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AML SAN JOAdW COUNTY ENVIRONMENTAL HEALTH ARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN -- PAGE 1 TYPE OF ACTIONI NEW PLAN OF CHANGE INFORMATION Mol. PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. M02. (Check one item only) THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) FACILITY NAME � talmes ��V�12.. C /�a�F M03. FACILITY SITE ADDRESS 1-60, w' Ke H+Crncar, L r\ MOS. CITY Mos. U. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in M06 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 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 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) Mlo. 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: alDRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE ❑ d. UNDER VACUUM Ml1. PANEL MANUFACTURER: M12 MODEL #: _'M G [,7 M13. LEAK SENSOR MANUFACTURER: �L6�-%-z»R ,07- M14. MODEL #(S): --6s 2_0 M15. ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: Ml6• MODEL #: M17, IN -TANK PROBE MANUFACTURER: M18- MODEL #(S): MM LEAK TEST FREQUENCY: ❑ a CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY M20. ❑ d. MONTHLY ❑ e. OTHER (Specify): Mei. PROGRAMMED TESTS: ❑ a. 0.1 g.p h. ❑ b. 0.2 g.p h. ❑ c. OTHER (Specify): M22. M23. 49-3- 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. MV. ❑ 6.VLSUAL MONITORING DONE: ❑ a DAILY ❑ b. WEEKLY (Rogn ma agcy amwwm) ❑ 99. OTHER (Specify): M28. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) Mao. 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: X a DRY ❑ b. LIQUID FILLED INC `- UNDER PRESSURE n d. UNDER VACUUM Mat PANEL MANUFACTURER: -. � ae wzs D M32 MODEL #:C� M33. LEAK SENSOR MANUFACTURER: /007" M34. MODEL #(S): OSP M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? a. YES ❑ b. NO Mab WELL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? JR a YES ❑ b. NO 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 h. LEAK TESTS AND RESTRICTS OR SHUTS '07- OFF g.p PRODUCT FLOW WHEN A LEAK IS DETECTED MLLDMANUFACTURER(s): Vly]/ M38. MODEL #(S): GI9�v�0AD� FX I ✓ M39. ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p h. LEAK TESTS ELLD MANUFACTURER: M40 MODEL #: M41. PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g p.h. ❑ b. MRQMUM ANNUAL 0.1 g p h. M41 WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ❑ b. NO Mai. WILL ELLD FAILUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ❑ b. NO Moa. ❑ 4. INTEGRITY TESTING TEST FREQUENCY: ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) Mas. Mab. ❑ 5.VISUAL MONITORING DONE: ❑ a DAILY ❑ b. WEEKLY* ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED** Mal. * Roquirca agency amxoval **Allowed for monimring ofunburiod cmorgmcy gammor faci piping onlypor WSC §25281.5(6)(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) ❑ 99. OTHER (Specify) Mos. SJCEHD-d (07/03) -1/4 07123/03