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s SAN JOAQIWOUNTY ENVIRONMENTAL HEALTI19PARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE 1 17 111 M01. TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION :i7- PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 03 OCT 27 Moz. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY'INFORMATION FACILITY ID#(Agency Use Only) - M03. FACILITY NAME p (^ M05. FACILITY SITE ADDRESS II. EQUIPME T TESTING AND PREVENTIVE MAINTENANCE te law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06 Sta accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. h107. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): III. MONITORING LOCATIONS' 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, 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 form,Hazardous Materiels B:sincss Plan,ma-,etc 1 xhich shows 20 required infinmRtion,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) M1o. 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: DRY b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M° PANEL MANUFACTURER: 61 1 0 �L M12. MODEL#: M13. a. LEAK SENSOR MANUFACTURER: 94L0 �OV M14. MODEL#(S): MI5. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) M17 PANEL MANUFACTURER: MI6. MODEL#: Mia MODEL#(S): M19. IN-TANK PROBE MANUFACTURER: LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20. El d.MONTHLY 11e.OTHER(Specify): M21' PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2gP h. Elc.OTHER(Specify): M22. MD. ❑ 3.INVENTORY RECONCILIATION [Ia.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 M25 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 M26 W7 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 6NISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY(Requires agency avprovap M29. 99.OTHER(Specify): V. PPIPE MONITORING M30. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)(TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: p�(t/rr�a.DRY Elb.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM Mat. PANEL MANUFACTURER: int(lI GO1Iec MODEL#:fr," �+ M32. M33. M35, LEAK SENSOR MANUFACTURER: \1 Q-C M34. MODEL#(S)' WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? a.YES [-Ib.NO N06.z WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? % a.YES [Ib.NO 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND STRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS D TECTED ' n M39. MLLD MANUFACTURER(,: R'Q MODEL#(S):DC I�'� Mn' ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS M41 ELLD MANUFACTURER: M40' MODEL#: PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42, WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43. WILL ELLD FAILUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING M45. M46. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 5.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY" ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED-- M47. •Requ'ves a,,my approval ••Allowed for monitoring ofunburied emergenry generates fuel piping only per HSC§25291.5(b)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Mos. ❑ 99.OTHER(Specify) 07/23/03 SJCEHD-d(07/03)-1/4