|
11/19/2008 12:50 FAY 9163712540 BZMAINT 008
<br /> UST Monitoring Plan—page 1 tructions
<br /> Complete;a separate UST MooltDrI119 plan fm each UST monitoring$Ystetti JIt the fWlity. This form must be Submitted W=your initial UST
<br /> operadug Permit ApplimMWW
<br /> ition and widiin 30 days of d=909 in the infOr"AtiOn it C ' Pit=*note that Your 1004 agency may requite you to
<br /> obtain al Wto Installing or mOd4'n8 monitoring equipment
<br /> (NOW, Nurobe�of&M in#irticaoris f6ilows the data alczhat numbers On
<br /> approvX
<br /> the form.)
<br /> ol, TYPE OF ACTION—Check the 4ppropriim bcyK to indicate why this plan is being submitted,
<br /> M02, PLAN TYPE-Chock the caves all,Or merely some,of the USIS it the facility If the PLO covers Only appropriate box to indicate whether this plan tlx Tank ID 1(s)in item 432 of the UST Operating Permit Application
<br /> S,mg of ft tanks,Identify those tanks it,the space provided[e,g.,by using he
<br /> Tank Forril(01,
<br /> FACILITY ID NUMBER—This space is for agency use only,
<br /> UO3, FACILITY HAMS—Enter the complete Facility Name.
<br /> mo4, FACILITY SITE ADDRESS—Enter the skeet address Where the fecility,is located,including building numbor,if Wplizable,post oMw box numbers
<br /> are not w4eptable. This indbolgiOn must Provide a Means to locate the facility pograpbically.
<br /> MOS. CITY—Enter ON city Of unincorporated arca in which the facility is 100*d-
<br /> M06. MONITORING EQUIPMENT IS SERVICED—Chocked the appropriate box to specify the&AU0ncY Of morij.toeing equipment tostirg(bertificatioti,
<br /> M07, SPECIFY—If item H-"is checked,enter the frequency ofmoliftorins equipment testing/certification,
<br /> x(as)in Section IV ID identify all required methods used for monitoring UST(s)
<br /> M10. TANK MONITORING MEIIIJOD(S)—Check the appropriate ba
<br /> covered by this plan.
<br /> MI 1, SECONDARY CONTAINMENT IS—Check the sppropriate box to describethe environment inside tank Secilridaty oDn1ainmcttt
<br /> ftwer of the-%Ltori"A wai.m e�trot PRO-11(Contole).
<br /> *t.,,,IV., &411@40_4 oast.,"n%�*tthq
<br /> VA12. PA112L�,"14UFAr-TUR'Zli`-tic' on=ft model number for the monitoring sYstcol C0131rut Panct•
<br /> M11 MiDLML V—If item IV-1 is abeckcil. hocked.enter the us=of the manufacturer of the swgor(s),If additional space is needed,use
<br /> M14, LEAK SENSOR MANUFACTURER—If IV-'is c
<br /> Scaioalxis trod_,use Section IX
<br /> MIS, MODEL#(S)-•If item IV-I is chocked,enter the model number for cob type of sensor installed'the If nonunion cAmlrol pinto!"soic).
<br /> SySPWA
<br /> M16, PANEL MANUFACTURIM—if item IV-2 is chocked,anter the 01011110f 4tam
<br /> M17, MODEL#—if itank IV-2 is checked,cnW dw model number for the monitoring system control panel.
<br /> MIS, IN r the name,of the manufmtkn0f of the probe(&). needed,use Section IX.
<br /> _TANK PROBE MANUFACTURER—If item IV-2 is checked,onto install If&Wit W space is
<br /> M19. ?AODEI,U(S)—Ifitem IV-2 is checked,enter the model junriticy for each type of in-tsnk probe a iix cy
<br /> d,eheek the appropriate b=10 describe the in-tank look test fmqueD
<br /> M20, LEAK TEST FREQUENCY—If item IV-2 is chockc I
<br /> M21. SPECIFY—If item M24-c is chookod,grater the firquenCY Of PWNrdmd leak tub- the
<br /> —If item JV_2 Is chocked.check flit appropriate box to(1050ribs dic tests PrOgrariDiiied into ATG system'
<br /> M22. PROGRAMNIED TESTS Pt of inventory reconciliation performed
<br /> M123. SPECIFY-If item NjV_o is checked,order the t2quoncy ofiTAwk lcdkttgtiW to describe the tY
<br /> M24, INVENTORY RECONCILIATION—If item 1y-3 is checked,check the appropriate box
<br /> (i.e„Manuel or statieficc. ng PC'ad'
<br /> M25, ITESTING PERIOD-If item IVA is chocked check the appropriate box to describe the MTrJ Wti.check the rope
<br /> box to describe the&equencY Of tank into:grity testing.
