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SE-P-10-2009 17:01 CITY OF LODI 209 333 6710 P.09 Underground Storage Tank Monitoring a--)Page 2 of 2 VI. DISPENSER MONITORING MONITORING OF AREAS SENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Wo. ® 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANEL MANUFACTURER;Veeder-Root _ M51. MODEL#.TLS 350 _ MS2. LEAK SENSOR MANUFACTURER; - `f53 MODEL#(S):OZ94380-208 M54 WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ® a.YES ❑ b.NO MSS, WILL A UDC;LEAK ALARM TRIGGFR AUTOMATIC PUMP SHUTDOWN? E a,YES Ij b.NO M'6. WII,L FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a YES ❑ b,NO Msz ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS.SHEAR VALVE IN CASE OF LEAK Msa ASSEMBLY MANUFACTURER: M58. MODEL#(S): ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ h.WEEKLY("ulros R8my aPPrwal) Meo Q 4,NO DISPENSERS Mbt ® 99.OTHER(Specify) Monthly Visual Ins ection VII. ENHANCED LEAK DETECTION ❑ I,WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED Ll?AK Mlo. DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN•PFR 23 CCR§2644.1,LLD IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII. TRAINING REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mao. I. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. 0 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3• ® THE FACILITY'S 13PST MANAGEMENT-PRACTICES(Required as or,)anuary 1,2005) 4. ® CALIFORNIA UNDERGROUND STORAGE TANK REGUI,ATIONS 5. ® CALIFORNIA UNDERGROUND STORAGE TANK LAW 6, ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL, AND S'T'ATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" ME]. 99. ❑ OTHER(Specify): Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. 0y January 1,2005,this facility will have a"Designated UST Operator"who has passed the Califomia(IST Sytem Operator Exam administered by the International Code Council(ICC). By July 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the US'r 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. Y The facility employee's role 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 July 1,2005,the initial training will be conducted within 30 days of the date of hire, IX. COMMENTS/ADDITIONAL INFORMATION Please use this section to include tory additional UST system monitoring-related information(e.g.,additional information required by your local agency): Mas. Note regarding Section X. Pending certification of a Designated UST Operator,the following person has authority for performing the monitoring activities and maintalning leak detection equipment covered by this plan. NAME: JOB TITLE'; Tank Overfill Prevention: Unleaded Tank#1 -Audible and Visual Alarm @ 90%; Unleaded Tank#2 -Audible and Visual Alarm @ 87%; Diesel Tank- External Audible and Visual Alarm @ 90%; Waste Oil Tank-External Audible and Visual Alarm @ 90% X. PERSONNEL RESPONSIBILITIES AS OF JANU005, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION Ili OF THE CURRENT UST OPERATING YL'RMIT ARY 1, 2 APPLICATION—FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM.kND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACIIATY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2715 ). XI. OWNER/OPERATOR SIGN'AT'URE CERTIFICATIONI X certify that the information provided herein is true and accurate to the best of my knowledge, 0 -RIOPERATOR IGNATURE REPRFSENTfNG DATE: M91 ED M90. ®operator —September 8, 2009 EWOOR NA F(print): M"- OWNER/OPERATOR TITLE: ivt9�. Randy Laney Fleet Services Supervisor (Agency Use Only) This/ l h been reviewed and: tApproved ElApproved With Conditions ❑Disapproved 1 Local Agency Signature: Date: Comments/Spccial Conditions: UN-022A-315 www.unidoes.org Rev.10/14/03