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UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 2 __ _ VI.DISPENSER MONITORING _ MONI"CORING OF AR AS BEN13A'f'FI DISPENSER(S)IS PERFORMED USING THE FOLLOWING Mh:rHOD(S)(Check all that apply) I CONTINUOUS BLIiC:`('RONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANC'L.MANUFACTURER: rf) -. f) mast. MODEL 4{ f n432 VRR. , Mt)LEAK ENSOR MANIirACIMODEL#(S):fn1id WILL DFTECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? Dj'-aYIES ❑ b.NO WILL.A UDC E.EAK ALARM TRIGGER AUTOMATIC PUMP SIIUTDOWN? ❑ a,Yl-'S ❑ b.NO atsr, WILL.FAIL()RUDISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN't ❑ a. YcS ❑ b.NO nisi ❑ 2 MFICIIANIC'AL ASSE.MBLY(c.g.;FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE-IN CASE OF LEAK ASSEMBLY MANUFACTURER: MSx. MODEL.#(S): mv) ❑ 3 VISUAL.MONITORING DONE. ❑ a.DAILY ❑ b.WEEKLY(aeyrnresabkicca�xuca:) M1i0 ❑ 4 NO1)1S1'C:NSFRS 99 (1'1'111 R(Specify) L�I Ni't VII. ENHANCED LEAK DETECTION ❑ 1.WE I IAVI:HF.EN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THATWE MUST IMPLL'MLNT EiNI'IANC ED LEAK — nim I)f."1't:C"TION(ELD)FOR"E'tLl;UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII. TRAINING REFL'RENCI'LXXAJMENTS MAINTAINED AT FACILITY(Check a]]that apply) ntiar L �THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. OPERATING MANUALS 170R ELECTRONIC MONITORING;EQUIPMENT(Required) 3. THE FACILIT'Y'S BEST MANAGEMENT PRACTICES(Required as of 1/011/2005) 4. ❑ CALIFORNIA UNDCRGROUND STORAGE TANK REGULATIONS 5 ❑ CALIFORNIA EINDHRGROUND STORAGE-'.TANK LAW 6 ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MAN('AI. AND STAT'IST'ICAL INVENTORY RECONCILIATION" 7. ❑ SWRC13 PUBLICA"KION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGETANKS" 99.❑ O"rl11.ift(Specify): M%4 I Personnel with UST monitoring responsibilities are familiar with all of the above documents rclevtuit to their lob duties and can access those documents when needed By January I,2005 this facility will havela"Designated UST opeTator"who has passed the operator exam administered by the International Cole Council(ICC). lly January 1,2(X)5,and annually thcreafler,lthe "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems This uaumig will include,but is not limited to,die roilowing. b Operruion of the UST systems in a manner consistent with the facility's b;st management practices. The I1ac'1ityeniployce's role with regard to the leak detection equipment. The L14ifi y employee's role with regard to spills and ovcrlills. Y Whom to contact for emergencies and leak detection alarms. For Facility employees hired on or atter.tanuary 1,2005,the initial training will be conducted within 30 days of the date of hire. IX. COMMENTS/ADDITIONAL INFORMATION Plcasc use this_ sectio_n to include any additional USTsysLcm monitoring-related information(e.g.,additional information required by your local agency), Turns v ��® ,u t/-e4t X. PERSONNEL RESPONSIBILITIES AS 01' I11/05, THE "Dl'1IGNATED LIST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPURATINCi PERMIT APPLICATION -� I FAC11.1'rY FORM WILL HAVE.LUJIMATE AUTHORITY FOR PERFORMING T14E MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION I:QUIPMENT COVE-'.RED BY PHIS FLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF HIF FACILITY'S + i UST SYSTEMS 1N ACCORDANCE WITH 23 CCR.§2715(h). t XI. OWNER/OPERATOR SIGNATURE CERTIFICATION: I certify that the information provided herein is true and accurate to the best Wof my knowledge.. ONER/OPF.RATO IRF.' R1,?FE:SGNTING DATE. Met QUwner atm) ❑Operator- :R/OPERATOR F(print): OWNER/OPERATORTITLF. I (Agency Ilse On/t) This Ian hash2en rev' wed and. proved ❑Approved With Conditions ms-approved Local Agency Signature:_ Date: � ,:5 J` Ctunments/Special Conditions: SJ0:IID-d(07103)-3/4 — 07/23/03