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SAN JOAQt71N COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> UNDERGROUND STORAGE TANK <br /> M0191TORING PLAN- PAGE 1 <br /> TYPE OF ACTION ❑ .NEW PLAN 92.CHANGE OF INFORMATION Mol. <br /> PLAN TYPE 1VMONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Moe. <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) <br /> FACILITY NAME �{ Jl Mo3- <br /> FACILITY SITE ADDRESS a50� W M 4. CITY M05. <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> State law requires attesting,preventive maintenance,and calibration of monitoring equipment(c 9,sensors,probes,line leak detectors,etc.)be performed in M06 <br /> accordance with the equipment manufacturers'instructions,or annually whichever is more frequent. Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED rb,V�'{ANNUALLY ❑ 99.OTHER(Specify): Mut <br /> III. MONITORING LOCATIONS <br /> This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(re,,location of eachsensor, <br /> fine leak detector,monitoring system control panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification <br /> form Hazardous Materials Business Pian map,etc.)which shows e!I required information include it with this plan. <br /> IV. TANK MONITORING <br /> MYTORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mlo. <br /> OZ 1.CONTINUOUS ELECTRONIC MONITORING F TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT I .DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM Mit. <br /> PANEL MANUFACTURER: M12. MODEL#: -I�V%�0 J M13. <br /> LEAK SENSOR MANUFACTURER: n J M14. MODEL#(S): L5 ] Z 5 u MIS, <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S_) - <br /> PANEL MANUFACTURER: Mrs MODEL#: M17, <br /> IN-TANK PROBE MANUFACTURER: MIs. MODEL#(S): M19 <br /> LEAK TEST FREQUENCY ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY Mao <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): Mei <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p-h. ❑ b.0.2 g.p.h. ❑ c,OTHER(Specify): M22 Mai <br /> 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCA§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25 <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> ! TEST FREQUENCY: ❑ g ANNUALLY [Ib.BIENNIALLY El c.OTHER(Specify): M26M27 <br /> 6.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY(Requires agency approval) <br /> ❑ 99,OTHER(Specify): Meg <br /> V. PIPE MONITORING <br /> M ITORING 1S PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) `130. <br /> 1.CONTINUOUS ELECTRONIC MONITORINGG�F PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINNT MEIS: a.DRY ❑ b.LIQUID FILLED ❑ c,UNDER PRESSURE ❑ d.UNDER VACUUM M31- <br /> PANEL MANUFACTURER: r%t%A V--% Cr C_Skp,C M32. MODEL#: J00 _ M33. <br /> LEAK SENSOR MANUFACTURER: PP n<%-A^IN le-rCc&%91 t M34. MODEL#(S)'. 6'10 LS(.✓, M35. <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.M' ❑ b.NO M36. <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M37. <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED <br /> MELD MANUFACTURER(s): Mas. MODEL#(S): M39. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p,h,LEAK TESTS <br /> ELLD MANUFACTURER: M40 MODEL#: M41. <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42 <br /> WILLELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mai. <br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. <br /> ❑ 4.INTEGRITY TESTING <br /> TEST FREQUENCY: ❑ a ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45 M46 <br /> 215 VISUAL MONITORING DONE: DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- M47, <br /> •Requires agency approval '•Allowed for monitoring of unburied emergmcy generator fuel piping only per HSC§25281,5(bx3) <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) <br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> ❑ <br /> 99.OTHER(Specify) M48. <br /> SJCEHD-d(07/03)-1/4 07/23/03 <br />