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AML UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 2 VI. DISPENSER MONITORING MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply: uo. ❑ 1.CO OUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) P ^L MANUFACTURER: M51. MODEL#: M52. LEAK SOR MANUFACTURER: M53. MODEL#(S): M54. WILL DE TION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a.YES ❑ b.NO Mss. WILL A UDC AK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M56. WILL FAIL SCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP S TDOWN? ❑ a.YES ❑ b.NO M57. 2.MECHANICAL ASSE Y(e.g.,FLOAT D CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE INC SE OF LEAK ASSEMBLY MANUFA R:�.e4 M5B MOD #(S): Msv. ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) M60. ❑ 4.NO DISPENSERS El99.OTHER(Specify) M61. VII. ENHANCED LEAK DETEC ON ❑ L WE HAVE BEEN NOTIFIED BY THE STA WATER RESOURCES CONTROL BOARD TIA T WE MUST IMPLEMENT ENHANCED LEAK M70. DETECTION(FLD)FOR THE UST(S)COVEXED BY THIS PLAN.PER 23 CCR§2644.1,E D IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII. TRAINING REFERENCE DOCUMENTS MAINTAINED AT FACILI (Check all that apply) Mao. 1. THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. OPERATING MANUALS FOR ELECTRONIC MO ORING EQUIPMENT(R uired) 3. THE FACILITY'S BEST MANAGEMENT PRACTICE e(q ed as of 1/01/2 5) 4. CALIFORNIA UNDERGROUND STORAGE TANK RE LATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWR ) PUBLI TION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUG F SMALL UNDERGROUND STORAGE T.�*IKS" 99. ❑ OTHER(Specify): M81. Personnel with UST monitoring responsibilities are familiar with all of the abo a ocuments relevant to their job duties and can access those documents when needed. By January 1,2005 this facility will have a"Designated UST Operator"wh as ssed the operator exam administered by the International Code Council(ICC). By January 1,2005,and annually thereafter,the "Designated UST Operator" ill trai facility employees in the proper operation and maintenance of the UST systems. This training will include,but is not limited to,the following: ➢ Operation of the UST systems in a manner consistent with the f ility's best man ement practices. ➢ The facility employee's role with regard to the leak detection uipment. ➢ The facility employee's role with regard to spills and ove�l ➢ Whom to contact for emergencies and leak detection alarm . For facility employees hired on or after January 1,2005,the ini I training will be conducted thin 30 days of the date of hire. IX. CO NTS/ADDITIONAL NFORMATION Please use this section to include any additional UST syste monitoring-related information(e.g.,a ditional information required by your local agency): Mas. X. PERSONNEL RESPONSIBI LIT S AS OF 1/1/05, THE"DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CU T UST OPERATING PERMIT APPLICATION — FACILITY FORM WILL HAVE ULT TE AUTHORITY FOR PERFORMING THE MONITORING ACTITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS AN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHL VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANC WITH 23 CCR§2715(b). XI. OWNER/OPERATOR SIGNATURE C ATION:I certity that the information pro ided herein is true and accurate to the best of y knowledge. WNER/OPERATOR SLCL TU REPRESENTING DATE: M91. ad El owner M90. Ick [:3 Operator /l�J Orl` UY!4.i��OINAME(print): ) > M92. OWNER/OPERATOR TITL M99. (Agency ZySignature: ) This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑Dis proved Local AgDate:Commenl Conditions: SJCEHD-d(07/03)-3/4 SQ_� Af P P r-u /a/� 07/23/03