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Dec 29 06 02:16p Lower Sac Chevron VJ 2099540582 p.4 It IF UNDERGROUND STORAGE TANK moNrrORING P -- PAGE 2 _r _ � , ;,t��. ' '. :'; YI,•TIZSP�'��'�.i)�il['i'�JRI�T�. . MONITORING OF. AREAS BENEATH DISPEMER(S) iS USING THE FOLLOWM METHODS) (Check all Curt apply) Mo. I _ CONTINUOUS ELECTRONIC MONITIQ G OF. UNDE�pD�iSPWER CONTAINMENT (UDC) .+ `J 0 PANEL MANUFACTUR19L `g - i2 dL-� _.7 M5t- MODEL 0: � � ± mtsa LEAK SENSOR MANUFAC UREIL � c gn a'T Mss. MODEL li(Sx 3t'1-2- Msa. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ . s. YES ❑ h NO Mss, WILL A UDC LEAK ALARM TRIGGER AUTOMATIC. PUMP SHUTDOWN? ❑.. a. YES a. b. NO b"6 - WILL FAILUREIDISCOINNECTION OF. UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? [3, a. YES [3, b NO M'7 ❑ 7- MECHANICAL ASSEMBLY (e g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS. SHEAR VALVE IN CASE OF. LEAK ASSEMBLY MANUFACTURER: MODEL #(S): W9 - 1Y [ 3.VISUAL MONITORING DONE: a. DAILY ❑ b. WEEKLY of q -i. tubo. 0. 4. NO DISPENSERS ❑ 99.OTHER(Specify) 1hr61. VJEy -ENHANCER LEAK DETE ON ❑ .1. WE HAVE BEEN NOrTIFW BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST ZHUMENT ENIiANCED LEAK M'a DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN -PEP. CCR ¢2644.1, ELD IS PERFORMED EVERY. 36. MONTHS. AS. REQUIRED 7777 7-7 RlWERENCE DQCUhiI NTS MAINTAINED AT FACILITY (C11ec1c ail that apply) ssao. I. M THIS-UNDERGROUNDSTORAGE TAM MONITORING PLAN (Rcquired) 2. OPERATING MANUALS FOR F.t.ECTROMC MONITORING: EQUIPMENT (Required) 3. THE FACILITY'S BEET MANAGEMENT PRACTICES (Required as of l/il VM05) 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 STATISTICALD VENTORYRECONCB.IATKW 7. ❑ SWRCB. PUBLICATION; "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND. STORAGE TANKS" 43. ❑ OTHER.(Specify)- Mal. Petsouncl with UST monitoring responsibilities are fimiliatwith all ofthe above documents relevant to their job duties and can access dxm documents when needed_ By Iammary. 1, 2045 this facility will have a "Designated UST who has passed the operator exam administered by the International. Code CouncR (ICC). By Jammy 1, 2005, and annually thereafEear, the . d UST Operator" wig train facility employees in the proper operation and minatenance of the UST. systems. This training wilt include, but is not limited to, the following. D Operation of the UST systems in a manim consistent with the fkAty's best management practices. A The dilly employee's rale with regard to the leak dowetiml equipment P- The f acuity employee's role with regard to spills and overfills. Whom to contact for emergencies and leak dates ion alarms. For facility employees hired on or. after January 1, 2005, the initial training will be conducted within 30 days of the date of hire. IX.. CIC r*RVM?ffSIADDIMONAI ,,WO TION . r Pleasm: use this Manion to educe any additional UST system monitoring -related infomauttion (eg., additional 'information required by your local agency): arse. -t tiU� ('r10 77. ..:PERSONNM- RESPONSIBILITIES. AS OF 1/1105, THE "DESIGNATED UST OPERATOR . IDENTIFIED. IN SECTION III OF THE CURRENT.UST OPERATING PERMIT APPLICATION - FACILITY FORM WILL HAVE ULTIMATE AUTHORITY. FOR PERFORMING THE MONITORING ACTIV ES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED. BY THIS PLAN, AND WILL PERFORM AND. DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS.IN ACCORDANCE WITH 23. CCR §. 27l = )a- 0NVNE1RL0P TOR $IGNA'I`UW CERTMCATIOdN: I certify *At tke. trf a ■ provided herein is true and accurate to the best of my know e. OWNER1t:)PERATOR SIGNATUREDATE: Owner t.�a. t. t 2 Mt- t Operator OWNER/OPERATOR NAME (print): M9Z OWNER/OPERATOR TITLE: ` 1 t -N Iz moi_ - U 03 Mg—y Ure Only) 'Chis plan has been reviewed and: ❑ Approved Q Apprroved With Conditions [) Disapproved Lucid d Amy Sigrladue: Date: Commen&Special Conditions:. SdCEHD-d (07/03) -314 07)2m