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UNDERGROUND STORAGE TANK MONITORING PLAN—PAGE 2 BENEATH DISPENSERS)IS PERFORMED USING THE FOLLOW NSi METHOD(S)(Check all that apply) ano. MONITORING OF AREAS ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT Not. Mn. 1' 11 MODEL#: PANEL MANUFACTURER: [ �"LCr %M LEAK SENSOR MANUFACTURER: fAa L Mss. MODEL#(S)i � Mss. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? O a .❑ YES 0 b.NO NM. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? htn. WILL FAILURFIDISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)N UDC TRIPS SHEAR VALVE N CASE OF LEAK /a rir2 M» ASSEMBLY MANUFACTURER: Nato. MONITORING 3.VISUAL MONITORG DONE: ❑ a DAILY b.WEEKLY lawurts.sr�'>rma'�) ❑ 4.NO DISPENSERS Nate ❑ 99.OTHER(Specify) ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M]a. DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED Meo. I REFERENCE DOCUMENTS MANTAINED AT FACILITY(Check all that apply) 1. THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3, THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 7/12004) 4, ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" � 99.0 OTHER(Specify): Personnel withUST monitoring responsibilities are familiar with all of the above documents relevant to administered duties and can access Kase documents when needed. By July 1,2004,this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By July 1 2004,and annually thereafter,the "Designated UST Operator'will train facility employees in the proper operation and maintenance of the UST rysttrns.This training will include,but is not limited to,the Following: ➢ Operation of the UST systems in a manner consistent with the facility's best management pmcticw D The facility employee's role with regard In the leak detection equipment. • The facility employee's role with regard to spills and overfills. ➢ Whom to contact for emergencies and leak detection alamat. For facility employees hired on or after July 1,2004,the initial training will be conducted within 30 days of the date of hire. your local a envy'): Nm Plcase use this tion to6 include any additional UST sYQ m mon ring-related information(e.g.,ax additional tion fired bye' 8 - ION -F :i PERMIT LICA FAS OF 7/l/20041 THEACILITY FORM WILL HAVE UL IMATE AUTHORITY OTD UST—OPERATOR- R PERFORMING THE MONITORING ACTIVITIES ANMAINTAINING I IED IN SECTION 11101 L NJ LF.AKPDETETCT ON EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2715 6. CERTIFICATION:I card that the information pmvlded herein is true and accurate to the best otm knowled e. `rot DATE: OWNER/OPERATOR SIGNATURE _ O[vner M90 / ❑0 o `�._. Imo— awzNroa. OWNER/O TOR ITLE: OWNE ERATO NAME(print):1/4 , V d (A Cy Use Only) This p has been reviewed and: Approved ❑Approved With Conditions ❑Disapproved Date: 4ra Local Agency Signature: .(µ f,9WComments/Special Conditions. + s� � mn3ro3 SJCEHD-d(07/03)-314