Laserfiche WebLink
41 <br />n <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 1 <br />TYPE OF ACTION 7 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION <br />Mot. <br />PLAN TYPE XMONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />Moe. <br />(Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />I. FACILITY INFORMATION <br />FACILITY M # (Agency Use Only) <br />FACILITY NAMEtjq CLZL4M03. <br />FACILITY SITE ADDRESS �--M°a. <br />CITY ®c- <br />Mos. <br />H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br />State law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in <br />M06 <br />accordance with the equipment manufacturer;' instructions, or annually, whichever is more frequent. Such work must be performed by qualified personnel. <br />MONITORING EQUIPMENT IS SERVICED ``I. ANNUALLY ❑ 99. OTHER (Specify): <br />Moz <br />III. MONITORING LOCATIONS <br />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 sensor, <br />line leak detector, monitoring system control panel, etc.). If you already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification <br />form, Hazardous Materials Business Plan map,etc.) which shows all required information, include it with this plan. <br />IV. TANK MONITORING <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) <br />M10 <br />1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) <br />SECONDARY CONTAINMENT IS: All. DRY ❑ b. IQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM <br />Mu. <br />PANEL MANUFACTURER: yy C ( M12. MODEL #: "yo <br />Mts. <br />LEAK SENSOR MANUFACTURER: 10 ,Z2 (' Mta. MODEL #(S): ` <br />M15. <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S) <br />PANEL MANUFACTURER: M16. MODEL #: <br />MIT <br />IN -TANK PROBE MANUFACTURER: Mlg MODEL #(S): <br />M19. <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY <br />M20 <br />❑ d. MONTHLY ❑ e. OTHER (Specify): M21. <br />PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): M22. <br />M23. <br />❑ 3. INVENTORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 <br />M24. <br />❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 <br />TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS <br />M25. <br />INTEGRITY TESTING PER 23 CCR §2643.1 <br />TEST FREQUENCY: a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): M26. <br />Mzz <br />VISUAL MONITORING DONE: . DAILY ❑ b. WEEKLY (Requires agency approval) <br />❑ 99. OTHER (Specify): <br />Ws. <br />V. PIPE MONITORING <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />M30 <br />I. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyrRENCH(ES) AND OTHER SECONDARY CONTAINMENT <br />SECONDARY CONTAINMENT IS: eja. DRY b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM <br />M31 <br />PANEL MANUFACTURER: M32. MODEL #: <br />M33. <br />LEAK SENSOR MANUFACTURER: M34. MODEL #(S): S f <br />M35. <br />WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? a. YES ❑ b. NO <br />M36. <br />WELL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? . YES ❑ b. NO <br />M37. <br />Gft-MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS <br />OFF <br />PRODUCT FLOW WHEN A LEAK IS DETECTED <br />Ia> M31. J <br />M39. <br />MLLD MANUFACTURER(s): eC C$ r r, MODEL #(S): <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS <br />ELLD MANUFACTURER: M4o. MODEL #: <br />Mal. <br />PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. <br />M42. <br />WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO <br />Mai. <br />WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO <br />M44. <br />INTEGRITY TESTING <br />TEST FREQUENCY: a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) M45. <br />M46. <br />VISUAL MONITORING DONE: DAILY ❑ b. WEEKLY" ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED** <br />M47. <br />" Requires agency approval " Allowed for monitonng of unburied emergency generator fuel piping only per HSC §25281.5(6x3) <br />❑ 6. PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR §2636(a)(3) <br />❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br />❑ 99. OTHER (Specify) <br />Mas. <br />SJCEHD-d (07/03) -1/4 <br />07/23/03 <br />