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UL UNDERGROUND STORAGE TANK MONITORING PLAN PAGE 2 VI.DISPENSER MONI'T'ORING MONITORING)IN AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING MI=11-(01)(S)(Check all that apply) ❑ 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(SDC.)11 MOUEI tr Ms:. PANEL MANUFAC"TURFK: LBAK SENSOR MANUFACTURER: R M" MODEL H(S).�? + WILL DETECTION OF A LEAK INTO THE UDC TKIGGFR AUDIBLE AND VISUAL ALARMS? 19 a.Y1 Sy0 b NO Mss YES [3 b.NO Mx,. WILL,A 11UC'LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN" a Ms7. WILL FAIL(1KEMISCONNECTION OF UDC'MONITOKING SYSTEM TRIGGER AUTOMATIC'PUMP SHUTDOWN" RL a.YES El It NO ❑ 2 MLiCHANLC•AL ASSFM13LY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UD('TRIPS SHEAR VALVE IN CASE OF LEAK MW ASSEMBLY MANUFACTURER: MOVEL#(S): M&A. ❑ 3.VISUAL MONITORING DONE: ❑ A.DAILY ❑ It.WEEKLY tRW,w�G At�ir appo+al ❑ 4.NO DISPENSERS WIN VII. ENHANCED LEAK DETECTION ❑ I WL 1IAVF:BEE N NOl'IFtIsU BY THE STATE WATER RESOURCES{'()NTROL BOARD THAT WE MUST IMPLEMENT ENHANC'E'D I. AK n11 DETECTION(L:LI))FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§26A4.1,ELD IS PERFORMED EVERY tri MONTHS AS RrQI TIRED VIII. TRAINING MR(. REFERfNC'F DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) I, IN THIS UNDERGROUND STORAGE TANk MONITORING PLAN(Required) ?. Q OPERATIN(i MANUALS FOR ELL:C:TRONIC MONITORING EQUIPMT?NT(Required) 1. THE FACILITY'S BEST MANAGEMENT PRACTICES(RegUillvd as of ld!(7IOOS) 4 [J CAI.IFOKNIA UNDERGROUND STORAGE TANK REGULATIONS 5 Q CAI.,IFOKNIA UNDERGROUND STORAGE TANK LAW 6 Q STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS • MANUAL ANO STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRC'B PUBLICATION;"WEEKLY MANUAL TANK GAUGING FOR SMALL.UNDERGROUND STORAGE TANKS" MND. tK). El OTHL'"R(Specify): Personnel with IJST monitoring lesponsibilities art tumiliar with all of the above noeumeths relevant to ant adm nutter and Can access them documents C wet n needed. By January I,2005 this fatality will have a"Designated UST Operator"who has passed thropEiatoi oxatn administered by the International('ode Council(TCC). Lty Jtlnuary 1,2005,and annually thereafter,the "De=signated LIST Operator'will train facility employees in the proper operation and mailltcnance of the LIST Systems. This training will include,but is not limited to.Ills:billowing: )- Operation of the UST Systems to u manner consistent with the ficilk's bet m sanagement practrcros. Y The fucility employee's role with regard to the leak detection equipment. Y 'Tile facility employee's role with regard to spills and overfills. )> Whom to contact Jor emergencies and leak detection alwms. For facility entploy"s hired on or after)anuury I,20(15,lite initial training will be conducted within 30 days of the date of hire. 1111 IX. COMMENTS/ADDITIONAL INFORMATION Please arc this secttpn to include any additiolwl US I'll system nwttltoring-related infornwtion le.g.additional illformation required by your local agency) M85. X. PERSONNEL RESPONSE IES AS OF 171/05, TIIE"DF.SIGNATFU USUST OPERATOR" ID,NTIFIED IN SECTION III OF THE CLIKRE.NT UST OPERATING PERMf1'AFFEcAT10N — FACILITY FORM WILL HAVE(.1LTIMATE ALiTHORITY FOR PERI'ORMING THE MONITORING ACTIVITIL:S ANT)MAINTAINING LEAK DC JIXTION EQLIIPMEN-1 COVERED BY THIS PLAN.AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSI'licrONS OF THli FACILITY'S USTSYSTEMS IN ACCORDANCE WIT 123 23 CCK S 2715 b). XI. OWNER/OPERATOR SIGNATURE ('k.I2TIFIC'ATION:1 eertif that the information irovided herein is true and accurate to the St of m nnwledre. ()WNtiR/OPERA'rOR SIGNATURE REPRESFNTING LATE: Owner Mixt Operator Mr3 OWNER/0 E T t� , OWNER/OP RATOR'fL��, (AgenGv Use 0010) This plan has been reviewed and: El App roved ❑Approved With Candillons ❑Disapproved Date: _ Local Agency Signature: ComnleAWSpecial Conditions; 1)7/23!03 SJ(.'KIID-d(01103)-314 TO "d SLbb6£Z60ZT wo Lv: 60 L00Z—£Z—nno