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SAN JOAQIfJsssvCOUNTY ENVIRONMENTAL HEALTI3,,,ePARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN— PAGE 2 <br /> VI. DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) wo. <br /> L CONTINUOUS ELECTRONIC MONITO"G���AOAF UNDER DISPENSER CONTAINMENT(UDC) �7 <br /> PANEL MANUFACTURER: � 'g0.`CI� 1`001— raft. MODEL#: I LS -35o W2. <br /> LEAK SENSOR MANUFACTURER: 1 W3- MODEL#(S): j2 -<R0S W4. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? A a.YES ❑ b.NO nus. <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? Ka.YES ❑ b.NO mss. <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? Ms.YES ❑ b.NO A457. <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: W1 MODELN(S): mss. <br /> ❑ 3.VISUAL MONITORING DONE: ❑ &DAILY ❑ b.WEEKLY tacquom sse app M) Mme' <br /> ❑ 4.NO DISPENSERS <br /> Mst. <br /> ❑ 99.OTHER(Specify) <br /> VII. ENHANCED LEAK DETECTION <br /> ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK Wo' <br /> DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> VIII. TRAINING <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mo. <br /> 1. I THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. 19 THE FACD.rTY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) <br /> 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (S)AfRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION' <br /> 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS- <br /> 99. [] <br /> ANKS"99. ❑ OTHER(Specify): <br /> ant. <br /> Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to theirjob duties and can access those documents when needed. <br /> By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By <br /> January 1,2005,and annually thereafter,the "Designated UST Operator'will train facility employees in the proper operation and maintenance of the UST systems. <br /> This training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br /> ➢ The facility employee's role with regard to the leak detection equipment. <br /> ➢ The facility employee's role with regard to spills and overfills. <br /> ➢ Whom to contact for emergencies and leak detection alarms. <br /> For facility employees hired on on after January 1,2005,the initial training will be conducted within 30 days of the date of hire. <br /> IX. COMMENTS/ADDITIONAL INFORMATION <br /> Please use this section to include any additional UST system monitoring-related information(e.g.,additional information required by your local agency): W. <br /> TYPE OF OVERFILL PREVENTION= A Ja,r,��1 J tSJAL• A I q..r N't �; J I c'+.-f� /35 <br /> A y1 r%V A L�!3J c.Ke-} -H-294— X717 1-' <br /> r�+t <br /> f Avw\ L_ noon oQ.1l`c ConfA/'.r h f- T¢S-� <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS OF 1/1/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION- <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2715(b). <br /> XI. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> OWNER/OPE RSIGNATURE REPRESENTING DATE: W1. <br /> ❑Owner Mso. <br /> �)v., ,.,r-I-Z. ❑Operator — —O <br /> OWNER/OPERATOR NAME(print): n(� Wr' OWNER/OPERATOR TITLE: A193, <br /> /74 <br /> � ciC� raL Vn.4 .¢� / efAll ,.Scft/rYPS <br /> (Agency Use Only) This plan has been reviewed and: Xpproved ❑Approved With Conditions Disapproved <br /> Local Agency Signature: Date: e6 Z07m), <br /> Conaments/Special Condi ons: <br /> SJCEHDd(07/03)-3/4 07/23/03 <br />