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r I, AIL, SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK E: MONITORING PL -PAGE 1 Mo. TYPE OF ACTION I NEW PLAN ❑ 2,CHANGE OF INPORMATION � PLAN TYPE ONITORING 15 IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY TII13 FOLLOWING UST SYSTEM(S): — 1. FACELITY INFORMATION !'ACI):ITY lU a(.tgency(lsN Urrh1 rACIL[TY NAME " AT Moa. FACILITY SITE ADDRESS CITY Mar. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires at testing,preventive m■intenMec,and calibration of monitoring equipment(e.g.,sensaus,Probes,line leaf:detectors,ctc.)be Performed in accordance with the equipment mimufim u ers'instructions,or annually.whichever is more frquent. Such work must be perlotltad by qualified peroonnel. Mm. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(SPCoit'Y): ..... TU. MONITORING LOCATIONS This rtwnitoring plan must 1wlude a Site Pien showing the general tank and piping layouts and the locations where monitoring is pert'omnod(i.e.,location of each srnsur, line Ica.detector,monitoring system control panes,etc-) if you already have a diagram 0.9.,current UST Monitoring Site Plan from a Monitoring Syslenl Certification form,i•ltc.)which shows all Eeguired information,include it with this fan. IV. TANK MONITORING ,�, MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(C)eck all that apply) ❑ [.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SFACFdS)OR SECONDARY CONTAINMENT VAIILT(S) Mt► SECONDARY CONTAINMENT IS: r a.DRY ❑ b.LIQUID FILLL'D ❑M.2U.NDF.R PRESSURE ❑ d.UNDER VACUUM 12 b t9 fi Mil MODEL 4: L-.S z7 v pANF),MANUFACTURIsIc: �-�-_ MODFL#(S): M151. LEAK SENSOR MANUFACTURER: 'V Eir•'43 Q& 92OX: ❑ 2.AUTOMATIC TANK GAUGING(AT-G)SYSTEM USED TO MONITOR R1NG4L'WAI I T Mt^SI MODEL 4: MIT PANEL MANUFACTURER: MIA MODEL N(S): MIH. IN-TANK PROBE MANUFACTURER: bDAILY/NIGHTLY M2nDAILY/NIGHTLY ❑ c.WF.F.KLY LEAK TEST FREQUENCY! ❑ a.CONTINUOUS ❑ M21 ❑ d.MONTHLY ❑ c.OTHER(Spee:ily): M211. M23. PROGRAMMED TESTS: [3e.0.I g.p.h. ❑ b.C1.2 g.p,h. ® c.OTHER(Specify): Myr ❑ 3,INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR 42646 ❑ b.STATISTiCAI.PER 23 CCR 12646.1 ❑ 4.WEEKLY MANUAL TANK GAUGING(MT(J)PER 23 CCR*2649 Mag. TESTING PERIOD; C) a.36 HOURS © h.6U HOURS ❑ S.INTEGRITY TESTING;PLR 23 CCK 42643.1 c.CTCHER(Specif Mgt. M27. TEST FREQUENCY; ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ y►: [] 6.ViSUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY atequim wj*o,' -A► M2&. ® 94.OTHER(Specify(; V. PIPE MONLTORING Man. MONITORING IS PERFORMED USING THE FOLLOWING MIE I'HOD(S)(Check all that ably) ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUNMSyrRENCH(ES)AND O'rIIER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31-' MODEL#: �.. M33. PANEL MANUFACTURER: Mti+ M" am!�� MODEL#(S): LEAK SENSOR MANUFACTURER: b.NO M36. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.c.,'['URBINE)$I iLTTTX)WN? a.YES ❑ M37. WILL FAILURFJDISCONNEC'f10N OF THE MONITORING SYSTEM TRIGGER AIITOMATIC PUMP SHIT111)OWN7 Q a.YRS ❑ b.NO ❑ 2.MECHANICAL I.INC LEAK DETFC fOR (MLLD) THAT ROUTINELY PERFORMS 3,0 g.p.h. LEAK 'PESTS AND RESTRICTS OR SHUTS OFF PRODUC-f FLOW WHEN A LEAK IS DETECTED Ma114' 7t't Di1 M MILD MANUFAC'ITJRER(s).®,_ ® � ®— MODEL*(S): �X l [3 3,ELECTRONIC'LINE LEAK DETECTOR(EI.LD)-THAT ROUTINELY PERFORMS 3.0 g.p,h.LEAK TFSTS Mot M40. MODEL#! FLLD MANUFACTIIRl-R; M42' PROGRAMMED LINE INTEGRITY TESTS: Ela.MINIMUM MONTHLY 0.2 g.p.h. C3 b.MINIMUM ANNUAL 0,►i;P•h• Ma3 WILL ELLD UETB(e TION OF A PIPING LEAK TRIGGER.AUTOMATIC PUMP SHUI'DOWN! ❑ a.YES [3 b.No � ❑ a.YES C] b.NO WILL ELLD FAILURE/DISCONNUCTTON'TRIC,G;ER AUTOMATIC PUMP StIUTDOWN. ❑ 4,INTWRTTY TESTINCrC] [3moi. ' TEST FREQUENCY: a.ANNUALLY b.I?vERY 3 YEARS Q c,OTHER(Specify) TEM 47 [r] S.VISUAL MC)NIT(}kINGDONE: •Re *UW_.DAILY ❑ b.WEEKLY .� d �� nofWMONTHLY� 'l"R�#�CH TIME spip a,oPperAaCM{22at.500) rae ❑ 6.PIPING IS SUCTION PIPINGS MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR 42636(ax3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO VIE UST(s) Mae. [� .`.OTHER6SPecitj> 07/23/03 %JCEH13-d(07/03)-114 Z0 'd SLbb6£Z60Zi wm bb: 6e L®®Z—£Z—rinm