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04/27/2005 11:12 FAX 2003 <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE 2 <br /> MONITORING OF AREAS BENEATH DISPENSERS)IS PERFORMED USING THE FOLLOWING METIIOD(S)(Check all that apply) Mme. <br /> 1K 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER.CONTAI IMENT(UDC) <br /> PANEL MANUFACTURER: 11 1 Co N M"- MODEL#:—l['.5 -lean la-P <br /> LEAK SENSOR MANUFACTURER: I m r,.n 41 M"- MODEL#(S):"' L—5 M54, <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? EI 5,YES ❑ b.NO Mss. <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b.NO 156. <br /> WILL FAILUREIDISCONNECTION OF UDC MONITORING SYSTEM TRIGGERAUTOMATIC PUMP SHUTDOWN? [ a.YES ❑ b.NO M57, <br /> ❑ 2,MECHANICAL ASSEMBLY(r-g-,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: Mss MODEL#(S)' M59. <br /> 3.VTSUAL MONITORING DONE: ❑ a,DAILY ❑ b.WEEKLY(Regrdro a>.=w eppmval) M60. <br /> ❑ 4.NO DISPENSERS <br /> 99.OTIIER(Specify) M61. <br /> Vic ICE X1W -ECUON <br /> ❑ I.WEHAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M7o. <br /> DETECTION(BLD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD 1S PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> REFERENCE DOCUMENTS MAINTAINED AT FACTLrfY(Check all that apply) Mao <br /> 1. THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Require[) <br /> 3. THE FACtur-Ts BEST MANAGEMENT PRACTICES(Required as of 110.1/!005) <br /> 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB)PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7- ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br /> 99.❑ OTHER(Specify),- Mal. <br /> Personnel with UST monitoring responsibilities arc familiar with all of the above documents relevantto theirjob duties and can access those documents when needed. <br /> By January 1,2005 This facility will have a"Designated UST Operator"who hag passed the operator exam administered by the International Code Council(ICC), By <br /> January 1,2005,and annually thereafter,the "Designated UST Operao["will train facility employees in the proper operation and maintenance of the UST systems. <br /> This Training will include,but is not limited to,the fbllowing: <br /> Y Operation of the UST systems in a manner consistent with the facility's best management practices, <br /> ➢ The facility employee's role with regard to the leak detection equipment- <br /> The facility employee's role with regard to spills and overfills. <br /> > Whom ro contact for emergencies and leak detection alarms. <br /> For facility employees hired on or aftgr January 1,2005,the initial waiving will be conducted within 30 days of the date of him, <br /> IX_ ti 1? Ii+ /A RkT `TONAL WFORMA,06N <br /> Please use this section to include any additional UST system moniloring-relared information(e.g.,additional infbr=tion required by your local agency)' M15. <br /> AS OF 1/1/05,THE"DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION Ill OF THE CURRENT UST OPERATING PrAMIT APPLICATION— <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILI-IY'S <br /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR 2715 <br /> XI. OWIR/4RAT.UI SNA'FOI <br /> CERTICICATI0N:1 ecru th for ation prov5ided herein is true and accurate to the best of my knowledge. <br /> OWNER/OPERATOR SIGN URE REPRESENTING DATE: Mgt. <br /> ❑Owner mw, <br /> ❑Operator <br /> OWNER/OPERATOR NAME(print): M9z. OWNER/OPERATOR TITLE: M93. <br /> J71#140 <br /> OAr s,�kvrc.�s <br /> (Agency Use Only) This pian has been reviewed and: ❑Approved ❑Approved With Conditions ❑Disupprovcd <br /> Local Agency Signature: Darc: <br /> Commcnts/Special Conditions: <br /> SJCETM-d(07/03)-3/4 <br /> 07/23/03 <br />