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UNDERGROUNDSTORAGETANK MONITORING PLAN — PAGE Z VL DISPENSER MONITORING pro OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METkIOD(S) (Check all that apply) M NrfORING 1. CONTINUOUS ELECIROMC MONITORING OF ER DISPENSER CONTAINMENT (UDC) usz ust. MODEL N: 350 U p r PANEMANUFA('fl1RER: �� ws3- MODEL a(S):=l Q5�3�30 �-D8 �. SENSOR MANUFACITJRER: ,j�c" 3Lrraysa. YES ❑ b. NOETECTTOFA LEAKa. YES ❑ b. NOA il' UDC LEAK ALARM,.,t SYSTEM TRIGGER AUTOMATIC PUMP SIIUTDOWN7 �!. >• YES ❑ b. NO FAII.URF/INSCONNECTTON OF UDC MONITORING IN L1DC TRIPS SHE VALVE IN CASE OF LEAK. ❑ 2 MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) MODEL M(S): ASSEMBLY MANUFACTURER: at4a ❑ 3. VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY (awe®.amor Rw�) ❑ 4. NO DISPENSERS M61 ❑ 49.OTHER (Specdy) VII. ENHANCED LEAK DETECTION rfm STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK ❑ 1. WE HAVE BEEN NOTIFIED BY 177E PIAN. PER 23 CCR §2644.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED DETECTION (EIA) FOR THE UST(S) COVERED BY THIS VIII. TRAINING ($ DOCUME'NTS Mp1NTA6'1ED AT FACIITY (Chuck ala Oral apply) Neu 1. THIS UNDERGROUND STORAGE TANK MONI'T'ORING PLAN (Required) 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUB'MENT (Req aired) 3. THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of 1Po1200115) 4. CALIFORNIA TINDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNW UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATFA RESOURCES CONTROL BOARD (SWRCB) PUBLICATTON: iIA24DBOOK FOR TANK OWNERS -MANUAL AND STATTSTTCAL INVF.N'fORY RECONCI.IATTON" 7. ❑ SWRCB PUBLICATTON: "WF,F.KLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAC>E TANKS" uat 99. ❑ OTHER (Specify): Personnel with UST monitoring responsibilities are familiar with 311 of the above documents relevant to their job duties and can access those documents when needed. exaadministered by the International Code Council (ICC). By `TJesignated has the exam administered By January 1, 2005 this facility will have a UST Operator who passed operator January 1, 2005, and annually thereafter, the "Designated UST Operator wtrain facility employees in the proper operation and maintenance of the UST systems. 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 practices. D The facility employee's mle with regard to the leak detection equipment ➢ The facility employee's role with regard to spills and overfills. ➢ Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after January 1, 2005, the initial training will be conducted within 30 days of the date of hire. VL COMMENTS/ADDITIONAL INFORMATION please use Oris section to include any additional UST system monitoring-related information (e.g-, additional information required by you local agency): t4af. X. PERSONNEL RESPONSIBILITIES AS OF V1105, TIM' DESIGNATED UST OPERATOR^ IDENTIFIED IN SECTION M OF THE CURRENT UST OPERATING PERMrf APPLICATION — ULTIMATE AUTHORITY FOR PERFORMING THE MONI'T'ORING AC TV=S AND MAINTAINING LEAK DETECTION FACIITY FORM WILL HAVE EQUIPMENT COVERED BY THIS PLAN, AND WILL PERFORM AND DOCUMENT MINDAUM MONTBLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR I 2715(6). XL OWNER/OPERATOR SIGNATURE CERTIFICATION: I certify that the inforaafien provided herein is true and accurate to the best of my lorovrledga WNER/OPERATORSIGNATUREREPRESENDNG DATE: tet. Gwnm C� -31- os Operator CIWNNERI NAME (print): un �.t � 5AL Joll—UJ WNERIOPERATORTITIE (Agency Use Only) This plan has been twiawed and: ❑ Approved ❑ Approved With Conditions ❑ Disapproved I.mral Agency Signmec; Date' CommwWSpecial Conditions: Mf1ia11 &JC® -0 (07/03) - 314