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SAN JOAQT�OUNTY ENVIRONMENTAL HEALTHWARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE I <br /> TYPE OF ACTION ❑ 1.NEW PLAN Z 2.CHANGE OF INFORMATION Mm. <br /> PLAN TYPE ® MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Moe. <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> FACILITY ID#(Agency Use Only) <br /> Moa. <br /> FACILITY NAME A - <br /> r d- GaS d M <br /> FACILITY SITE ADDRESS 5/L0 (,�. t/ose ,}e AUC M0 CITY / 1r4,A+CG Mos. <br /> State law requires that testing preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in Mob, <br /> accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED y 1.ANNUALLY El 99.OTHER(Specify). Moz <br /> III. MONITORING LOCATIONS <br /> This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, <br /> line leak detector,monitoring system control panel,etc.). If you already have a diagram(e.g,,current UST Monitoring Site Plan from a Monitoring System Certification <br /> form,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) MIO. <br /> ❑ L CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ a UNDER PRESSURE ❑ d.UNDER VACUUM M° <br /> PANEL MANUFACTURER: O M n}e C M12. MODEL#: OCL- 8000 M13. <br /> LEAK SENSOR MANUFACTURER: OnA+eC M14. MODEL#(S): KOLL - Owl MI5. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) <br /> PANEL MANUFACTURER: M16. MODEL#: MIT <br /> IN-TANK PROBE MANUFACTURER: MIB. MODEL#(S): M19. <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY MD. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): M21' <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): M22. W3 <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. <br /> JS 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ® a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): Mee. Mn. <br /> Jig 6.VISUAL MONITORING DONE: a-DAILY ❑ b.WEEKLY(aegainomancy yrprovel) <br /> ❑ 99.OTHER(Specify): nos. <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31. <br /> PANEL MANUFACTURER: Omit�eC 1vO2 MODEL#: Oft- 2000 M33. <br /> LEAK SENSOR MANUFACTURER: Or+n+tc_ M34. MODEL#(S): ►10EL - OuZ WS, <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ® a YES ❑ b.NO 1r136. <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? [9 a YES ❑ b.NO M30. <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED <br /> MLLD MANUFACTURER(s): MM. MODEL#(S): M39. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> ELLD MANUFACTURER: F r ?Ciro M40 MODEL 4: STP MLII M41_ <br /> PROGRAMMED LINE INTEGRITY TESTS: Ela.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? EA a.YES ❑ b.NO Moa <br /> a�l WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? $I a YES [_1b.NO M44. <br /> 1% 4.INTEGRITY TESTING <br /> TEST FREQUENCY: ® a ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) Mas. M46. <br /> 5.VISUAL MONITORING DONE: ® a DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. <br /> *Requires agency approval **Allowed fm monitoring of unburied emergency generator fuel piping only per HSC§25281.5(b)(3) <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) <br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> ❑ 99.OTHER(Specify) M48 <br /> SJCEHD-d(07/03)-I/4 07/23/03 <br />