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05!30/2007 08:00 FAX f3J005 SAN.JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE I TYPE OF ACTION ❑ 1.NEW PLAN 2,CHANGE OF INFORMATION PLAN TYPE X1 MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. ' (Check one item only) [] THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): i I. FACILITY INFORMATION FACILITY ID>f(Agency Use Onlv) -- — FACILITY NAME D SCHOOL DIST M03 FACILITY SITE ADDRESS 1932 EL PINAL MOA CITY STOCKTON ntaa. 11. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,kind calibration of monitoring equipment(c.g.,sensors,probes,line leak detectors,etc.)be performed in aoeordance with the equipment munufaCturels'instructions,or annually,whichever is more frequent. Such work must be pciformcd by qualified personnel. MONITORING EQUIPMENT IS SERVICED CQ 1.ANNUALLY ❑ 99.OTHER(Specify): �t III. MONITORING LOCATIONS This monitoring plan must Include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each seasor, line leak detector,monitoring system control panel,etc.). If you alrtady have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,ctc)which shows all required information•include it with this Ian. IV, TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METIIOD(S):(Check all that apply) Mie. 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTI[TIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: III a.DRY ❑ b.LIQUID FILLED ❑ a UNDER PRFSSU &��-�y{ �{ �J 1R VACUUM MI 1 PANEL MANUFACTURER: INCON M"- MODEL 4: S—IUUU/Lla M13. LEAK SENSOR MANUFACI-URLR: I NCON MI4. MODEL#(S)'. FX I V �t13 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR STNGLE WALL PANEL MANUFACTURER "116 MODEL N, "07 1N-TANK PROBE MANUFACTURER: '"'R' MODEL fl(S): '11' LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTI.Y ❑ c.WEEKLY C7 d.MONTHLY ❑ e.OTHER(Specify): M I' PROGRAMMED TESTS: ❑ a.0.1 g.p.h, E) b.02 g.p.h, ❑ e.OTHER(Specify): ❑ 3-INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 SII" [] 4,WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 'TESTING PERIOD: 0 a.36 HOURS ❑ b 60 HOURS ' ❑ 5.INTEGRITY TESTING PER 23 CCR§26-43.1 TEST FREQUENCY: a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26. Mr. 6.VLSUAL MONITORING DONE: / a.DAILY ❑ b.WEEKLY(Requuecageruyapprov l) 99.OTHER(Spxify): & V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) °46t 1.CONTINUOUS ELECTRONIC MONITORING 01-PIPING SUMP(S)R7tENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: 99 a.DRY ❑ b.LIQUID FILLED ❑ C.UNDER PRESSURE ❑ d.ME$VACUUM bOt. PANEL MANUFACTURER; I N C O N M32. MODEL- Y S—1 O QO / C_ tNs1 LEAK SENSOR MANUFACTURER: M3"� MODEL#(s): TSP U LS M35. WILL A PIPING I.E.A�K ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? V &YES ❑ b.NO ' WILL FAILCIRE(DISCONNEC ION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? XM a.YES ❑ b.NO 2.MECHANICAL, LINF, LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED M3& FX1 D & FX1 er,,. MLLDMANUFACTURER(s); RED JACKET MODEL#(S): ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: I MID. MODEL#: MM PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.pA ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M4� WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? XO s.YES ❑ b.NO naa �yy WILL ELLD FAII,URF-(DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN' U e.YES El b.NO L•I�4.INTEGRITY TESTING TEST FREQUENCY: k a.ANNUALLY ,❑,y�yy b.EVERY 3 YEARS ❑ c.OTHER(Specify) M"s. 14W ❑ 5.VISUAL,MONITORING DONE: [j a.a.DAILY b.WEEKLY- ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" M1ss7 •Rcquires gjwcy approval —Allo M for mornwnn;orunbuned ennerzowy y�lor fuel pmim_•only PT 1'1-S[_�52St 5tbX31 ❑ 6.PIPING IS SUCTION PIPING MEL FING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PCR 23 CCR 4-2636(ax3) ❑ T NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THL UST(s) ❑ 99.OTHER(Specily) "tax ) SJCEHD-d(07/03)-I/4Ty 07/23/03