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UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE Z VI. DISPENSER MONITORING IONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) ® 1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) PANEL MANUFACTURER: Veeder Root M51. MODEL #: TLS -350R M52. LEAK SENSOR MANUFACTURER: Bravo M53. MODEL #(S): B -8000 -BD -AB M54. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ® a. YES ❑ b. NO M55. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a. YES ❑ b. NO M56 WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a. YES M h Nn M57. ❑ 2, MECHANICAL CONTINUOUS MONITORING (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE M CASE OF LEAK MANUFACTURER: MSR. MODEL # S ( ). ❑ 3.VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY ❑ 4. NO DISPENSERS ❑ 99. OTHER (Specify) M59, M60 M61. VII. ENHANCED LEAK DETECTION ❑ 1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST PERFORM ENHANCED LEAK M70 DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN, PER 23 CCR §2644.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII. TRAINING REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) l . ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) MRo. 2. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 3. ® THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of January 1, 2005) 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99, ❑ OTHER (Specify): MRI. Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job -duties and can access those documents when needed. January 1, 2005, this facility will have a "Designated UST Operator" who has passed the California UST System Operator Exam administered by the International Code icil (ICC). By July I, 2005, and annually the the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST _a r wm u�oiuuc, Uui 15 not nmueu to, me ionowmg: Operation of the UST systems in a manner consistent with the facility's best management practices. ➢ The facility employee's role with regard to the leak detection equipment. ➢ The facility employee's role with regard to spills and overfills. ➢ Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after July 1, 2005, the initial training will be conducted within 30 days of the date of hire. IX. COMMENTS/ADDITIONAL INFORMATION Please use this section to include any additional UST system monitoring -related information (e.g., additional information required by your local agency): Mas X. PERSONNEL RESPONSIBILITIES AS OF JANUARY 1, 2005, THE "DESIGNATED UST OPERATOR" IDENTIFIED M SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION - FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN TITLE 23 CCR § 2715(c), AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR § 2715(c). XI. OWNER/OPERATOR SIGNATURE CERTIFICATION: I certify that the informs 'on provided herein is true and accurate to the best of my knowledge. OWNER/OPERA OR SIGNATURE REPRESENTING DATE: M91. ® Owner M90 ❑ Operator December 14, 2006 OWNER/OPERATOR NAME (print): M92. OWNER/OPERATOR TITLE: M93 Mike Ahmadi L dgC� (AReMy Use On/v) This plan has been reviewed and. ❑ Approved ❑ Approved With Conditions ❑ Disapproved kgency Signature: Comments/Special Conditions: