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AOL <br />SAN JOAQUiiG COUNTY ENVIRONMENTAL HEALTErW ARTMENT <br />UNDERGROUND STORAGE TANK <br />F <br />MONITORING PLAN - PAGE 1 <br />- <br />TYPE OF ACTION ❑ 1. NEW PLAN El 2. CHANGE OF INFORMATION <br />MOI. <br />_ <br />PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />M02. <br />(Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />I. 1''FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) <br />`'' <br />_ =" <br />1 <br />17 <br />M03. <br />FACILITY NAME toe Y - C <br />M04 <br />FACILITY SITE ADDRESS �b ^ iaU � 'd !�� C( C4 M' S TO C. /C Td i1/ <br />MOS. <br />II. 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 />frequent. Such work must be by qualified personnel. <br />M06. <br />accordance with the equipment manufacturers' instructions, or annually whichever is more performed <br />M°7. <br />MONITORING EQUIPMENT IS SERVICED. ANNUALLY ❑ 99. OTHER (Specify): <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 />UST Monitoring Site Plan from a Monitoring System Certification <br />line leak detector, monitoring system control panel, etc.). If you already have a diagram (e.g., current <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 />X 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) <br />SECONDARY CONTAINMENT IS:a. DRY ❑ b. LIQUID FILLED Elc. UNDER PRESSURE Eld. UNDER VACUUM <br />Ml 1. <br />PANEL MANUFACTURER: ��r D die R<JU1 M12. MODEL #: '-T LS ^- 3 SJ <br />M13. <br />Mls. <br />LEAK SENSOR MANUFACTURER: IA -ST f-WIIVITOR1N({ S�/Sj'l=iA( Mla. MODEL#(S): TLS - .3Sc7 <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TA MK(Sl <br />M17. <br />PANEL MANUFACTURER: MODEL #: <br />M19. <br />Mla MODEL#(S): <br />IN -TANK PROBE MANUFACTURER: <br />�0 <br />LEAK TEST FREQUENCY: Wa. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY <br />M21. <br />E]d. MONTHLY [Ie.OTHER (Specify): <br />M22. M23. <br />PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): <br />M24. <br />�3. INVENTORY RECONCILIATION a. MANUAL PER 23 CCR §2646 . STATISTICAL PER 23 CCR §2646.1 <br />4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 <br />M25. <br />TESTING PERIOD: 11a. 36 HOURS ❑ b. 60 HOURS <br />5. INTEGRITY TESTING PER 23 CC 2643.1 <br />M26. M27. <br />TEST FREQUENCY: a. ANNUALLY E]b. BIENNIALLY ❑ c. OTHER (Specify): <br />6.VISUAL MONITORING DONE: a. DAILY ❑ b. WEEKLY (Requires agency approval) <br />M28. <br />❑ 99. OTHER (Specify): <br />V. PIPE MONITORING <br />- <br />M30. <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />❑ 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT <br />M31 <br />SECONDARY CONTAINMENT IS: xa. DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM <br />M33. <br />PANEL MANUFACTURER: V fi E D E RZ R 001, uS 1 M'f�1 S VS71 X1132 MODEL #: T 3so <br />Mas. <br />M34. MODEL #(S): L <br />LEAK SENSOR MANUFACTURER: V O'f Ei3 F*q R W T I c T 11.t TC. "Sys'Tew M36. <br />WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? . YES [EDb. NO <br />M37. <br />WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN?. YES ❑ b. NO <br />PSTRICTS <br />❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND OR SHUTS <br />OFF <br />PRODUCT FLOW WHEN A LEAK IS DETECTED <br />Mag. MODEL #(S):._ ��� <br />M39. <br />MLLD MANUFACTURER(s): -� - -_-- <br />X3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS <br />31b <br />M41. <br />ELLD MANUFACTURER: `VE EDEN RQP= t4JT Mt�j S`/STtw�140 MODEL #: <br />M42. <br />PROGRAMMED LINE INTEGRITY TESTS: a. MINIMUM MONTHLY 0.2 g.p.h. [1b. MINIMUM ANNUAL 0.1 g.p.h. <br />M43. <br />WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN. a. YES ❑ b. NO <br />Maa <br />WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES E] b. NO <br />4. INTEGRITY TESTING M45. M46. <br />TEST FREQUENCY: ANNUALLY ❑ b. EVERY 3 YEARS [Ic. OTHER (Specify) <br />a. DAILY ❑ b. WEEKLY' Elc. MIN. MONTHLY & EACH TIME SYSTEM OPERATED•• M47. <br />5.VISUAL MONITORING DONE:�a. <br />• Requires agency approval " Allowed for monitoring of unburied emergency generator fuel piping only per HSC §25281.5(b)(3) <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 />Mas <br />U yy. 1rirm(ap-ill) <br />07/23/03 <br />SJCEHD-d (07/03) -1/4 <br />