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e SAM JOAQ1W COUNTY ENN RONMENT.0 HE ALT PART' UNDERGROUND STORAGE TANK MONITORING PLAN- PAGE 1 TYPE OF ACTION ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION Mol. PLAN TYPE iN MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Moe. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWNG UST SYSTEM(S): FACILITY ID#(Agency UI. FACILITY INFORMATION Only) I , 1 _ � FACILITY NAME -4---v Moa. FACILITY SITE ADDRESSM°4 { CITY Mos. II. EQUIPMENT TESTING AND PREVENTIVE INUUNTENAINCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment i,e.g.,sensors,probes,line leak detectors,etc.)be performed in Moa. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work musr be performed by quaiii1ed personnei. MONITORING EQUIPMENT IS SERVICED ® I.AN`IUALLY El 99.OTHER(Specify): Mol 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 Cerflcan form,Hazardous Materials Business Plan map.etc.)which shows all recluired information,include it with;his Dian. on IV. TAlYX-MONITORING MONITORING IS PERFORMED USING THE FOLLOWNG NIETHOD(S):(Check all that apply) Mlo. [�. I.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 VACUU�1 Mi 1. PANEL MANUFACTURER: j�`"��>^ "12 MODEL, %) /C- M13. LEAK SENSOR MANUFACTURER: 7 C'=-ti M1.4 MODEL=(S): uls. F-12.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: Mih, MODEL.: MIT IN-TANK PROBE MANUFACTURER: Ni 13, MODEL-(S): M19. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY,,-NIGHTLY ❑ C.WEEKLY M20 ❑ d.MONTHLY ❑ e.OTHER(Specify): M21. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 a.p.h. ❑ c.OTi:ER(Specify): M"-. M23. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR 2E46 71 .STAT!S71CAL PER_-3 CCR§2646 I M-� El 4.WEEKLY MANUAL TANK GAUGING(MTCG)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. M2T ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires azency approval) ❑ 99.OTHER(Specify): vf2s V. PIPE MONITMING MONITORING IS PERFORMED USING THE FOLLOWNG METHOD(S)(Check all that apply) M30. 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AN D OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: G a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE �❑ d.UNDER VACUUM Mat. PANEL MANUFACTURER: 1 yi co- M32. .MODEL4: M33. LEAK SENSOR MANUFACTURER: l K Ctn^ M34 MODEL..=(S): M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? Era.YES ❑ b.NO "36 WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑T a.YES ❑ b.NO M37. I� 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 ERCT; _ MLLD MANUFACTURER(s): _ IA I M33. MODEL#(S): , l P � LIZ 1\439. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: sup. MODEL •.u+ PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MNLINtUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDO`vVN? ❑ a.YES ❑ b.NO M43. WILL ELLD FAILURFJDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ e.OTHER(Specify) M45. Mas. ❑ 5.VISUAL MONITORNG DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- M47. *Requires agency approval -Allowed for monitoring cf unburied emergrney gcne..ator fuel piping only per HSC;25231.5(6x3) ❑ 6.PIPING 1S 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) SJCEHD-d(07/03)-1/4 I