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AL AM <br />AML <br />SJCEHD-d (07/03) - 3/4 <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 2 <br />VI. DISPENSER MONITORING''g <br />MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) Myo. <br />1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) / <br />C(0_D / M5z. <br />PANEL MANUFACTURER: DRESSER- W.9 Y/Uff M51. MODEL #: V 3 4- Y l 1% <br />LEAK SENSOR MANUFACTURER: �SGt-� W64 (,eE Mss. MODEL #(S): Ms°. <br />Mss. <br />WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? a. YES ❑ b. NO <br />WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO M56. <br />WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO M57. <br />❑ 2. MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br />ASSEMBLY MANUFACTURER: M% MODEL #(S): Ms9. <br />3.VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY (Requires agency approval)M60. <br />❑ 4. NO DISPENSERS <br />M61. <br />❑ 99. OTHER (Specify) <br />VIL 'ENHANCEDLEAK DETECTION <br />❑ 1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M'0 - <br />DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §2644.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br />VIII. -TRAINING <br />REFE_3ENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) Mao. <br />1. THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) <br />2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) <br />3. THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of 1/01/2005) <br />4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />5. CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />6. STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />STATISTICAL INVENTORY RECONCILIATION" <br />7. ❑ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br />99. El OTHER (Specify): Mal. <br />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. <br />By January 1, 2005 this facility will have a "Designated UST Operator" who has passed the operator exam administered by the International Code Council (ICC). By <br />January 1, 2005, and annually thereafter, the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems. <br />This training will include, but is not limited to, the following: <br />➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br />➢ The facility employee's role with regard to the leak detection equipment. <br />➢ The facility employee's role with regard to spills and overfills. <br />➢ Whom to contact for emergencies and leak detection alarms. <br />For facility employees hired on or after January 1, 2005, the initial training will be conducted within 30 days of the date of hire. <br />IX. COMMENTS/ADDITIONAL INFORMATION <br />Please use this section to include any additional UST system monitoring -related information (e.g., additional information required by your local agency): Mss. <br />X. PERSONNEL RESPONSIBILITIES <br />AS OF 1/1/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION — <br />FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br />EQUIPMENT COVERED BY THIS PLAN, AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br />UST SYSTEMS IN ACCORDANCE WITH 23 CCR § 2715(b). M <br />XI.'O•WNER/OPERATOR SIGNATURE - <br />CERTIFICATION: I certify that the Wormation provided herein is true and accurate <br />to the best of my knowledge. <br />OWNER/OPERATOR SIGNATURE REPRESENTING <br />DATE: 1 C,, M91. <br />••Owner M90. <br />d Operator <br />OWNER/OPERATOR NAME (print): M9z. <br />OWNER/OPERATOR TITLE: M93 <br />(Agency Use Only) This plan has been reviewed and: ❑ Approved ❑ Approved With Conditions lsapproved <br />Local Agency Signature: Date: <br />Comments/Special Conditions: <br />SJCEHD-d (07/03) - 3/4 <br />