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1 <br /> • UNDERGROUND STORAGE TANK • <br /> MONITORING FLAN•-PAGE 2 <br /> d.:•. rr; ;ala";.ace,oo;: •Y.Irrtrtta.:frJ!p!i 9.'!!:!""u;" lii'i til!Bii+%:intilt!$:!!:19!!::4::;:i1^I,"4 <br /> �!14ai:ci ,rig" "I«S.ac.,rc,•'•:�':° "art•t•Iat,•'•,"v:a•r,:rr! <br /> ,;:�iixQ'r:lr,liif•4 ili,;�i,;;,�.�,!;::;� �i !1',Irrrr,!l"l•..:rt.«111f„ Illplt t'4rpUli•i:lrl«rr «.�,:.�r.,�n',rvr <br /> i'll.l,lrlll..I"t'.Mi:fY./i�".Gii' -•ii" �(rtR 'i�,I",' 'r'y�!..1� :"^^^t'R-�. nr!,.... .r{.Z'S�• <br /> i,. :' ii.i.i,i,it�«n«.,..,i•r,..n'„l:'.Ir '�!•'.':�t .. i. <br /> Mo;31TORING OF AREAS B, 4TH DISPENSERS)IS PERFORMED USINO TM FOLLOWING METHOD(S)(Cbwk 411 dint apply) MM' <br /> ❑ 1,CONTMOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) <br /> PANEL MANUFACTURER: Itst MODEL#: <br /> LEAK SENSORMAN'JFACTURER: U$3 MODPL!t(S): <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a.YES ❑ b'NO <br /> WILL A UDC LEAK ALARM TRIGGBR AUTOMATIC PUMP SHU71)OWN7 ❑ a YES ❑ b.NO S' <br /> WILL FAILURB/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP S=HUTDOWN? ❑ ar YES ❑ b.NO U37- <br /> 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)(N UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: V.N- Mia' MODEL M(S): � <br /> Q 3.VISUALMONIMRINGDONE! ❑ a DAILY ❑ b,WEEKLY(Ragt—apeaero N-4 Mn. <br /> ❑ 4,NO DISPENSERS <br /> ❑ 99,OTHER(Spoclty) <br /> brat, <br /> ,,...•.,..,...,... ..:a:u•.l. ....... � •��,.,_,.' .t,r.:.f •t.. ql ,.,,h rr%Srn1a1w0�C{I:.::;7a)` .. xa <br /> r. <br /> r'«r r..ts;; ,.rr,, {4,I..;...r")latra,,:..,r.>i:r .e.v'.. :..cl;.x•,vi, r . ..;t. ' (ya.�,M�r ih' .7 Y I 4I:Ii;rllJ,ht;C:rrtist, rY.n'I:r.ua pellnelru,`II:#ifI n;:an;o: i t <br /> 01,flirt il,�Y!•1:!r:tlt.t lM1 Null il4•rr.l:ii:iii'JI`i!��:!n:.w,r..h�:�...!•..Y;' , r. r.'111:/f:/J/:� ' '! J�rM+I �Y1Lil•'.a«:«wvrtkn:l!r�:}:.IV IirM.r1«!!r:12!If4,r•> <br /> ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST 1MPLSMB4T ENHANCED LEAK <br /> DETECTION(ELD)FOR Tlirs UST(S)COVERED BY THIS PLAN.PER 23 CCR 12644.1.ELO IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> ':lin.4r(:•:I.Ilri if il' "e{ri:rr M' 'h!Irr1•• ".«' :i rll(;r. ,•t.' :.5.'.; .W «,rl,r <br /> i'S'rn,r •;rid c; r¢;:• .dr: :a•p•:6uxl Btii,.{:iriii� lija•..:',.'::Si.":. <br /> 'bl'Yp:niii:: :r,IW iG,. I^i ':�!55�' You{i•i:N { �in"YIi«tr r�,'} <br /> .aw+�r•;o`ItrS.r: II, 'i°a' 'n:rF,tawaa...r,.i.S..r..r �3t::.e:•r.xYl '!IIsi, «,S..r <br /> " <br /> :r..:,:r,•:,:!..• �' rr, , , .:rrrrrrrl, t�...� �'�' r �' r`r. <br /> .... i,"'•'•.,•.'Ir..,xl ri�rirrxr�x�::�:r;..•....�:.!,:,•t I.;Jrfrl.i iirrrrr r,/V..'.r.f.rf,.:t• i. 4'x l r,rte.lrY ,!!rr...n.a«rr1 •• It Yrfrl..hr.,,,. �.rrrY.K.,,•!:fle'r%ttlrrnl'1.•.''. <br /> REF CE DOCUMENTS MAINTAINED AT FACILITY Cheek all drat apply) Iia <br /> I, NIS UNDERGROUND STORAGE TANK MONITORING PLAN(Regalroo <br /> 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUiPML•'NT(Regdred) <br /> 3. THE FACILITY'S BEST MANAGEMONT PRACTICES(Regturod as of 711/2004) <br /> 4. ❑ CALIFORNIA UNDEROROUND STORAGE TANK R90LLATIONS <br /> s. ❑ CAUFOF041A UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCH) PUBLICATION: "HANDBOOK FOR TANK OWNERS -MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7, SWRCB PUBLICATION:"WEEKLY MANUAL TAN=G GAUGING FOR SMALL UNDERGROUND STORAGE TANKS” <br /> s!;.