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IN JOA.QuAW0U-.4Ty LIMUONMEMALA TMENT 7-711"p,
<br /> UNDERGROUND STORAGE Tl
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<br /> TYPE OF ACTION L NEW [l 2.CHANGE OF 0 ATION Z
<br /> PLAN TYPE MONITORING IS IDENTICAL FOR ALL UISTa AT THIS FACILITY.
<br /> (Check ane item only) ❑ THIS PLAN COVERS ONLY THE
<br /> W r:„..,»,!.,.Ir i.n ie.ir.;ii.jo��.S{.I;�...a,f ,ia.�w;r�u�I xu„u�•{!.•I�"oAf'n'f•Lu rtlI IpQl,•if,nWl,„-,r.{,.{.e.,�.;:var...�.�'1L1,.,'1(:Y�ll�lx:a'i;;..e�.m..776.� FO:r.L.e LO°W��UST.SY
<br /> STEM(O � ' r,•,p gtnha1uJ'K I,WIa.i��•,l"W'ti�'rlYln'roIii',aa!L'SyS`Imz�h�•i'f(Ji f,.� r _N T 1!,pE
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<br /> I,CILITY ID Away Use 0*)
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<br /> FACILITYNAMIS /4 GG N W4 CITY
<br /> FACILITY SITE a4I)DRE s
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<br /> State law requires that taatutg,preventive main mence,and ealibtutlon of-=ftdng eQUIPEaatt(e•g.,saasars,probes,Lina leak detecttazs,cas.)ba m
<br /> accordance with the equipment msnttfacturers,instructions,or annually ieheva is more frequent. Such work must be pa by Qualified
<br /> pasocral. RM.
<br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY 99•OTHM(Spa*):
<br /> ..x,.'.ax='',yl a1�a,au:,�.v . ,L;�Nr;�;�:..Inial::W'.:.,.;.,.;cl;,{:;�,i,,,:.:,'rinl: I r! .. �� ..,..t.,,.,. 1 oiiil'l!'i 'II � �tr'vpq��14:1 Ai•tii�lfii;f"q�'�'e;{';riS:"t�jryy„xte:;JruQ.......
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<br /> Ill It �rxyy�:'ya.n, {'.rn�..�: :A ..,�d r„r��l�,.�♦i. ..1.Nr � �n i'.i f W I'� 11 �W11111dd1,,11 �W nfli� Ny1e,'�r71{If`"illsl.i�11,1 fi Gd�1�1y�:.:,,�gyxra.'}•.:f��i v':i 1aM.L. 4tl f�1W1('.In.,y..:::..;li^.... nr�„S"�!r l!/�P .. .' ... �lll :f1� 11 In i %!�
<br /> u�+,;r.."a.r;.;.. � v'.t •,' .W�'r �c .:..1: 1 mn 1�:. a gEa,, r, w at�', .,r..,r., .,+.:,..1.
<br /> This amttitoriug plan must inokade a SIX Plan showing the gensmi tank and piping layouO jjdftho location where monitoring is (ie.,loalton of each sen—,
<br /> linc teak detattor,mmnitoring system conteol,panel,etc.). if you already have a diagram(o,g„current UST Monitoring Site P1Mn from o Monitoring System CertifimtiOft
<br /> farm,Hazwdous Materials Business Plata men,etc)Which sbcws all nQuired in1kruladon,Include it with Chia plan.
<br /> r-ta arc..;d.untr. :.! 'tew•.a. ,1 .J.1 I,i� n�1nu.7s'tip' iil't`,!�' r' w,ttoti'''1; xnu>;;a�purj .Ilaor'xl1 �'
<br /> �ld:� {vol il:c.l,� {., "1 Sit..d`��i=. !i;i.• ::>�In '�i>}ycgf.�^ i u 1 «i R 1, .r{ �va li+ie:r f''�.,� f� fl'n
<br /> ir�iii!i •., ;.t 'ul l•vaikS40.tl�af:".I.:ti'�rll, .a.� ,.y,�sr%k�,.lk':'�& I?4du�lt {y�� Ia rk,:n1,�` ���-LSC`a. d�+nnn,;�,S, ..iul.r„er��•ti7rr•.a....,.)'✓IS..d�!
<br /> ii;la'i�:'r r &r>vf:ii'G!A'd..�..L.. W f:'• uiii�' ;a rql{ p; �"•'L^t+riu �i�°.w`-. i .k,',+,n•
<br /> 'Irl r r � r t`.!..... ..... � ......... •,..
<br /> MONIMLING Is PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply)
<br /> Erl,CONTINUOUS ELECTRONIC MONITOM!09F TANK ANWULAR(IN L)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S)
<br /> SECONDARY CON'TAINM IS: a.DRY ❑ le.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDERVACUUM mat,
<br /> PANEL ACTL""TtEIt Mai MODEL
<br /> LEAK SENSOR MANUFACTURER: , M` MODEL#{S7 eats:
<br /> 2.AUTOMATIC TANK GAU01NG( G)SY D TO MONITORTntdi{(S1
<br /> PAhIEL MANUBACTURER: n j i 2 MIS, MODEL
<br /> IN-TANK PROBE MANUFACTURER: Mts. MODEL#(S): MIs'
<br /> LEAK TEST FREQUENCY: C3L CONTINUOUS C3b.DA4tLY/NIGHTLY e.WEEKLY ban
<br /> ❑ dr MONTHLY ❑ e.O (Specify):
<br /> PROGRAMMED TESTS: ❑ a.0.1 S.p.b. b.0.2 g.p h. ❑ c.OTHER(Specify): ma.
