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Dec 29 06 02:16p <br />i <br />Lower Sac Chevron <br />Cl9 <br />2099540582 p.5 <br />SAN JOAQ7Z COUNTY ENVIRON*ZNTAL HEALTH DB: NT <br />UNDERGROUND STORAGE TANK <br />MONUORING. P - PAGE. I <br />T'YPEs OF ACTION 0.1-NEWMAN Q.2. CRANNG•E OF INFORMATION <br />MI, <br />PLAN TYPE ©.. MONITORING IS IDENTICAL FOR ALL USTS ATTHIS. FACHM. <br />(Chock one item only) ❑.. THIS PLAN. COVERS ONLY THE FOLLOWING UST SYSTEMS t <br />I _ FBF <br />FACILITY ID # (Agency use Ono,) <br />FAC EL TY NAME G l O <br />�3• <br />FACILITY SITE ADDRESS a £1 R. Amo. <br />CITY <br />�€.. EQUICPlViENT. MTING AND FREWNTIV MAINTENANCE ' <br />State law requires that ksft& preventive maintenance; and tolibratigs of monitoring equipment (e.g., sensors, probes, I= leak detectors, etc.) be performed in <br />accordance with the equipment manufacturere instructions, or annually, what over is more frequent Such wcwk must be performed by qualified personnel. <br />MONITORING EQUIPMENT IS SERVICED I -ANNUALLY Q.99.OTHER (Specify)-.. <br />. QPW. LOCATIONS. <br />This uoonitmi must inchrde a Site Plan shavtin the general tardc and location of each sensor, <br />n8 p� & S p 3 layouts and the I where monitoring is perfom>ed (i.c., <br />line leak detector, monitoring system control. panel, etc.). If you already have a diagram (e.g., cuffem UST. Monkariing Site Plan from a Monitoring System Certification <br />LoM Hamdous MataWs Business Pian mag,etc.) which shows all Mquired inforn atio include it with this plam <br />-. .. IV-AAKNONITORINCI .. ' <br />MONITORING IS PERFORMED. USING THE FOLLOWING METHOD(S): (Chock all. that apply) <br />M10. <br />10 1 _CONTINUOUS. ELECTRONIC MONITORING OF TAMCANNULAR (INTERSTITIAL) SPACES) OR SECONDARY CONTAIN ENT VAULTS) <br />SECONDARY: CONTAIMA+IT IS: OL a. DRY ❑ . b. LIQUID FILLED 0-c. UNDER PRESSURE [3 d. VACUUM <br />M11- <br />PANEL. MANUFACTURER. `t•' - CST MIr MODEL #. "T L 5 <br />M"'• <br />LEAK SENSOR. MANUFACTURER lj K, M14, MODEL #(S): tis - I-j,a'j <br />MIS. <br />❑ 2. AUTOMATIC. TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK[Sl <br />PANEL MANUFACTURER Mr6. MODEL #: <br />M27 <br />IN -TANK PROBE MANUFACTURER. MIS. MODEL #(S): <br />M29 <br />LEAK TEST FREQUENCY: ❑ . a. CONTINUOUS ❑. b. DAILYMIIGHTLY ❑ . c. WEEKLY <br />M20 <br />❑ . d. MONTHLY ❑ . e. OTHER (Specify): Mir. <br />PROGRAMMED TESTS: ❑ a.0.1. g.p.b. ❑ . b.0.2 &P.k ❑ . a OTAER (Specifyk Mn <br />143• <br />❑ 3. INI ENTORY RECONCILIATION ❑ L MANUAL PER 23. CCR §2646 ❑ . b. STATISTICAL PER 23 CCR §2646.1 <br />MZ4• <br />❑ 4- WEEKLY MANUAL TANK GAUGING (MIG) PER 23 CCR §2645 <br />TESTING PERIOD: ❑ . a. 36. HOURS ❑ . b. 60 HOURS <br />PM. <br />❑ 5..iNTEGRTCYTESTING.PER23CCR§2543.1 <br />TEST FREQUENCY: ❑ . a ANNUALLY ❑ . b. BIENNIALLY ❑ a OTHER. (Specifyr IiM- <br />tart. <br />❑ . 6. VISUAL MOMTORING DONE: ®.. a DAILY C] . b. WEEKLY w.w 4) <br />❑ 49.OTfi M (Specify): <br />acm. <br />V. PIPRrM4NITORING : . <br />MONITORING IS. MRFORHM USING 'IT•lE FOLLOWING METHOD(S) (Check all. that apply) <br />M;0 <br />❑ 1.. CONTINUOUS. ELECTRONIC MONITORING OF P9WG SUMP(S)ITR WCH(ES) AND OTHER SECONDARY. CONTAINMENT <br />SECONDARY. CONTAINMENT IS: DRY ❑ b- LIQUID FILLED ❑ c - UNDER PRESSURE ❑ d. UNDER VACUUM <br />M31 <br />: �i `t <br />PANEL MANUFACTURERk zT S T S`7rc M M7 MODEL #: �S <br />LEAK SEXSORMANUFACTURER:- __\142 A-4 LAa-r M3 MODEL #(S): 4 LS ~- j y Z <br />btss <br />WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? ❑. a YES ❑ b- NO <br />bile <br />WILL FAIL ON OF THE MONITORING SYSTEM TRIGGER AUTOMATIC. PUMP SHUTDOWN? ❑ a. YES [1. b. NO <br />M37 <br />® 2. MECHANICAL LINE LEAK DETECTOR (ML..LD) THAT ROUTINELY PERFORMS 3.0 Sp b. LEAK TESTS AND RESTRICTS OR SHUTS. <br />OFF <br />PRODUCT FLOW WHEN A LEAK IS DETECTED <br />Mrs. 7L, - P 4 r y <br />MLLD MANUFACTURER(s): MODEL. #(S): <br />b09. <br />3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g p.b- LEAK TESTS <br />ELLDMANUFACTURER- arc MODEL#: <br />nut. <br />PROGRAMMED LINE INTEGRITY TESTS: a. MINIMUM MONTHLY 0.2 &P -b. ❑ b. MINIMUM ANNUAL 0.1. &p.h. <br />MX <br />WILL ELLO DETECTION OF A PiP1Al'G. LEAK TRXGGJ&7ATJT0MATIC RJW SHUTDOWN? a. YES ❑. b.. NO <br />M43. <br />WILL ELLD FAILUREMYSCONNECT70N TRIGGER AUTOMATIC PUMP SHUTDOWN? a- YES ❑ b. NO <br />M46 <br />®. 4.. ETMGRIT'Y TESTING <br />TEST FREQUENCY: ANNUALLY ❑ b. EVERY 3 YEARS 11c. OTHER (Specify) Mcs <br />M46.❑. <br />5.VISUAL MONITOE: ❑.. b. WEEKLY'r ❑ c. tet. MONTHLY & EACH MW SYSW-M OPERATED -0 <br />CRINGDONDAILY <br />nen. <br />F ga§esagtpcyWx-,rd °"tUlovied m�iroai¢ao&urbariedmerS+�Y8 T PP�S�YP�HSC§2318rS1bK3) <br />❑ 6.. PIPING IS SUCTION. PIPING MEETING ALL REQUBMVMML FOR EXEMPTION FROM MONITORING PER 23 CCR §2636(a)(3) <br />0 T NO. PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br />® 99. OTHER (Specify) <br />Mae. <br />SJCEHD-d (07A3) -114 <br />07/23/03 <br />