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SAN JOAQLIIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION ❑ L NEW PLAN 2.CHANGE OF INFORMATION Mui PLAN TYPE MONITORING 1S IDENTICAL FOR ALL USTs AT THIS FACILITY. m102 (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING USTSYSTEM(S): I. FACILITY INFORMATION FACILITY(D#(AgencyUse Onln) FACILI'CYNAMB �Q �zin P M 03, FACILITY SITE ADDRESS 11 65fv d lei "Aoa CITY Mu, II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of inonitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in MN accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): M07. III. MONITORING LOCATIONS ['his monitoring pian 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.). Ifyou already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Miu 1.CONTINUOUS ELECTRONIC MONITORfN OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT I a.rD b.LIQUID+FILLED ❑ c.UNDER PRESSURE d.UNDER VACUUM M(l. PANEL MANUFACTURER: C.+ m 1 L M12 MODEL#: �LS �� Mis. LEAK SENSOR MANUFACTURER: M14, MODEL#(S): Mis ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL.MANUFACTURER: MI6. MODEL#: W7 IN=TANK PROBE MANUFACTURER. Mis. MODEL#(S): M19 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M'-u ❑ d.MONTHLY ❑ e.OTHER(Specify) nt21. PROGRAMMED TESTS: ❑ it,0.1 g.P.11, ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): M22 M23 El 3.INVENTORY RECONCILIATION ❑ a.MANUAL.PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26 Mn. 6.VISUAL MONITORING DONE- a.DAILY ❑ b.WEEKLY(Requires age¢yapproval) 99.OTHER(Specify): Men V. PIPE MONITORING M NITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Man 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/rRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: a.D Y b.LIQUID FILLED ❑ d.UNDER VACUUM "431 Q ❑ c.UNDER PRESSURE PANEL MANUFACTURER: M32. MODEL,#: M33. LEAK SENSOR MANUFACTURER: M34. MODEL#(S) Mas. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TUI BINF,)SHUTDOWN? M"' a.YES ❑ b.NO WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a.YES ❑ b.NO M37 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 DP-E " EDg, �f MLLD MANUF'ACT'URER(s): 1 I Mas MODEL#(S): �-vA M39, ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)TI IAT R UTINELY PERFORMS 3.0 g.p.h.LEAK TESTS q ELLD MANUFACTURER: Mao. MODEL.#: Mai. PROGRAMMED LINE INTEGRITY TESTS: ❑ a,MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 h. Mae. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? g.p.h. ❑ a.YES ❑ b.NO Mai_ WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Maa ❑ 4.INT'EGRITY'CBST'ING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS El c.OTHER(Specify) Mas. Maa 5.VISLIAL.MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M42, "Requires agency approval **Allowed for monitoring of unburied emergency generator fuel piping only per HSC§252N 1.5(6)(3) :E1 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) 99.OTHER(Specify) MO. SJCELID-d(07/03)-114 07/23/03