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SAN JOAQLWCOUNTY ENVIRONMENTAL HEALTIWPARTMEN't' UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE 1 TYPE OF ACTION 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION M01. PLAN TYPE KMONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. M02. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): 1. FACILITY INFORMATION ; FACILITY ID # (Agency Use Only) -"' FACILITYNAME M03. Moo. CITY FACILITY SITE ADDRESS Mos. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE` State law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in instructions, or annually, whichever is more frequent. Such work must be performed by qualified personnel. MO accordance with the equipment manufacturers' MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY ❑ 99. OTHER (Specify): MO III. MONITORING LOCATIONS - This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed (i.e., location of each sensor, If already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification line leak detector, monitoring system control panel, etc.). you form, Hazardous Materials Business Plan map, etc.) which shows all required information, include it with this plan. IV. TANK MONITORING M10. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) 2.1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) M"SECONDARY CONTAINMENT IS: f 5I a. DRY ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE /n� E] d. UNDER VACUUM M12. MODEL #: J 2.2 1 _ � Mia. PANEL MANUFACTURER: Ti `� �.�e �, -LIQ M1s. Mla. MODEL#(S): � �� LEAK SENSOR MANUFACTURER: , t ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TA MK(S) M17. PANEL MANUFACTURER: MODEL #: M19. Mlg. MODEL #(S): IN -TANK PROBE MANUFACTURER: Mzo. LEAK TEST FREQUENCY: Ela. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY M21. e. OTHER (Specify): ❑ d. MONTHLY Elp Y)' M22. M23. PROGRAMMED TESTS: [Ia. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): ❑Mza. 3. INVENTORY RECONCILIATION Ela. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 MzS. TESTING PERIOD: [I a. 36 HOURS ❑ b. 60 HOURS ❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 M26 M27 TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): 6.VISUAL MONITORING DONE: ❑ a. DAILY b. WEEKLY (Requires agency approval) M12 8. ❑ 99. OTHER (Specify): V. PIPE MONITORING M30 MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) IS;1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT M31 SECONDARY CONTAINMENT1S: t � a. DRAY 1 ❑ b. LIQUID FILLED ❑ c. UNDER PRESSURE/ ❑ d. UNDER VACUUM { *�' M32 MODEL #: i �ZZ S 6 M33 PANEL MANUFACTURER: �� \ 4 1 �5. LEAK SENSOR MANUFACTURER: 1, M34. MODEL #(S): 24 WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? ❑ a. YES ® b. NO M36 WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES R b. NO M3" 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK ISD E( TED M38 MODEL #(S): M39. MLLD MANUFACTURER(s): ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS Mal. Mao. MODEL #: ELLD MANUFACTURER: PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. M42. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN. 11a. YES ❑ b. NO M43.Maa WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES El b. NO ❑ 4. INTEGRITY TESTING M45. TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) M46. �] 5.VISUAL MONITORING DONE: ❑ a. DAILY (8 b. WEEKLY* ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED" M47. • Requires agency approval •• Allowed for monitoring of unburied emergency generator fuel piping only per HSC §25281.5(bx3) ❑ 6. PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR §2636(a)(3) ❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Mas. LJ yy. U 1 nctc kapccuy) 07/23/03 SJCEHD-d (07/03) -1/4