip In "• c.OT HER(Specify): sill: M23 ❑ 3-INVENTORY RECONCILIATION ❑ a MANUAL PER 23 CCR,2646 b.S1 ATISTIC.AL PER 23 CCR 2646.1 MN ❑ 4.WEEKLY MANUAL TANK GAUGING(MTGj PER 23 CCR X2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b 60 HO''.IRS W, - ❑ 5.INTEGRITY TESTING PER 23 CCR§+"_643.1 TEST FREQUENCY' Z�a.ANNUALLY ❑ h.BIENNIALLY ❑ c OTHER(S;,ear;•L A422`' M2' ❑ 6.VISUAL MONITORING. ❑ a.DAILY [] b.WEEKLY ❑ 99.OTHER(Specify,) nPn V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Man i.CONTINUOUS MONITORING OF PIPING SUMP(5)rFRENCH(ES i AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: y.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.VACUUM N13 PANEL MANUFACTURER: t�'§Iha":,a f%.'INc- 433: MODEL G.M�- A ` hi 7, LEAK SENSOR MANUFACTURER: K (1 a+31 MODEL+I(S) M35. WILL.A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.c,TURBINE)SHUTDOWN' a.YES ❑ b.NO A13'' WILL FAILURE:DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN^ Ya.YES [] b.NO 'Is- MECHANICAL LINE LEAK DETECTOR (NILLD. THAT ROUTINELY PERFORMS 30 e.p.h. LEAK TESTS AND RESTRICTS OR SHITS OFF PRODUCT FLOW'1VHEN A LEAK IS DETECTED i-� MILD MAN'UFACTL'RER(sp. YE I'r �' Veil) Ws MODEL k(S is ��)� M`i\ Wt 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)TH. T ROUTINELY PERFORMS 30 g.p.h.LEAK TESTS ELLD MANUFACTURER(st. %W1 MODEL*(Sr aut PROGRAMMED IN LINE TESTING' ❑ a M1NiMUMMONTHL`i 02g.p.h ❑ b MINIMUM.AN\L.AL 0.I g.Pli WILT.ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PIMP SHLTDOWw ❑ a,YES ❑ b NO x143 WILL ELLD FAILURE%DISCONNECTION TRIGGER AUTOMATIC POMP SHUTDOWN' ❑ a.YES ❑ b.NO "^ ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY PT b EVERY;YEARS ❑ c OTHER(Specif%i ❑ 5 VISUAL A)ONfFORING: ❑ a.DAILY b.WEEKLY c MIN h1O\TH11'&EACH TIME SYSTEhi OPER.%rE)- s!;; •Ato,''imm:nhrcin:clwoune.em::�,n-,,a .c::fuel Pr-g xn'N1iIS('C5]%If161.y ❑ G SUCTION PIPING h1EETS EXEMPTION CRITERIA PER_'3 CCI(fi2636(sh31 ❑ 7 NO PRODUCT OR REMOTE FILL PIPING 15 CONNECTED TO THE UST(s; ❑ 99.OTHER(Specify i \ hw6vrc-d(9.24/04)-U4