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SAN JOAdW COUNTY ENVIRONMENTAL HEALTH fleffARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN -PAGE 1 TYPE OF ACTION ❑ 1.NEW PLAN A 2.CHANGE OF INFORMATION Mat. PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Mai (Cbmk one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): L FACILITY INFORMATION FACILITY ID#(Agency Use Only) U'. l. FACII,TCY NAME A Casd) No— '-�4 (05 Mm. FACILITY SITE ADDRESS •l c W t �LQ, =CITY Lod Mos. U. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in accordance with the equipment manufacturers'instructions,or annually,whichever is mine frequent. Such work=9 be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): III. MONITORING LOCATIONS This monitoring plan most include a Site Plan showing the general lank and piping layouts it the locatims where monitoring is performed(i.e.,location of each sensor, line leak detecmr,monitoring system cmtml panel,etc.). Ifyou already have a diagram(e.g.,c rent UST Monitoring Site Plan from a Monitoring System Certification form,Hagmdms Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) him 1.CONTINUOUS ELECTRONIC MONITORING{'OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: K a pDDRY l❑ b.LIQUID FILLED El e.UNDER PRESSURE ❑ d UNDER VACUUM PANEL MANUFACTURER: VQ2f(fi, RUScT M12 MODEL#: SLS M13, LEAK SENSOR MANUFACTURER: ()QQC(QI— P,0.�+ 1414. MODEL#(S): 7 `N390-q Mls. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKlS) PANEL MANUFACTURER: M16. MODEL#: Mn. IN-TANK PROBE MANUFACTURER: Mtg. MODEL#(S): NIM LEAK TEST FREQUENCY: ❑ a CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY Rrto' ❑ d MONTHLY ❑ e.OTHER(Specify): M31, PROGRAMMED TESTS: ❑ a 0.1 g.p.b. ❑ b.02 g p.h. ❑ c.OTHER(Specify): Mzx MTS. ❑ 3.INVENTORY RECONCILIATION ❑ a MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M}A. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS M25. ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): Mza. MTI. ❑ 6.VLSUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(R.yocmegng ggeove) ❑ 99.OTHER(Specify): M2R V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) we L CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: 16 a DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM PANELMANUFACIURER: Uayi4e, Rao+ nuz MODEL N: TLS MJi LEAK SENSOR MANUFACTURER: 79ti -690 -a0i? MJO MODEL#(S): M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(Le.,TURBINE)SHUTDOWN? Cg'&YES ❑ b.NO M]a WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN9 a a YES ❑ b.NO 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETEgEFDd, � MLLD MANUFACTURER(s): Rp. A(X-H Q- t'O& MODEL#(S): .F i,) U , F W9. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: Mia MODEL#: M61 PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. raz WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ❑ b.NO W3 WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ❑ b.NO M14' ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) Mas' Mab. ❑ 5.VLSUAL MONITORING DONE: ❑ aDAILY ❑ b.WEEKLY* ❑ c.MEN.MONTHLY&EACH TIME SYSTEM OPERATED*' Mai. .Ryo'am a,nn,n,,nnn l ••Ml farmmimring ofmbmid mwBm gB nr incl piping miyP HSC§-5]815(bX]) ❑ 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) ❑ ".OTHER(Specify) M4N' STCEBDd(07/03)-1/4 07/23103