®" OTHER(Specify): 77oti , o)-omPl op • TAi-je .TEST/^Az* M31. <br /> Pewrtnei with UST monitortng rssponst'bi lities are familiar with all ofthe above docutnents releveM to their job duties and can access these doeumettts when needed. <br /> By July 1,2004,this facility will have a"Dulpuaod UST Operator"who has passed the operator exam administered by the lntertatkmal Code Council(ICC). By July <br /> 1,2004•and atmually dlcctaftcr,the "Desigaaud UST Operator"will Irma facility amploycos N tke proper operation ad maintenance of t>te UST systems,This <br /> training will include,but is not limited to,the following•. <br /> > Operation ofibe UST systetrs in a manner:tmsistent with the facilit)'s best management practices. <br /> D The fhcitity employee's role with regard to the leek detection equipments <br /> D The facility employee's role wish reagard to spills and Overflils. <br /> > Whom to contact for ernetWeles and teak detection alarms. <br /> For facility cmployeea hired on or after July 1,2004,the initial gaining will be conducted within 30 days of the date of hire. <br /> h,,..1,.':r"„aril;:";' :'.;.,;,,,.:.;.;• r /ry�y <br /> .,.I,h:�.alOYxi�' .l.m.:lfq,;lrlifY•pl. � ! t :' t �':::!77�...klii ��1'• G�::'::.,r...rr. fin, <br /> :x,K:• .�:a„ ii „� .I ..r .'�i,r ., ''..r QQ �litii�:?}ill.l'«''6!:ir,••,",::;iunic,n:lii%i'•:'' <br /> ,!t.r '%).i., pu,Y,btt,' {i: 313i1,•�:4� 'l�''ilID7 'V��'a.yl.'y�,. �..'�° �'. (-tura:r.:;.•r.•:.:.•Z•Ir•xstrr.lnt ltro•Irr..:� �4 <br /> Please use this section to include any additio:ul UST system rnonitwina-rdated iaibrnatiim(o.g.,additional information required by your local agency): tWai <br /> ;.r..a,.,:..unnlrl .,. ... <br /> Ir t•.i.ii l' i,r«.�. r«;rr�„),.,r,..:r').,f•rr.. .�....•:;., 'Y l:”:h'7:'t.i 1 ^:ri r <br /> ...:,�.,i^'n,flr,rlrr�,x:h,.:,ar,l..,,.r,r..,l.,r ,. •,.. . ..':'� ,d'. G..::a.t.>.uSli;iEi�!f!:'C't••I•sl;:kiiirf'al`'•I° iYr;rlr;,.^ ..e::::^•� li[R <br /> !:!',t,»=Gla.n'';. .,..r.rina.a.n.:_)alo4,;,tt l:�r:r�"..-:'r.: .urs.. �rv�J.t �YfiiS�riL�fC/ ir7 �=4 a,u>nro:nl,..._:..:v..: ra;•!:T.;n1Lr.,.>x........rr... :r«. <br /> AS OF 7/1=20 "DESIONATED UST OPEM R"IDENTIFIED IN SECTION III OF THE CURRENT T OPERATING PMIMIT APPLICATION- <br /> FACILTfY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THS MONITORING ACTIVITIN AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br /> UST SYSTEMS 1N ACCORDANCE WITH 23 CCR#271 S . <br /> Y •,K`':•+r'••:•rhr,r„ ::�r.r....r..,,r � A: 4'' s' ':�nru it'i:iilll; "$!?Ita,trle t.rrr,.r.rr rr.M •rr.11rroa: <br /> ..r.4.'I,!...�.• ;�o�n.: ..n.:"•oll i ilj,:: .3" 1" jti:,; '!.., rl'liry It ,�.�Irr IgN7i <br /> { t: � 'r! ".%.nnti:,r,n�xl'I';rLk�!rSt.Lrlr.r.•.r.:•;..r r,{•IY'a rnr.: <br /> +fl;tniC ",fir r.{�`:��'• ,,",I, .A I F r,.r,r,nr.rq'!lu«r,•r°:!r',.r., <br /> :::1:: :..V,.,tr�:�..(.i1.1„ :i(r i:� .:� i•'F.,, .'.!RIV•r` �� 11V1':�.�Ir�l�.i �I � ,!!./.!•T.,.rV,Y. h rMl:l Ir ilr rr.r.l rlrn. <br /> CERTTFICATI:OI,• a artlfy at the lnrormadon provided berela le true and atxurate to tbebatofray knowled e- <br /> OWNERlOPERA I A REMRESFlkrrTN DATE: <br /> O� r wee. <br /> OWNF.RIOPERATOR NAME(print• , M'% OWKEWPER : <br /> ATOR TITLE <br /> Ogeruy Use Oaly) This plar,has been reviewed and: J2rApproved ❑Approved With Condidons Disapproved <br /> Local Agency Signature: r—�� Date: CS7 <br /> Commentuspecial Conditions: <br /> SJCEM)-d(67103)-314 0?/23103 <br /> 3 <br />