<br /> ❑ 3.INVIRxIT ORY RECONCILIATION ❑ s.MANUAL PER 23 CCR 62646 ❑ b.STATISTICAL PER 23 CCRWA6.1 arM4.
<br /> ❑ 4.WEEKLY MMIJAL TANK GAUGING(MTC)PER 23 CCR 12646 Nu
<br /> TESTING. ❑ a.36 HOURS ❑ b.do HOURS
<br /> ❑ S.I-MORITY TESTING PER 23 CCR(2643.1
<br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.VIENNIALLY ❑ C.OTHER(spur)..
<br /> ❑ &VISUAL MONITORING DCNE: ❑ R.DAILY ❑ b.WUMLY(Rquku 2P.L7 WM0
<br /> ❑
<br /> 99.OTHER(S 'fy)' Hata
<br /> '.ao'artn+lu.r.n '•+,. J y�'� to airii is iN '! .. .in�ns�a n.Id i�vt Gale,,...::lnl'"''i• ``Y•S'It,kirlti Jia'
<br /> ';m•&i•ni.n„ d-u a •gat am :k! °�'�} � y 1�`i�on.i"n.! 7^f ay raft"+n n'xl l�Ll�•�'�;.�Yn�Sf v� 't9t�am�:i. 3;.l:v�ro
<br /> �f4,�'••'�a ,L• '.�f lfalN"<II•a.a�I;.'nt:�Ir;7�'.�al r9•) I wit wd'• '� Y'k"I• d:lel(nl��ll%��l:Ia�I11�Ii1*+il'illl i ,a,l 'del x.dy,.Rl�W.:A n)Pittl!tt��e'���t.la Slx, f,+t,i:���G.a�
<br /> .'i:�'�I 4'L,n••�n�W m r". r+ a•.. .. u„ .'r.'•.w.i. ............... `. � ..... ul-i e:v, v.,
<br /> MO ITORING t$PERFORMED USING TI+E FOLLOWING A4ETTi0U(S)(Check all t apply)
<br /> 1.CONTINUOUS ELECTRDN:C MONITORING OF PIPl1YC3 SUMP(S)tT (ES)AND OTHER SECONDARY CONTAINMENT
<br /> SECONDARY CONT
<br /> T a.DRY ❑ b•uQwD FILLED ❑ c.UNDER P URE ❑ d.UNDER VACUUM tet'
<br /> PAIL MANUFACTURER: M"x MODEL
<br /> mss.
<br /> LEAK SErIson MANUFA dCoT'�,ia MODEL#(S): Am M&MI
<br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? Ira.YES ❑ h NO �a
<br /> WILL FAILURE/DISCONNBCTION OF THE MONITORING SYSTEM TRIGGERAUTPOM.ATIC PUMP SHUTDOWN`! Mra.yEs ❑ b.NO
<br /> 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.4 gp^h. LEAK TESTS AND RESTRICTS OR SMUTS OFF
<br /> PRODUCT FLOW WHEN A LEAK IS D]ETEC
<br /> MLLD MANUFACTUFtF12.s \/.M.I. APO jP Ste— MODEL#(S): L.•?) 2000
<br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(FLED)THAT ROUTINELY PERFORMS 3.0 gph.L=AIC TESTS
<br /> ELLDMANUFACTURERI 1 Myo. MODEL#' tet'
<br /> PROGRAlvIh't'ED L INFr INTEGRITY TESTS: ® a MINIMUM MONTHLY 02&p.h. ❑ b.MINIMUM ANNUAL 0.1 g p.h• Mae
<br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑b.NO ml
<br /> WILL ELLD FAILURFIDISCONNECTION TRIGGER AUTOMATIC PUMP SRUTDOWn1" ❑ a YES ❑b-NO
<br /> ❑ 4.INTEGRITY TESTING
<br /> TESTFREQUENCY: ❑ a.ANNUALLY ❑ b.EYFRY 3 YEARS ❑ C.OTHER(specify) aaas ease.
<br /> ❑ 5NISUAL MONITORING DONE: ❑ A.DAILY ❑ b,WEEKLY* ® c.9N.MOMMY A EACH TIME SYSTEM OFERAT12" Mal.
<br /> ®Re0im'23'" M Anwood fm mtaa101tra d un u led wftmaY 864rea+r *105 OnIF PC WC 5 1'9k's)
<br /> ❑ IPING 4.PIS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR#2636 W)
<br /> ❑ 7,No PRODUCT OR REMOTE FILL PIPWO IS CONNECTED TO THE UST(s)
<br /> ❑ 99.OTHER(!2o cify) aMe.
<br /> SJCEHD-d(07/03)-114 07/23!03
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