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UNDERGROUND STORAGE TANK MOMOIRMG PLAN - PAGE Z I MONITORING OF AREAS BENEATH DISPBNSER(s) IS PERFORMED USING THE FOLLOWING ME HODS) (Choat all that appy) 1 • CONTINUOUS ELECTRONIC MONITORINO OF UNDER DISPUNSER CONTAINMENT (UDC) PANEL MANUFACTURER: V 9 &1 ML—z 06 7 �tst. MODEL 0: 21 It II 2- 9Q - O L 2.- �t,> LEAK SENSOR MANUFACTURER V S EbFA • 9Q 10 use MWEL N(s):_} 2.0 8 0 2 c Q W54. WILL DBTWTM OF A LEAK INTO THE UDC TR10 ER AUDIBLE AND VISUAL ALARMS! IN a. YES ❑ b. NO ►ns WILL A UDC LEAK ALARM T PJWER AUTOMATIC PUMP SWJTDOWNT (9 a. YES ❑ b. NO WILL FAIL.UREWCONNECTION OF UDC MONITORING SYSTEM TRIOGER AUTOMATIC PUMP SWJTDOWW. YFS [7 b. NO [j 2. MECHANICAL ASSEMBLY (C.&, FLOA1 AND CHAIN ASSEMBLY) IN UDC TRM SHEAR VALVE IN CASSE OF LEAK ASSEMBLY MANUFACTURPR: Mss INODEL a(S): ❑ 3. VISUAL MONITORMO DONE: ❑ a. DAILY ❑ b WEEKLY (tarsi ar+h Nnogl) tits ❑ 4. NO DISPENSERS ❑ 99.47HElt (Spael -) MAh ❑ 1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOtJRf.'ES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 73 CCR 12644.1. ELD IS PEIIFORMISD EVERY 36 MONTHS AS REQUIRED NCE 095FIMAINrAINOD AT FACILFTY (Check all that Apply) arta 1. THIS UNDERGROUND STOR.AOF TANK MONIVAING PLAN (PAgskad) 2. MO OFERATMANUALS FOR ELECrWNIC MONITORING EQUIPMENT (Rglaired) 3. TM FACILITY'S BEST MANAGEMENT PRACTICES (Ba*uirsd as of !10{f7It18) 4. CALIFORNIA UNDQRCIROUND STORAGE TANK REGULATIONS 5. CALIFORNIA LMDFRhMOUND STORAGE YANK LAW 6. STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: 'HANDBOOK FOR TANK OWNERS MANUAL AND STATISTICAL INVENTORY RECONCILIATION" T AWRCB FUSUCATION: "WI IMLY MANUAL. TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99 Ll OTHER (Smdt0 Ani. Pers nn of with UST asonitoring m4ponsibllhin tint &&nisi with all o(d)e above dotumottta rclevent to )he job duties mr4 tae taxers those (IOCumam wtan needed, By Iaamy 1.2005 this fatilily will lave a "Desi`nWd UST Operator" vvho has passed the goes 1w exon slim inisamed by dee Intem4tional Cods Ceueca ()CC) 9y Immy 1, BOOS, IIIA ormteliy d erMn W. the "Desigmted UST Opent*(' will vain IlKilhy emp(eyep in the preps Opel -be, and mainmhm c of tier UST syswm T1tts tttNnhts wOJ Woo da, bat is nes Melted so, the Wlowing; > Operscbn of dts UST ty»mM Ins none maistsm with the facility's best iMinWroent pretties )k TAt facility employee's tole w0 h (pard b the lmk delta ian "u perm t. > The heiitty **VWyle's role whh mprd to spills and overfllif. > Whom a Ccap for murpmeiM wad leak dtaettihm slams. For Iloility employees hired m or after JMumy 1, 2005, the Initial mining will be oonduyw within 30 days of tM dale of hire. ltsac tIN Illi! b tvokt0e additional UST rA uta tpon)tority-nrJated in ertnMaion (e t.. additimAl inf n%tion mquOsi by your local &Sealy): _ Airs Tal Ddt)✓ �� /dn igr1: ✓� qu �'�4,C. {�/f+ ,-- sl�.r.� o {-� (�s� l#I,— ggel AS OF I/1 "N%*ATED UST PBAATOR' IMPT1190 IN SECT it) OF THE U$ TING PfJkMfTA AT)ON : FACILITY FORM WILL HAVE ULTIMATE AUTHORITY MR PEfUORMfNG Till; MONITORING ACTIVITIES AND MAINTAINING LEAK DETFCTION EOUIPMENT COVERED BY THIS PLAN, AND WILL PERFORM AND DOCUMENT fAfNIMUM MONTHLY VISUAL INSFECTy*S OF ruE FACILITY'S UST SXITEMS IN ACCORDANCE WITH 23 2715/6 . CERTLFICA77ON: 1 corift that the iBtrrmatial pmylded herefa is tree nd aeaarses to 16# Mat scary twwLoda, TGR SIONATUKE CaKI i Owner 0m. 'DATE ufJ / �- Operew OWNMOPERATOR NAME (print), b OWNEPAN'ERATOR T 17LE: n 0ja (A&—'y Use 01+D) Thr plan lea been r*vW4*d arid: Appaved ❑ Aged Wie Cmbtiota ❑ Dut4provsd Leta) Aphty Sipulum — Doo;?/ �Tt- comzneAdspetitl COrtekiana: