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07/0212007 14: 33 2098352297 PAGE 02
<br /> ` J •
<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> UNDERGROUND STORAGE TANK
<br /> MONITORING PLAN - PAGE l
<br /> TYPE OFACT10N 1,NEW PLAN ❑ 2 CNANGF.OFINFORMATION
<br /> MAI
<br /> PLAN TYPE MONITORING IS IDENTICAI.FOR Al..USTs A'r TFII$FACJI,TfY.
<br /> (Check phe item only) [I THIS PLAN COVERS ONLY THE FOI:LOWRJC;UST SySTF.M(SI: Mln_.
<br /> FACILITY ID#(. I. FACILITY INFORMATION
<br /> 4crncr U.te Unlvl
<br /> FACILITY NAME
<br /> Mfl.i
<br /> FACILITY SI'TF ADDRF.$$2 ) Mi14
<br /> CITY Mos
<br /> fl. EQUIPMENT TESTING AND PREVENTIVE MAINTEN CE
<br /> State law requires that testing,preventive maintenance.and calibration ol'monitoring equipment(e.g.,sensors,probcc,line IMw
<br /> accordance with the equipment manufaelurcm'imstructinns,or annuafly,whichever is more fircquem. Such workcak dctcctofs,etc)be performed in
<br /> must be performed by qualified personnel.
<br /> MONITORING EQUIPMENT IS SFRVICGD tk I.ANNUALLY
<br /> ❑ 99.07;IER(Specify): M01,
<br /> IIT. MONITORING LOCATIONS
<br /> Th is leak
<br /> detector
<br /> plan must include a Site Plan showing the,r,,rncral tank and piping Inyout.1 and the Inea(ions where mnnitoriny is performed(i.e.•iocat;on oTeach sensor,
<br /> line leak deteetgr.monitoring s?Rtegt control Nine[,etc.). If you already'have.]diagram(e.g.,current UST Monitoring Site Plan I'rom n Monitoring System Certification
<br /> Form,Hoaardous Materials Ru^.Incas Plan mae,etc.)which shows all rt uirej Information,Include it with this Ian,
<br /> IV. TANK MONITORING
<br /> MONITORING IS PERFORMED USING THE FOLLOWING MFTIIOD(S):(Chcci all that apply)
<br /> I.CONTINCIOUS ELFCTRONIC MONITORING OF TANK ANNULAR(IN-ITRSTI I IA1,)SPACF(S)OR SECONDARY CONTAINMENT VAULT(S) Mm
<br /> SECONDARY CONTATNMFNT IS ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURL ❑ d,UNDER VACUUM
<br /> MI I.
<br /> PANEL MANUFACTURER:
<br /> MI. MODEL#: M13.
<br /> LEAK SENSOR MANUFACTURER' MIa
<br /> ❑ 2..AUTOMATIC TANK GAUGTNG(AT(;)SYSTEM USED TO MONITOR SIN tLE W, LL TA MODEL#(S): Mrs
<br /> PANFI.MANUFACTIIkFR: ��1�
<br /> M16 MODT•,L#.
<br /> IN-TANK PROBE MANUFACTURER: MITMIe MODt'L u(S)' MI9.
<br /> LFAK TEST FREQUENCY; ❑ n.CONTINUOUS
<br /> ❑ b.UAILti'/NIGIiTLY ❑ C.WEEKLY M20,
<br /> ❑ d.MONTHLY ❑ e OT14ER(S
<br /> PROGRAMMF,D'I'ESTS �01�1' 1421❑ a 0.1 g.p.h. ❑ b.0 2 g.p.h ❑ c.OTHER(Specify),
<br /> ❑ 3, INVP-NTORY RFC'ONCIIJAT10N Q A MANUAL PFR 23 CCR$264(,
<br /> ❑ b.STATISTICAL.PER 23 CCR 52616 t M24.
