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FROM :DonlEE pump co.
<br />FAX NO. :2095379398 Jct. 02 2008 10:41AM P2
<br />SAN JOAQUiN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />UNDERGROUND STORAGE TANK
<br />MONITORING PLAN —PAGE l
<br />TYPE Or ACTION ❑ 1. NFW PLAN 2. UHAN(1P. OP INFORMATION Mat,
<br />PIAN TYP): ❑ MONITORING IS IDENTICAL. FOR ALL LISTS AT THIS FACILITY. Mn?.
<br />(cllcck Line item only) THIS PLAN CO )VERS ONLY THE FOLL.OWiNG UST SYSTEM(Sy
<br />1, I+ACILiTV INFORMATION
<br />FACILITY I I) # (�gt+rrcy CCee Un11J
<br />FACiLi'TY NAME-, Mo:t
<br />0
<br />tarllan�,L,,�-
<br />FAC'II TI'Y SITE ADDRESS Li
<br />_jrh��, TY Mus,
<br />If. F.Q MENT T + STIN" Cr AND PREVENTIVE MAIN + NANC T+,
<br />state, law reyuiros that testing, prevClhtivO maintennnca, Arld calibration of monitoring equipment (e,g•, senyorR, prohcs, lino leak detectors, aW,) k><: perfunned in Mn<
<br />aceordunce with (he equipment manufacturers' instnictiuns, ur Itnnually, whichever iR mon: li'cxluunt. Such work mus( be performed by goallfied personnel,
<br />MONITORING UQ111PMFNT 1S SURViCFT.)� I. ANNI IAi,LY (.] 99, OT11LK (SpC4ity); MQ
<br />III. MONITORING LOCATIONS
<br />THIS nldtlltorin%i plan Must include a Site PIR.11 41110willg the 17encral tank and piping layouts and the Iocntions whcro rtluniloT4 is performed (i.e., IoQation of eaoh sensor,
<br />line Irak detector, nrmiloring system control panel, etc.), ifyou already hnvo a diagram (e.g., current LIST Munhoring Site Plan from a Monitoring System Certification
<br />form, l lamirdous Materials Business Plan mau oh:.) which shows all rlxluired information, include it with this plan,
<br />IV. TANK MONITORING
<br />MONI'T'ORING IS I+HFORMEi) I1SIN(i THE FOLLOWING METHOL(S); (Chuck all that apply) M10.
<br />I. CON'1'INII0I IS F:,LECTKONIC MONI'1 VRiNG OF TANK ANNI II.AR (INTERS'T'I'T'IAL.) SPACE(S) OR SECONDARY ('ON I AINMENT VAULT(5)
<br />SECONDARY CONTAINMENT IS: 15 u. DRY Q b. LIQUID FILLED ❑ c. IJNDFRPRESSURl' ❑ d ANDER VACL1l1M MTI
<br />PANEL MANIiFACTURPR: M12.MOnEL4. `—r b 3!�C/t
<br />LEAK SENSOR MANUFACTURER: Ua ! _ Mla. MUU1iI, Ii(Syn-il/ 3�{l/ M1..1
<br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTENTUALD TO MONITOR w1jrLE WALL 'I'ANK,(S)
<br />PANEL MANLII'A(�TLTRFR: M10 MODEL* Mn.
<br />1N -TANK PROBE MANIJFA(TI'IJRFR:
<br />LEAK ]'HST I"RCQl1RNCY! Q a. CONr1NtIOUS
<br />0 d. MONTHLY
<br />PROGRAMMED TFSTS: ❑ a. 0, I g.p.h. ❑ h, 0,2 g,p,h.
<br />:i, INVENTORY R11"ONC'.ILIATION 0L a. MANUAL, PER 23 CCR §2646
<br />❑ 4. WFFKLY MANUAL, TANK 0ALIGING ('MT(i) PF,R 23 CCR §7645
<br />T•ESTINC) PERIOD: ❑ a. 36110UR4
<br />Ik S, TNTEGRITY'l-F.STING PGR 23 (:CR §2643.1
<br />TESTFRF.QLJENCY; A a. ANN[ iAi,i.Y
<br />6_VISUAL MONITORINCI DONT: G1 a. DAILY
<br />❑ 99, OTIiER (Specify):
<br />V.
