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WRITTEN MONITORING AND RESPONSE PLAN <br /> UNDERGROUND STORAGE TANK MONITORING PROGRAM <br /> This monitoring program must be kept at the UST location at all rimes.The information on this monitoring program are <br /> ealth <br /> conditions of the operating permit.The Preto rholder must �tify u>le Environmental required etr dto obf fain approva oreatpermit beforemaking <br /> within 30 days of any changes to the monitoring,procedures, <br /> the change.Required by CCR 2632(d)and 2641 (h). <br /> DATE <br /> ILITY NAME <br /> FAC <br /> FACILITY ADDRESS <br /> 1.Name(s)and Title(s)of the people responsible for performing the monitoring and/or maintenance <br /> 10 <br /> 2.Describe the frequency of performing the monitoring for: <br /> PIPING / <br /> TANKS <br /> 3.Describe th location(s f where the monitoring will be performed. ie: location of sensor <br /> 4.Describe the following equipment for each underground storgge tank. <br /> l <br /> Name and Model of Monitoring Panel II,, C �� <br /> Name and Model of Line Leak Detectors 7 ,30 3G <br /> Name and Model of Annular Sensors <br /> Name and Model of Piping Sensors IF, <br /> Name and Model of Dispenser Sensors <br /> Type of overfill prevention <br /> No 0 <br /> 5.Do the Turbine Sensors and Dispenser Pan Sensors shut down the turbine? YeS 0 No 0 <br /> Does the turbine shut down if a sensor is disconnected? <br /> Does the turbine shut down is the monitoring panel loses power? Yes❑ No 11 <br /> !�?— <br /> will the alarm history and subsequent maint ance be�recorded? <br /> — <br /> 7.Maintenance of the monitoring equipment must be performed for <br /> leeae monitoring equipmentst once every 12 s What month will <br /> Describe the preventive maintenance schedule andl <br /> r Mrd g l� <br /> annual monitoring certification be performed in? � /f( <br /> Note:For new installations the secondary <br /> c Y tested <br /> erstallation.All secondary containment systems <br /> must be tested once every 36 months with <br /> taln before✓anary 2003. <br /> 8.Describe t e a' necessary for the ope ation o ,U T system,including piping, and t e monitoring <br /> equipment. <br /> IAUnit uMSTmonitoringplan.doc f/ <br /> 5/30/2002 <br />