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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 MOL TYPE OF ACTION ❑ 1.NEW PLAN .CHANGE OF INFORMATION M02. PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): _ I. FACILITY INFORMATION FACILITY ID#(Agency Use H1Y) - - M03. FACILITY NAME MOS. FACILITY SITE ADDRESS t{ MN CITY G II. EQ PMENT TESTING AND PREVENTIVE MAINTENANCE State jaw requires that testing,pceventive mtettarrca,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detedetectors,etc.)be performed in Moa. accordance with the equipmmt manufacture ,instructions,or ennuali whichever is more frequent Such work must be performed by qualified personnel. M07. MONITORING EQUIPMENT IS SERVICED LANNUALLY ❑ 99.OTHER(Specify): III. MONITORING LOCATIONS This monibring plan must include a Site Plan sho g 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,a ,J. If you already bave o diagrem(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form Hazardous Materials Business Plan m etc. which shows all wired information include it with this plan. \, IV. TAMC MONITORING MIO. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) 0 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) P� SECONDARY CONTAINMENT IS: TJ❑ a.DRY\ ❑ b.LIQUID FILLED ❑ C.UNDER PRESSURE ❑ d.UNDER VACUUM MD. PANEL MANUFACTURER; FRLI {�TO S�1C-�Z Mtx MODEL#: 'GERID_C Rim M13- LEAKSENSORMANUFACTURER: F i;�W fFU'�(�,��a'�' Mrs MODEL#(S): L S � Mrs. ❑ 2.AUTOMATIC TANK GAUGING, SIVSTEM USED TO M ITOR SINGLE WALL TAN KfS7 M17 PANEL MANUFACTURER M16 MODEL#: MIS. MODEL#(S): Mw. IN-TANK PROBE MANUFACTURER: LEAK TEST FREQUENCY: [3a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY Mxo. C1 d.MONTHLY ❑ e.OTHER(Specify): M31' PROGRAMMED TESTS: ❑ a.0.1BP h. IJb.01 g.p.h. c.OTHER(Specify): A1z °w ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 b�STATISTICN.PER 23 CCR§2646.1 Ml°. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 Mxs TESTING PERIOD: ❑ a.36 HOURS �_❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 �J Mxa W7 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY c.OTHER(Specify): ❑ 6.VISUALMON(TORING DONE: ❑ a.DAILY ❑ b.WE Y(Ragaiv d) Wit, 99.OTHER(Specify): V. PIPE ORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) ono �1 L CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)(1'RENCH(ES)AFJD OTH ECONDARY CONTAINMENT J" SECONDARY CONTAINMENT IS:� ❑ a�DrgRY ❑ b.LIQUID FILLED/ ❑ c.UNDF,R PRESSURE ❑ d.UNDER VACUUM MII' PANEL MANUFACTURER: ER vs11 APTO - C'',,K \ M7x. M EL#: �.S E A\�S 9 o M73. LEAK SENSOR MANUFACT'IIRFR� f^Q1A3 PCIJW 1^A"0'r• 7 ° MOD #(S): ) A, 7% M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUWN? ❑ a.YES ❑ b.NO °ua. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMxW PUMPS TDOWN7 ❑ a.YES ❑ b.NO Max. 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.hd:6AK TIS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED MLLD MANUFACTURER(s): C P E`f'Af9 M3°- MODEL#(S): r'0 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)TI IAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: - MI°. MODEL#: M9. PROGRAMMED LINE INTEGRITY TESTS: ❑ s.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMMUANN L 0.1BD h. Metz. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ YES ❑ b.NO Mai. WILL ELLD FAI.URP.JDISCONNECDON TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ s. ❑ b.NO MN' ❑ 4.INTEGRITYTESTRNG 7S,�.� TEST FREQUENCY: ,fJ a.ANNUALLY ❑ b.EVERY 3 YEARS [I c.OTHER(Specify) M13. MK. ��, ❑ S.VISUAL MONITORING DONE: ❑ &DAILY ❑ b.WEEKLY* ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPE ED•• 1447.ee •Ruirc*gmry rppmW •'Allawoa fp mmtimrioaofwEund ane�amry aennewr Pod pipingodY It 9Z53d1.5(b)(3) ❑ 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) M44. SJCEHD-d(07/03)-1/4 07/33/03 £'d ££b£89b:01 8£99T£6602T N0603HD u(ivaow:wo?i3 80150 L002-2T-N-If