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UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE 2 <br /> .ENMONRfORINU OP ARL'AS BTNEATl1 D1$PTNSLR(S)�PEI1,tPOR�n L ER�O��p NRINILTFIUD(S)(Check all Nal apply) � Mso <br /> [� 1,(ANIINUUUS CLY.C7ILONIC MUNI rOT(1NCi OF U ER DISPENSER CONTAIN,NIENT(COO) <br /> PANEL MANLIPACTURER: V L. 3SD Msl. <br /> LEAK SENSOR MANUFACTURER; MODEL A- oar - MS±., <br /> WILL DETECITON OF M51' MODEL p(S): fN !}Ya- .�'' 'Lf .Mae. <br /> LEAK INTO'11iF.LIDC TRIGGER AUDIBLE AND VISUAL,ALARMS? <br /> A UI7C LEAK ALARh97RIGGER AUTOMA7jCPUMp SFIVIIXjWN? ,—,�YBS M's. <br /> N FAB.URE/D,ISCONNECTTON Op UDC MONITORING SYSTEM 4Y e`YES ❑ b.NO M56. <br /> Q 2, TRIGGER AUTOMATIC PLtM,p SHUTDOWN? ❑ A.YES ❑ b.NO Msi. <br /> Ai,ASSEMBLY(cg,PLOgT AND CHAIN AgSEidgLy))Tr wL.TRIPS SHEAR VALVE IN CASE OF LEAK <br /> SEt,43LY MANUFACTURER: Msa . <br /> ❑ 3.VISV MONITORING NE. ❑ A.UAiLY MODEL N(S): <br /> ❑ 4.NO DISPENSES ❑ b.WE817,1'(IWa�ms syaay4sswoq Mao. <br /> ❑ 09.OTHER(Sp..-) <br /> Mat <br /> ENFIANCE'b LEAK DET'ECTY� 177 <br /> WEHAVEBF,LN NOTiFIEDBYTHRSTATE WA TER RESOURCES CONTROL BOARD <br /> r TTIAT WEMUSTIMPLCMENTENIIANCEU LEAD ,. Nva <br /> ( COVERED' BY THIS PLAN,PER 23 CCR§26441,EL 3 IS <br /> PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> REFERENCE DO <br /> CUMENf3 MAIh7ALNED ATFACILI <br /> I ❑ THIS UNDERGROUND STORAGE TANK MU TY(Clhed,all that apply) n..'.:V p"i,!•?.r.) <br /> 2. ❑ OPERATING MANI+ NITORRJC PLAN(Requirsd) Mea <br /> 3: ❑ TI0-FACILITY'S BEST MANAGEMF,NI'PRAC ICES(Rt'quiMONITO NG E UIP*tt 01 Ou)ir.d)- - ' <br /> 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK RL'GULATTONS <br /> 5- ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> G ❑ STATE WATER RESOURCES CONTROL BOARD (S'IVR(B) PUBLICATION; "HANDBOOK FOR TANK OWNF,.RS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCB,IATTON" <br /> 7. ❑ S WRCB PUBLJCAT1ON1'•WEEKLY MANUAL YANK GAUGING FOR <br /> SM_ <br /> UNDERGROUND STORAGE T.WKS" <br /> 99.❑ OTHER(Specify): <br /> Pennnnel with[lSTmonitorin ra Mal: <br /> By 1, S p�sib,l,hpare familiar With all ofthebbove documents rdm'anito thcirjob dudes and can access those documents when ncuded. <br /> S p• 2005 this facility will have a"Designated USI'Operator"who has passed the operator exam adntiniatemd by the Intunmional Code Council(TCC), By <br /> TWO tea 1,g will and annually not li er,the `Deaignalcd UST Operator"will train facility employm in the Proper operation and mahncnance of the UST syxlems. <br /> 71tie training will include,but is not limped lo,die following: <br /> i Operation of the US'r systems in a nmmter cnmtment with the Gcility's bent managemuml practices. <br /> > The facility employee's tele with mgard to the Junk detection <br /> Y nyoipmenl. <br /> The facility employee a role with regard to spills and overrIlla <br /> > Whom to contact for etnnrgencim and Irak ddedion alannx, <br /> Fm rec"'ly emPk'3,cm hired on o"AM'l:musry 1,2005,ehe initial lninu,g will he wnducted wjttn 30 days of the dela of hire. <br /> IX. CUNIMENTS/ADDITIONAL MDRMATIpN <br /> Please use thio section to include soy nddk,oml US'1'.ry..lcm monitoring-related inforhnalion e, <br /> ( 3.additional ml'onnation n.yauod by yuur local ag 4hcy): mat, <br /> 7 d`PERSgNNEI.RESPONSIBILITIES <br /> AS OF 1/1)05 THE 'DESIGNATE-U UST OPERATOR"IDENTIF1Ep ISEECTION R)OF THE CU <br /> FACILITY FORNf WILL HAVE RRGNT LIST OPERATING + <br /> ULTIMATE A[EIIdORITY FOR PERFORMING 77IE MONITORWG ACTIVITTES AND N.fAINTAINRNG gqK UETECfTION <br /> 1 BY THIS PIAN,AND WILL,PERFORM AND DOCUMENT MININdIJM MONTHLY VISUAL INSPECfION3 OF THE FACB,ITY'$ <br /> EQUIPMENT COVERED <br /> US f S537EM$IN ACCORDANCE WITH 2,T CCR 41271 s(b) <br /> XI. i:OWNER/Ol'ERA I OIi SIG' 'y r +' <br /> CERTIy'ICATION I GNAT Chat th.' furmatiert provided herein Is true and accurate tie mee �my laltoa'lodge. <br /> OWN WnT SIGNATt. k <br /> r (( BEPRE�^ '.G DATE: MAN. <br /> // / 7/J ❑Operator "`°. <br /> OWNF. PERATOR NAME(print): _ <br /> M OWNER/OPFRA <br /> 1 /2 5 TOR TITLE: Mea. <br /> (Agancy Use Only) This plan(has been reviewed and: <br /> ❑Approved ❑Approved With Conditions <br /> Local Agency Signure; C3 Disapproved <br /> m <br /> I <br /> C011ma1113/Special Conditions: Dater <br /> SJCEFiD-0 107/03)_3/4 <br /> 07/23/03 � <br /> 900M 0003'8SV9d02IHSVI OLR96f: 6OZ YVd LO TT S00Z/9T/TT <br />