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♦ TTTiTL'ATT SAN jOAQtWCOUNTY ENvIKUIN ILI'm JL"ku Z13G11LJUJLJLJLW �> UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE. I . - MOI. TYPE OF ACTION L NEW PLAN ❑ 2. CHANGE OF INFORMATION M02. PLAN TYPE -,0MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) M03. FACILITY NAME /CK'S ��//�(i2or-1 �ii0t�/�9�iQi - t��"�w�'S� Moa. CITY Mos. FACILITY SITE ADDRESS 1i7��+t ct SSC 1251 57Cxfc�y.a �7'Sa-aJ II. EQUIPMENT TESTING.AND PREVENTIVE MAINTENANCE M06. State law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in accordance with the equipment manufacturers' instructions, or annually, whichever is more frequent. Such work must be performed by qualified personnel. Mol. MONITORING EQUIPMENT IS SERVICED '� 1. ANNUALLY ❑ 99. OTHER (Specify): III. MONITORING LOCATIONS . 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, 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 form, Hazardous Materials Business Plan ma , etc.) which shows all required information, include it with this plan. IV. TANK MONITORING M10.' MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) IN 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) Ml ` SECONDARY CONTAINMENT IS: EYLY b LIQUID FILLED ❑ M' UNDER PRESSURE ❑ d. UNDER VACUUM M13. PANEL MANUFACTURER: VE` c a 2. MODEL #: TLSO t r ! P M14. MODEL #(S): Tgyt 34 O " 42.7 mns. LEAK SENSOR MANUFACTURER: AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANM161 M17 MODEL #: PANEL MANUFACTURER: MlgM19. IN -TANK PROBE MANUFACTURER: MODEL #(S): LEAK TEST FREQUENCY: ® a. CONTINUOUS F1 b. OTHERNIGHTLY ❑ c. WEEKLY Mzo. M21. ❑ d. MONTHLY ❑ e. OTHER (Specify): M22. M23. PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): ❑ 3. INVENTORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 M a. ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 M25 TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS ❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 M26. M27. TEST FREQUENCY: E] a. ANNUALLY C] b. BIENNIALLY ❑ c. OTHER (Specify): .g 6.VISUAL MONITORING DONE: J"' a. DAILY ❑ b. WEEKLY (Requires agency approval) Mzg. ❑ 99. OTHER (Specify): V. 'PIPE MONITORING M30 MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) §4'-1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT Mat SECONDARY CONTAINMENT IS: A a. DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM 1 2 do ®i M32. MODEL #: 'r Is 3 5: O M33. PANEL MANUFACTURER: of M34. "Lt" MODEL# S : ?�� j$o-35=-- M35. LEAK SENSOR MANUFACTURER: M36. � a. YES ❑ b. NO WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. M37 WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO ❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED M39. Mas. MODEL #(S): MLLD MANUFACTURER(s): 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (}' e ;� M41. Moo. MODEL #: (CsW ELLD MANUFACTURER: 1161-11.2 M42. PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. [Ib. MINIMUM ANNUAL 0.1 g.p.h. � ❑ Mai. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN. �a. YES b. NO M44 WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO ❑ 4. INTEGRITY TESTING M45. M46. TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS C] c. OTHER (Specify) b. WEEKLY* ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED** Mal. ElS.VISUAL MONITORING DONE: ❑ a. DAILY s Requires agency approval •• Allowed formonitoring of unburied emergency generator fuel piping only per HSC §25281.5(b)(3) ❑ 6. PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR §2636(a)(3) ❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Mas. ❑ 99. OTHER (Specify) 07/23/03 SJCEHD-d (07/03) -1/4