<br />MIs. MODEL #(S):
<br />Cl h. DAILY/N10 ITLY El c. WEEKLY
<br />❑ c. O'1'hIRR.(Specify):
<br />❑ c•OTIiLR(Specity): ----
<br />❑ ().STATISTICAL PFR 23 CCR §2646.1
<br />❑ h. 60 HOI IRS
<br />❑ b. BIi!NNIALLY Q C. O'T'HER ('SpeC11V):
<br />❑ lr. WUFKLYIxeq,,,roensencyapproval)
<br />PIPE MONITORING
<br />MI9
<br />M1u
<br />M21.
<br />M22 M9i,
<br />M21.
<br />M!},
<br />1v126 M27
<br />MONITORING IS PERFORML D IISINO TT IE FOLLOWIN01 METiIODON) (('heck all that apply)
<br />Ms6:
<br />%,1. CONTINIR)1IS F1.,ECTRONiC. MONITORING OF PiPING MJMP(S)/TRI:NCi i(i:S) ANDO'1'1-iRR SIRCONDARY CONTAINMENT
<br />SECONDARY C.oN'rAINMEN'r IS: In N. nRY ❑ b. I.u1Um FTi.I.c.D Q C. LINDEN, PKI=SSURE ❑ d, UNDER VAC;UIJM
<br />Mil
<br />PANEL MANUFA(T URER: diff root M" MOTEL 11: 113eni�
<br />UAK SENSORMANLIFAC'TUREK: _-VBtotercl2'I� M)'I' MODF.T.11(S): .if�L�
<br />M35.
<br />WILL A PIPING LEAK ALARM'TRIG(iI=R AUTOMATIC. PUMP(i,e„ TURBINE;) SHUTDOWN? 10 a. YES ❑ b. No
<br />Man.
<br />WiLL FAILURIVINSCONNECTJON OF Tl -IF MONIT•ORINC. SYSTEM'TKI(}6ER At I T'OMATIC PUMP SI IIA'DO )WNY NJ T. YES ❑ b. NO
<br />M"
<br />2. MECHANICAL LINT•? i,CAK DETECTOR (MLLD) THAT ROTJTINELY PERFORMS 3.0 s,p.h. LLAK THS'T'S ANn Rf STRiCTS Olt SlIUTS
<br />OFF
<br />PRODUCT FI0W WHEN A LEAK IS DL 11C i ED
<br />MLI J) MANUFAC H)RFR(s) � t jgjaS* WR M11DI"1,11(5):
<br />M"'•
<br />❑ 3. 121C(" IRONIC LINE+ LEAK UETLC FOR (FI,LD) TI IAT RC IJ'I'INFI •Y PFRfORMS 3.0 g.p.h. LEAK TESTS
<br />FI,I,L) MANLIFACTURLK: M4U. MODEL 11:
<br />Mal.
<br />PROGRAMMED I.TNE INTEGRITY TESTS: ❑ a, MINIMUM MONTI-11,Y0.2g.p.h. ❑ h. MINIM[ JM 0.1 g.p.h.
<br />Mal
<br />WILL ELIA) DETECTION OF A PIPING LEAK TRiOCER AUTOMATIC Pi1MP SHI ITTx.)WN? ❑ a. YES n h, NO
<br />Moa.
<br />WILL tal,D FAILURE/DISCONNI?CTiON TRIGOER AUTOMATIC P(Jtv1P swT'r)(:)WN`' ❑ a. YES E] h. NO
<br />Mao
<br />1. INTFGIU I'Y TES TING
<br />]'FST FREQiJL N('Y: 9 a ANNUALLY ❑ b. I WAY 3 YEARS ❑ c. OTHER (Speciij 1 MO,
<br />M46.
<br />0,5.VISLIAI, MONiTORING ix)NF; u. DAiLY ❑ h. WXF..KLY* ❑ c. MIN. MONT14LY&EACH'1'IMh WS FM OPERATEIh"
<br />M41
<br />• R.xluitra naunoy approval •+ All„ww1 rt i muniturinp of unMlrled micrgm,:y e,•„kn ilia fort pipinW only per Hix: 5252111 .50%1)
<br />❑ 6. PiPING 15 SUCTION I'lPING MEETiNG ALL REQI IIRFMENTS FOR 1.1Xiup- i(,)N FROM MONII'ORTNG PER 23 CCR ,§§'2636(0)(3)
<br />❑ 7• No PROD( (;T OR REMOTH Fl H, PTPTNG IS CONNFC�TFD TO 11 -IL usT(s)
<br />[� 99, OTI IL's (Spccity)
<br />Mon,
<br />S-11CM ID -d (07/03) -114 07/23/113
<br />
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