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OCT-25-2007 17:54 CITY OF LODI 209 333 6710 P. 12 <br /> Underground Storage Tank Monitorin*n—Page 2 of 2 <br /> VL DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATH DISPENSERS)IS PERa0RM1:D USING THE FOLLOWING METHOD(S)(Check all that apply) M50 <br /> ® 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) <br /> PANEL MANUFACTURER:Veeder-Ro(X M'' MODEL*:TLS 350 N62. <br /> LEAK SENSOR MANUFACTURER Vee.40EROQ MS'. MODEL#(S);07M380--208 MIA <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? 121 a_YES ❑ b.NO mss. <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a,YES ❑ b.NO M� <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a YES ❑ b.NO M57_ <br /> ❑ 2.MECHANICAL,ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE.rN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: M58' MODEL#(S): M5 <br /> ❑ 3NISUAL MONITORING DONE; ❑ a_DAILY ❑ b_WEEKLY(> s h app—W) M60. <br /> Q 4.NO DISPENSERS <br /> ® <br /> 99.OTHER(Specify) Monthly Visual Inspection <br /> VIL ENHANCED LEAK DETECTION <br /> ❑ 1.W13 HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK 70 <br /> DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> VIII TRAINING <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> I. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Rcgaired) <br /> 2- ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(1Legaired) <br /> 3_ ® THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of January 1,2005) <br /> 4. ® CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. ® CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br /> Sal, <br /> 99-❑ OTHER(Specify): <br /> Personnel with UST monitoring responsibilities are titmiliar with all of the above documents relevant to tbeir job duties and can access those documents when needed_ <br /> By January 1,2005,this thcility will have a"Designated UST Operator"who has passed the California UST Sytenn Operator Exam administered by the Internatioro <br /> Code Council(ICC). By July 1,2005,and annually theteafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance <br /> ofthe UST systems.This training will include,but is not limited to,the following: <br /> A Operation of the UST systema in a marmvr consiaterrt with the facility's best management practices_ <br /> ➢ The&61ity employee's role with regard to the leak detection equipment. <br /> The Ihcility employee's role with regard to spills and overfills. <br /> )" Whom to contact for enteigencice and leak detection alums <br /> For tircility employees(tired on or after July 1,2005,the initial training will be conducted within 30 days of the date of hire. <br /> IN. COMMENTS/ADDITIONAL INFORMATION <br /> Please use this suction to include any additional UST system monitoring-related information(e g.,additional information required by your local agency): neRs <br /> Note regarding Section K.Pending certification of a Designated UST Operator,the following person has authority for performing the monitoring <br /> activities and maintaining leak detection equipment covered by this plats. NAME: JOB TITLE: <br /> Tank Overfill Prevention: Unleaded Tank#1 -Audible and Visual Alarm @ 90%; Unleaded Tank#2 -Audible and <br /> Visual Alarm @ 87%; Diesel Tank- Extemal Audible and Visual Alarm @ 90%;Waste Oil Tank- External Audible <br /> and Visual Alarm @ 90% <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS OF JANUARY 1, 2005, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT <br /> APPLICATION—FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING <br /> LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL fNSP2CTIONS <br /> OF THE FACILITY'S UST SYSTFMS IN ACCORDANCE WITH 23 CCR§2715(b). <br /> XL OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certiify that the information pirlded heroin is true and accarxte to the best of Ty knowledge. <br /> OWNER/OPERATOR SIGNATURE REPRESENTING DATE. Wit. <br /> ®0I M90 0c�Dih*.jg_ 22 �o'-7 <br /> OWNERIOPERATO NAME(print): at9z OWNER/OPERATORTTTLE: ' <br /> Dennis J. Callah n Fleet and Facilities Manager <br /> (Agency Use Only) This plan has reviewed and: Approv - ❑Approved With Conditions ❑Disapproved <br /> .oral Agency Signature: Date: <br /> omroeots/Special Conditions: <br />