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Aft Alhk SAN JOAQW COUNTY ENVIRONMENTAL HEALTH MPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION ❑ 1.NEW PLAN 2.CHANGE OF INFORMATION Mol. PLAN TYPE A MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Mn (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I..FACILITY INFORMATION FACILITY ID#(Agency Use Only) _ FACILITY NAME 2y M03. FACILITY SITE ADDRESS J M04" CITY `t L Mos. II..EQUIPMENT.TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in Mob. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED 1 ANNUALLY ❑ 99.OTHER(Specify): MOT III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location ofeach sensor, line 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 form Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING ME'HOD(S):(Check all that apply) Mlo. 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT'hS: A a.DRY b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM MI1. PANEL MANUFACTURER: V�' --ii J E T M'2- MODEL#: r2-3-G..--Y-;7r,Q MD. LEAK SENSOR MANUFACTURER M14- MODEL#(S): 11� � MI5. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM t&ED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: Mt6- MODEL#: MIT IN-TANK PROBE MANUFACTURER: M18. MODEL#(S): MM LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20 ❑ d.MONTHLY ❑ e.OTHER(Specify): M21. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c_OTHER(Specify): M.M. M23. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b_60 HOURS M7.5. W5.INTEGRrrY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: *a.ANNUALLY ❑ b.BIENNIALLY ❑ c_OTHER(Specify): M26. M27. ❑ 6.VISUAL MONITORING DONE: a DAILY ❑ b.WEEKLY(Regwmsagency approval) ❑ 99.OTHER(Specify): �& V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M30. 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyrRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT)} 0 a.DRY ❑ b_LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31. PANEL MANUFACTURER: 102- MODEL#: W3. LEAK SENSOR MANUFACTURER: oda ag, 1 h. M34. MODEL#(S): !d b Mas. WILL A PIPING LEAK ALARM TRIGGER AT MA-11C PUMP(i.e.,TURBINE)SHUTDOWN? T -b-" YES ❑ b.NO 106. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? R-a.YES ❑ b.NO M37- 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h LEAK TESTS AND RESTRICTS OR SHUTS O PRODUCT FLOW WHEN A LEAK IS ETECTED MLLD MANUFACTURER(s): 1 1, r INS f P T Ll \ �8 MODEL#(S): ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINEO PERFORMS 3.0 g p.h.LEAK TESTS ELLD MANUFACTURER: M40. MODEL#: M41 PROGRAMMED LINENTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.lt ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M41 WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46. fk'3-VISUAL MONfTORING DONE: ❑ a.DAILY ❑ b.WEEKLY* c.MiN.MONTHLY do EACH TIME SYSTEM OPERATED" M47. •Requires agency approval **Allow loonibiing of unburied emergency gmerator fid ping only per IISC§25281.5(b)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(ax3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) M48. SJCEHD-d(07/03)-1/4 07/23/03