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UNDERGROUND STORAGE TANK MONITORING PLAN �'PAGE 2 VI. DISPENSER MONITORING �t$o. r1.CO7NT1NUOUS OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) ELECTRONIC MONITORING OF UNDER DISPEL,ISER�CONTAINMENT (UDC) -ri,S .3S0✓VC rI-& o i MODEL#.. EL MANUFACTURER: ` t M53 MODEL #(7g438® '3Z 1,•eAK SENSOR MANUFACTURER: a. YES ❑ b. NO WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS. .�, a. YES [Ib. NO yts6. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES [I b. NO 1,157. WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ 2. MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK 1,159. MODEL #(S): ASSEMBLY MANUFACTURER: X160. 3.VISUAL MONITORING DONE: ❑ a. DAILY CK b. WEEKLY (RN -i- agm-y -M014 ❑ 4. NO DISPENSERS M61. ❑ 99. OTHER (Specify) VII. ENHANCED LEAK DETECTION ::. M70. I THAT LEAK ❑ 1. WE HAVE BEEN NOTIFIED BY THE STATE WATEK K - IS PLANEPER 023COCR §26441 ELD IS PERFORM DMUST PEVERY 36 MO ENHANCS AS REQUIRED DETECTION (ELD) FOR THE UST(S) COVERED BY VIII. TRAINING i`1so. REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) 1. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 2. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 3. ❑ THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of 7/l/2004) 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 - STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" h181 99. ❑ OTHER (Specify): duties and can access those when Personnel with UST facilitymonitoring 1 have a responsibilities tedaUST Operator" who miliar with all of ehas pasabove s d the perator exam adminocuments relevant to their istered by the Intemational Code Council (ICC).nB July t Z� By July, and anre 1, 2004, and annually thereafter, the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems. This training will include, but is not limited to, the following: ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. ➢ The facility employee's role with regard to the leak detection equipment. ➢ The facility employee's role with regard to spills and overfills. ➢ Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after July 1, 2004, the initial training will be conducted within 30 days of the date of hire. IX. COMMENTS/ADDITIONAL INFORMATION NSS Please use this section to include any additional UST system monitoring -related information (e.g.,additional information required by your local agency): X.PERSONNEL RESPONSIBILITIES . AS OF 7/1/2004, THE "DESIGNATED UST OPERATOR" ID RNpIEFI�EODRINLSECTHE MONIItORIING AHE ACCTIVNITIES AND MAINTAINING US -1 EFU.1114G LEAK D TECTIOIT APPL N FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR 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 2715 b). XI. OWNER/OPERATOR SIGNATURE ' CERTIFICATION I certi What the information provided herein is true and accurate to the best of my knowledge. u91 SFAITiNG DATE DWNER/OPE O tutor :owner M90. L ❑ Operator OWNER/OPERATOR TITLE: OWNER/OPERAWRNAME roved ❑ Approved With Conditions ❑ Disapproved (Agency Use Only) This plan has been reviewed and: APP '' v 01 Date: Local Agency Signature: - —,74 — Comments/Special Conditions: 07/23/03 - SJCEHD-d (07/03) -3/4