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