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Amok Adik SAN JOAQUE COUNTY ENVIRONMENTAL HEALTH D _ RTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION ❑ 1.NEW PLAN J, 2.CHANGE OF INFORMATION X101 PLAN TYPE A MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. M02. (Check one rn only) [ITHIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): L.FACILITY INFORMATION FACILITY ID#( ency Use Only) FACILITY NAME xZ Moa FACILITY SITE ADDR j M04. CITY ()LMos. EQUIPMENT TESTING AND PREVENTIVE MAIN;/TrENANCE State law requires that testing,pr\entive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes ine leak detectors,etc.)be performed in N106accordance with the equipment murers'instructions,or annually,whichever is more frequent. Such work mu be performed by qualified personnel. MONITORING EQUIPMENT ISICED 1.ANNUALLY ❑ 99.OTHE (Specify): Mol. III. MONITORING LOCATIONS This monitoring plan must include a Site Pla showing the general tank and piping layouts and the locations w ere monitoring is performed(i.e.,location of each sensor, line leak detector,monitoring system control p el,etc.). If you already have a diagram(e.g.,current UST nitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,e which shows all required information,include it with t Is Ian. IV. TANK MONITORIN MONITORING IS PERFORMED USING THE FOL WING METHOD(S):(Check all that apply) n110. J� 1.CONTINUOUS ELECTRONIC MONITORING TANK ANNULAR(INTERSTITIAL) ACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMEN I : 1 l a. RY b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM MI1. PANEL MANUFACTURER: Mlz. MODEL#: �S�-��- M13. LEAK SENSOR MANUFACTURER: _ M14. MODEL#(S): e ,,�(7� M15. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM CJAEDO MONITOR SINGLE ALL TANK(S) PANEL MANUFACTURER: M16. MODEL#: MIT IN-TANK PROBE MANUFACTURER: M" MODEL#(S): M19 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. h. ❑ c.OTHER(Specify): M22. M23. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2 ❑ 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 M25. 015.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: [� a.ANNUALLY b.BIENNIALL ❑ c.OTHER(Specify): 6126. M27. ❑ 6.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY(Requi agency approval) ❑ 99.OTHER(Specify): M28. . PIPE MONIT01h.,NG MONITORING IS PERFORMED USING THE FOLLOWI G METHOD(S)(Check all that apply Mao. NJ 1.CONTINUOUS ELECTRONIC MONITORING O PIPING SUMP(S)/TRENCH(ES)AND ER SECONDARY CONTAINMENT SECONDARY CONTAINMEN ISa.DRY ❑ b.LIQUID FILLED ❑ .UNDER PRESSURE ❑ d.UNDER VACUUM M31. PANEL MANUFACTURER: = MODEL#: zzr, .- ,y�r-� M33. LEAK SENSOR MANUFACTURER: f MA MODEL#(S): �/ 1 49 M35. WILL A PIPING LEAK ALARM T ER AUT MATIC PUMP(i.e.,TURBINE)SHUTDO _T a ❑ b.NO YES M36. WILL FAILURE/DISCONNECTI OF THE MONITORING SYSTEM TRIGGER AUTOMATIC UMP SHUTDOWN? aa.YES ❑ b.NO M3z 42.MECHANICAL LINE LEAK DE CTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. L K TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEA IS ETECTED MLLD MANUFACTURER 11 I I-Ar r•T M38. MODE #(S): �� /(� M39 ❑ 3.ELECTRONIC LINE LEAK TECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTU R: M40. MODEL#: M41. PROGRAMMED L E INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MIN M ANNUAL 0.1 g.p.h. M42. WILL ELLD DE CTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43. WILL ELLD F LURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TING TEST F QUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46. �5.VISUAL N'ITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* RI c.MIN.MONTHLY&EACH TIME YSTEM OPERATED" M47. •Requires agency approval -Allow for onitoring of unburied emergency generator f piping only per HSC§25281.5(b)(3) ❑ 6.PIPIN IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636 (3) ❑ 7.NO RODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99. THER(Specify) M48. SJCEHD-d(07/03)-1/4 07/23/03