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SAN JOAQ�COUNTY ENVIRONMENTAL HEAL PARTMENT UNDERGROUND STORAGE TANK Now MONITORING PLAN- PAGE 1 TYPE OF ACTION ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION M°1. 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) _ C� 1 0 1 L �, I � 1-1 1 J FACILITY NAME 1" �.� M03. FACILITY SITE ADDRESS �a�] ,. f, �1 4,r M04 CITY L�z?� Mos. II. 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 m We, accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personrei. MONITORING EQUIPMENT IS SERVICED ® I.ANNUALLY ❑ 99.OTHER(Specify): MOS 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 pian. IV. TANKMONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) M1o. [ 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUL�t PANEL MANUFACTURER: i iv M12. MODEL#: `%S 1c- M13. LEAK SENSOR MANUFACTURER: ,^ C%`t' M14. MODEL#(S): M15. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16. MODEL#: MIT IN-TANK PROBE MANUFACTURER: M" MODEL#(S): M19. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY MCO. d.MONTHLY ❑ e.OTHER(Specify): X121. PROGRAMMED TESTS: ❑ a.0.1 n.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): M22. M23 ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR•2 646 ❑ b.STATISTICAL PER 23 CCR§2646 1 M24. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§§'2645 TESTING PERIOD: '_5. ❑ a.36 HOURS ❑ b.60 HOURS M ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ti126. M_;. Q a.ANNUALLY b.BIENNIALLY c.OTHER(Specify): ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) ❑ 99.OTHER(Specify): M2s. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M30. E�_I.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMPS)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: 0 a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d:UNDER VACUUM 1131' PANEL MANUFACTURER: 1 +,v e✓0- M32- MODEL#: 1_S M33. LEAK SENSOR MANUFACTURER: (y�ctn^ 1134. MODEL#(S): M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? Era.YES ❑ b.NO M36. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a a.YES ❑ b.NO M37. (� 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 &p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK ISE C w MLLD MANUFACTURER o ^ Z (s): !� Mag. MODEL#(S): M39. ��"� A ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0&p.h.LEAK TESTS ELLD MANUFACTURER: M40. MODEL#: "'' PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2&p.h. ❑ b.MNNUM ANNUAL 0.1 g.p.h. M42. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO 1,143. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? M44. ❑ a.YES ❑ b.NO ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. Mos. ❑ 5.VISUAL MONITORNG DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ C.MN.MONTHLY&EACH TLYIE SYSTEM OPERATED- M47. •Requires agency approval ••Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25231.5(bx3) 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23(,.'( R§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) [399.OTHER(Specify) Mas. SJCEHD-d(07/03)-1/4 07/23/03