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SAN JOAQi�.,COUNTY ENVIRONMENTAL HEALTH,PARTMENT UNDERGROUND STORAGETANK MONITORING PLAN-PAGE 1 M01. TYPE OF ACTION ❑ 1.NEW PLAN 2.CHANGE OF INFORMATION Moe PLAN TYPE MONITORING IS IDENTICAL FOR ALL US I S AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) Mos. FACILITY NAME I 1<A =tL- 2172 (� FACILITY SITE ADDRESS ('� �� MW CITY cs'�6G1�'F'C•'3 G4 9•rr- 2 0' rQ II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE equipment( g,sensors, robes,line leak detectors,etc.)be performed in MW State law requires that testing,preventive maintenance,and calibration of monitoring e. p accordance with the equipment manufacturers'instructions,or annual) ,whichever is more frequent. Such work must be performed by qualified personnel. Moi. MONITORING EQUIPMENT IS SERVICED .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 Materials Business Plan map,etc.2 which shows all required information,include it with this plan. IV. TANK MONITORING MIO. ,,MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) 1� 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULTS) / SECONDARY CONTAINMENT IS: )§� RY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM MH. PANEL MANUFACTURER: f? �00-� MIZ. MODEL#: T�.S S d M13. LEAK SENSOR MANUFACTURER: ,Jtet- 1C'Cat M14' MODEL#(S): 2I'0 Mls" ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKLSI PANEL MANUFACTURER: MI6MODEL#: Mn. IN-TANK PROBE MANUFACTURER: MIB. MODEL#(S): M19. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY FCO. ❑ d.MONTHLY C] e.OTHER(Specify): Mn. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): " M23. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS Mt5' ❑ 5.INTEGRrFY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): A45' Mzt. ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY 0twatrea neary app o e) ❑ 99.OTHER(Specify): V. PIPE MONITORING ,,,MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)TRENCH(ES)AND OTHER SECONDARY CONTAINMENT - SECONDARY CONTAINMENT IS: DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31. PANEL MANUFACTURER: f..e-fcp.0 f fTr M32. MODEL#: TL 5 '3 5o M13. LEAK SENSOR MANUFACTURER: 0-tA2r jZ O. MODEL#(S): 60S M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? 0 a.YES ❑ b.NO M36. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b.NO M37. 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 DETECTED (I �_ + r, MLLD MANUFACTURER(s): R. J /�C KR 1 Mas. MODEL#(S): TX1 '� 1 pX-'-Ly' M19 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: M40' MODELM M41, 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 FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46. ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY/d.EACH TIME SYSTEM OPERATED-- M47. •aeq-osoo y approval '•A wed kr momkorins oforot i eaur8e 8mumm kcl memos only pe HSC§25381.5(bX3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(ax3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) M°e" SJCEHDd(07/03)-1/4 07/23/03