<br /> M26. TEST FREQUENCY--If item IV-5 is chockedqucnof tank inioF11Y testing-
<br /> M27, SPECIFY-If Jim IV-5-o is chocked,enter ft frei oft
<br /> in*monitoring mothod(s)used vaduse zone monitoring per 23 CCR
<br /> dw
<br /> M28. SPECIFY-If item 1V-99 is "OW IL brief descripay tion OfthO it I" speft WedC
<br /> In&per 23 CCR§2649). Include the monitoring fmilacocy C0711111110us,Wet Y)' If ticDal is d.else
<br /> 12647,grDuridwincr morAtOT
<br /> Section IXin Section V to idcn*all required me.thOds'Hod for monitoring piping in ft
<br /> M30. PIPE MONITORING METHOD(S)-Check the appropriateb0x(ds)
<br /> UST system($)COVOrCd by this Plan' riate box to dosciribe the environment inside piping noonday containment
<br /> M31. SECONDARY CONTAINMENT IS-Check thin g0roppanel(console�
<br /> NG2. PANEL mANUFACTURB;L-If item V-1 Is checka,enter the DAM ft Ofmanufacturer of the monitoring system
<br /> control
<br /> M33, MODEL#-if it=V-1 Is checked,enter Lite model number for the monitoring system**mml panel.
<br /> M34, LEAK SENSOR MANUFACTURER-If to
<br /> mode
<br /> choolumbeved,enter the name Ofthe InVuEuWFOF oftbe son%6*) e Section IX.
<br /> L#(S)-If item V-1 is cheabil.enter the mel nr for each typo ofsensor Installed.if additional aPfico is needed,use
<br /> M35, MODS R PtRV SHUTDOWN?-It hentv.1 is checked,check Yes or No-� ok Yes or No,
<br /> V-1 jq checked,clic
<br /> M36. WILL PIPING LEAK ALARM TRIGGE CTION Of MONITORING SYSTEM[TRIOGER SHUMWN?-If Item Otor(s).if additional
<br /> M37- WILLFAILURE/LOSCOI-NE fee ura(s)of W,upohamcal line lax dots
<br /> M38, MLLD J�MUFACTURER(S)-If it*ll V-2 is checked.enter the 1101*0 of manu I space is needed,
<br /> space is node_,use Section IX.
<br /> M39.
<br /> MC)DEL#(S)-if item V-2 is checked,enter the model rAmber for each type of mechanical Jim look dgto�or first fled.if additional
<br /> use Section IX ft @=a 0 Do I leak detector(s).
<br /> M40. ELLD MANUFACTURER-If item v-3 is chocked,enter the Dam of the,manufacturer Of el I " susee is needed,use
<br /> M[41. MOTEL#(S)-If item V-3 is chocked,enter the model number for each type ofc1octfunic;line leak dewtor installed.If additional
<br /> Section IX. rititz box to describe(116 type Of trAu prograrruncil into the
<br /> M42, PROGRAND=LTNE RMORITY TESTS_If item V_3 is cheekad.check the approp,
<br /> monitoring system, is checked,chock yes OF NO.
<br /> M43. WILL ELLD DPTECTION OF A PIPING LEAK ALARM TRIOGER PUMP SHLM)OWN?-if
<br /> 4k y No,
<br /> M144. WILL ELLD FAILURE/DISCONNECTION TRIGGER PUMP SFTUTDOWN?-if item V-1 is cherked ch cs Or
<br /> FREqUENCy—1P item V-4 is checked,check the appropriatedescribe the fte(1110119Y OfPij�integrity tosting.
<br /> M45, TEST integrity tabs.
<br /> M46. SPECIFY-If item V-4-9 is QMcked,enter the"Wey of pipe )describe the froqucn4y of vimW monitoring.
<br /> M47, VISUAL MONITORING D014E-If item V-5 is checked,check the fiPPEOPtiete box l4 ring mothOd(s)used. if additional space is nooded,use Section
<br /> M148, SPECIFY-if Item V-99 is 0
<br /> beeked,Color a brief description of the Other line ffloftitO
<br /> IX Be sun to clearly describe monitoring mdWS)and troquency,
<br /> &Site plan showing the gencral tank and pg outs"ft locations whtTq monitming is performed 0-0',location of
<br /> This mOmtOft9 plan must include If yin
<br /> elfewly live i diagram (e.g.;current. UST M011110drIg Site Plan from a
<br /> monitoring system cOntml panel,"L0- all rgWired 40imation,include it with this Plan-
<br /> each senesce,line lash de r, als Business Plan map,aw)which shows Monitoring System Cortifictiti(m form,Haardous Materials
<br /> O7aM
<br /> SJCUM4(07103)-2/4
<br />
|