<br /> Q A,WEEKLY MANUAL TANK CiAUC;INCi(M'fG)PT:k 23 CCR§264.1
<br /> TESTING PERIOD: ❑ a.36 HOURS
<br /> 5.INTEGRITY TESTING PER 2,3 CCR§2,43 I ❑ b. HOURS M2$,
<br /> TEST FREQUENCY (k[5.ANNUALLY ❑ h.BIENNIALLY� c,6.VISUALMONITORINGDONE: �a, DAILY ❑ O'I'HP..R(Spccllv). %426 M±ti
<br /> ❑ h,WEEI:LYfH vl,ores ayenn-nppmrol)
<br /> ❑ 99 OTHER(Specify):
<br /> M2%
<br /> V. PIPE MONITORING
<br /> MONITORING IS PERFORMED USING'1"HE FOLLOWING MCTHOD(S)(Check 911 that apply)
<br /> I,CONTINUOUS ELECTRONIC MONITORING OF PIPING Sl1MP(S)/TRENCH(FS)ANT)OTHER SECONDARY CONTAINMENT MSP
<br /> SECONDARY CONTAINMENT IS; a DRY L QUID FILLED
<br /> Q ❑ c.UNDE=R PRESSURE ❑ d.UNDER VACUUM M31,
<br /> PANEL MANUFACTURF,R fwn,
<br /> I.EAK SENSOR MANUFACTURER MODEL#. M3i
<br /> M;� MODEL i4S)
<br /> WILL A PIPING LEAK ALARMTRIC AUTOMATIC P1.IMPO e.TUR81NF1$HIJTDOWN'? Mas.
<br /> WILL FAILURF/DISCONNECTION OF THFL. L ,MONITORING SYSTEM TRIGGER AIIT(')
<br /> PRODUCT FLOW WHCN A LEAK IS _TEC'TED v.p'MA n(.'PI.JMP SHUTDOWN? Ipl a.WILL ❑ b.NO M111,
<br /> 2.MECHANICAL LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 h. LEAK TESTS AND RESTRICTS OR $I CTS OFF
<br /> MI„LD MANUFACTURCR(s) 1 MIA
<br /> ElMO3 ELECTRONIC'LINE.,LGAK DETFCTOR(ELLD}7HAT ROUTINELY PERFORMS.3A g.p,h.LEAK TFSYSC 4(5).
<br /> r_LLD MANI.)FAMJR.ER: Mall.
<br /> PROGRAMMED LINE INTEGRITY TF,.S'I'S: MODEL#: Mat
<br /> WILL EI_I.,D DETECTION OF A PIPING LEAK TRI(XjE❑R AUTOMATIC I UMP SHi TUt7WNn E] b MINIMUM ANNUAL 0 I M4=.
<br /> R.p.h.
<br /> WILL ELLD FAILURF/DISCONNECTION TRIGGFR AUTOMATICPIJMP SI-11ITDOWN' ❑ a.YFS [D b.NO M43.
<br /> la 4.INTFGRJTY TESTING ❑ A.YF.S Q I>,NO M44.
<br /> TEST FREQIIF,'NCY; ANNUALLY5.VISUAL MONITORING r)ONF., gn.
<br /> a. DAILY ❑ h.EV1:RY 3r EARS (� c.OTHER(Specify) Mas Mar,.
<br /> ❑ h.WEEKLY*
<br /> 13 C.,MIN,MONTHLY R EACH TIMP SYSTEM OPF,.RATEW, M47
<br /> R�VUue�ry;encr nnpminl —AIF—Mrw monlNNlrtp ortlnlnrri�d cnkrpcnn I,•erlermnr fiMl pifring rtnh flet HCC lf2Ve1.;1b11.t1
<br /> ❑ 6.PIPING IS SUCTION PIPING MEETING AL1.kEQUIREMENTS FOR FNEMPTION FROM MONITORING PER 23 CCR
<br /> Eltj7.NO PRODUCT OR RCMOTF FILL PIPING IS CONNECTED TO THE UNT(s) 2636(ax3)
<br /> ❑ 99.OTHER(Specify)
<br /> S.ICEHD.d(07/03)- l/4 Moe'
<br /> 07123/03
<br />
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