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a <br /> F4 <br /> AWL Ask <br /> UNDERGROUNDSTORAGETANK <br /> MONITORING PLAN—PAGE 2 <br /> VI.DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING TUR FOLLOWING METHOD(S)(Check all that apply) ntw. <br /> 1.CONTINUOUS ELECTRONIC MONITORING OF tU�NDER DISPENSER CONTAINMENT(UDC) <br /> PANEL MANUFACTURER: � ,,PAQ, �tm�- oV W1 MODEL#: LS — 4452 <br /> LEAK SENSOR MANUFACTURER: l`)9P User R,33� MSJ- MODEL#(S1: 9(43 Y lO <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? a YES ❑ b.NO Mss' <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? 9 a YES ❑ b.NO rasa <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? 121 a YES ❑ b.NO W7' <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: ra't'a MODEL#(S): <br /> 4459. <br /> ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(R". M60. <br /> ❑ 4.NO DISPENSERS <br /> •wt. <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 t'1J0 <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) Matt <br /> 1. THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required u of 7/1/2004) <br /> 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) 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 /> Mom. <br /> 99.❑ OTHER(Specify): <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 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 <br /> 1,2004,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and mainumonce of the UST systems.This <br /> training will include,but is not limited W,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 almms. <br /> For facility employees hired on or atter July 1,2004,the initial training will be conducted within 30 days of the date ofhire. <br /> IX. COMMENTSAADDITIONAL INFORMATION <br /> Please use this section W include any additional UST system monitoring-related information(e.g.,additional information required by you local agency): Mss. <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS OF 7/1/2004,THE"DESIGNATED UST OPERATOR"IDENTIFIED IN SECTION IB OF HIE CURRENT UST OPERATING PERMIT APPLICATION- <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTTON <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 /> XL OWNFWOPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the iaformation provided herein is true and accurate to the best of my kaourledlp& <br /> OWNER/OPERAATO�R SIG_NAT\URE REPRESENTING DATE:Owner <br /> J Mgt <br /> 1✓QtJ�K.I/-O S Operator - ),;I-a ! <br /> OWWNF.R//�^ IOP:j 1.-��pTO11R NAME(print): OWNEWOPERATORTTTLE: W3. <br /> �ar,4" wotr'as Te3 �UA- <br /> (Agency Use Only) This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑Disapproved <br /> Local Agency Signature: Date: <br /> Camments/Speciul Conditions: <br /> SJCEBD-d(07/03)-3/4 07/23/63 <br />