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9 e SAN Ja&IN COUNTY ENVMONMENTAL HEZRKEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION ❑ 1.NFW PLAN ❑ 2 CHANGE OF INFORMATION FLAN TYPE udr UNIIORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. Mill. (Check one item only) I] THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): Mm FACILITY ID# 4;ency A I. FACILITY INFORMATION ( Use Onh9 FACILITY NAME 'J- k" — FACILITY SITE ADDRESS G ^+�n- lf,/!� GviST LA�!/r_" Ma II. EQUIPMENTaTY> arK>a. r/ Mos State law requires that testing,preventive maintenance,aodTc�ElriSToINGn of moni�torinn PREVENTIVE MAINTENAI�TCE MONITORdance ING the equipment manufacturers'instructions,or annually,w chever is more frequent. Such work must be pertbnned g 9 pmznt(nt. sensors,Probes,line leak detectors,etc.)be performed in Mir.. MONITORING EQUIPMENT IS SERVICEDfi] by qual�ed personnel. .ANNUALLY ❑ 99.OTHER $ ( Pacify): nan III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations n$ere monitoring line leak detector,monitoring system control panel,etc.). lfyou already have a diagmm(e-g.,current UST Monitoring Site Plan from a Monitoring System each sensor form,Hazardous Materiels Business Plan ma ,etc)which shows all cued information,include it with thisPlan, Is performed(t ori g System of each sensor, IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) I.CONTINUOUS ELECTRONIC MONITORING OF TANK Mill SECONDARY CONTAINMENT 1 ANNULAR(1NT'ERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) a�DRY ❑ b,1JQUID FILLED PANEL MANUFACTURER: GG G'(G,+� ❑ c,UNDER PRESSURE ,I-I d.UNDER VACUUM hill LEAK SENSOR MANUFA �Ci MIz MODEL#: 3 G 9113. CTIIRER. G'CIGr)' �� MIN. ❑ 2.AUTOMATIC TANK GAUGING A. SYSTEM USED TO MONITOR SINGLE WALL TANK(S) MODEL#(Sy G 9 Mac PANEL MANUFACTURER: IN-TANK PROBE ^p` MODEL#: MANUFACTURER: MU. LEAK TEST FREQUENCY: Mix. MODEL#(S): 1,119 ❑ a.CONTINUOUS ❑ b,DAI.Y/NIGHTLY ❑ d.MONTHLY ❑ c WEEKLY nw. PROGRAMMED TESTS: ❑ e.OTHER(Specifyl: M±I. ❑ a.0-1 g.p-h. ❑ b.0.2 g.p.h. ❑ 3.INVENTORY RECONCILIATION ❑ c.OTHER(Specify): nm. NID ❑ a.MANUAL PER 23 CCR§2646 13b.STATISTICAL PER 23 CCR§2646.1 n1±J- ❑ 4.WEEKLY MANUAL TANK GAUGING(MIG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS E] 5.INTEGRITY TESTING PER 23 CCR§2643-1 ❑ b.60 HOURS M,z TEST FREQUENCY. ❑ a.ANNUALLY ❑ &VISUAL MONITORING DONE: ❑ b_BIENNLILLY ❑ DAILY ❑ c.OTHER(Specify} nail. K127a. WEEKLY of ❑ 99.OTf¢R(Speclly): ❑ b. muwx wwn-+wr�.m MOORING IS PERFORMED USING TV. PIPE MONITORING Mea JVifHE FOLLOWING METHODS)(Check all that apply) 'c-�fCrl.CONTINUOUS ELECTRONIC MONITORING OF PIPING SU N131 M SECONDARy CONTAINMENT IS: a RY b.b.LIUENCH(ES)AND OTHER SECONDARY CONTAINMENT MANUFACTURER: UID FILLED ElPRESSUR c.UNDER E tj f .❑ d.TINDER VACUUM Msr. LEAK SENSOR MANUFAC G/ MI MODEL#: Mas. TUBER: J//C ivy M� WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWNMODEL#(S): �`52 ary. nDS. WILL FAI.URFJDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMPS C a.YES ❑ b.NO ^1'^ ❑ 2,MECHANICAL LINE LEAF: DETECTOR (MLLD) THAT ROUTINELY PERFORM$ 3.0 g.p.h. LEAK SHUTDOWN, RESTRICTS OR SHNo ID7 UTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED EST ❑ b. U ,j MLLD MANUFACTURER(s): V3'3.ELECTRONIC LINE LEAK DETECTOR ELL nU6 MODEL#(S): G J s ^199 r t fir_(_ LN�,f�0i1'fFNELY PERFORMS 3.0 g.p.h.LEAK TESTS FLLD MANUFACTURER:--IC 2/ �"r ^wn. PROGRAMMED LINE INTEGRITY TESTS: MODEL#: 1L_v MJI. [:] a.MINIMUM MONTHLY 0.2 g.ph. ❑ b.MINIM I1tvI ANNUAL Mc MILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMF SHUTDOWN? g.ph. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b-NO M, C1 4.INTEGRIT)-TESTING a.YES [I b.NO M" TEST FREQUENCY: ❑ e.ANNUALLY 11b.EVERY 3 YEARS E] S.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY• 11c.OTHER(Specify) Mu MJfi. �— 'RWuves agmo a ❑ C.MIN.MOM'FiLI'&FA(Ti 71nffi S1'SFEM OPERATED-- nH] ❑ 6-PIPING IS SUCTION PIPING MEETING ALL RE U peroral ••cloned fw moryb.�nx 9rme9nsa me.x�.b enn6tl WP�x�x Q IREMENTS FOR EXEMPTION FROM MONITORING PER23CCR§2636(.)(3) °"xsc 9aen!16x.1 ❑ 7.NO PRODUCT OR REMOTE FILL PIPWG IS CONNECTED TO THE UST(s) ❑ 99.OT14ER(Specify) SJCEHD-d(07/03)-1/4 MJe. f/ 07/23/03 r