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UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 2 <br />VI. DISPENSER MONITORING <br />MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) M50. <br />❑ 1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) <br />PANEL MANUFACTURER: M51. MODEL #: Msz. <br />Msa. <br />LEAK SENSOR MANUFACTURER: M53. MODEL #(S): <br />Mss. <br />WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a. YES ❑ b. NO <br />WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO M56. <br />WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO MST <br />❑ 2. MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br />ASSEMBLY MANUFACTURER: Mss. MODEL #(S): M59. <br />M60. <br />Elb. WEEKLY (Requires agency approval) <br />❑ 3.VISUAL MONITORING DONE: ❑ a. DAILY El <br />® 4. NO DISPENSERS 13 lel LY, �>L1 ✓Q-9 M61. <br />❑ 99. OTHER (Specify) <br />VII. ENHANCED LEAK DETECTION <br />❑ 1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M7o. <br />DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §2644.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br />VIII. TRAINING <br />REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) Mao. <br />1. THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) <br />2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) <br />3. THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of-7AQ064) <br />4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />5. CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />6. <br />STATISTICAL INVENTORY RECONCILIATION" <br />7. ❑ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br />M81. <br />99. ❑ OTHER (Specify): <br />Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. <br />gy4"irt,- 4, this facility will have a "Designated UST Operator" who has passed the operator exam administered by the International Code Council (ICC). By July <br />the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems. This <br />+-, Q094, and annually thereafter, <br />training will include, but is not limited to, the following: <br />➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br />➢ The facility employee's role with regard to the leak detection equipment. <br />➢ The facility employee's role with regard to spills and overfills. <br />➢ Whom to contact for emergencies and leak detection alarms. <br />For facility employees hired on or after gly- ,,'tbe initial training will be conducted within 30 days of the date of hire. <br />IX. COMMENTS/ADDITIONAL INFORMATION <br />Please use this section to include any additional UST system monitoring -related information (e.g., additional information required by your local agency): Mss. <br />X. PERSONNEL RESPONSIBILITIES <br />AS OF "•n.E "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION - <br />FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES 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 IN ACCORDANCE WITH 23 CCR § 2715(b). <br />XI. OWNER/OPERATOR SIGNATURE <br />CERT ICATION: I ce tha a information provided herein is true and accurate to the best of my knowledge. <br />M91❑ <br />0 PERATOR SIGN T REPRESENTING DATE: <br />Owner M90. <br />/'11D9 <br />®; Operator <br />M93 <br />M92. <br />O� R/OPERATOR NAME (print): <br />�,t bre-1N� L, � A 1T., <br />OWNER/OPERATOR TITLE: <br />P. - r ?eF P 1 � <br />(Agency Use Only) This plan has b reviewed and: Approved ❑ Approved With Conditions ❑ Disapproved <br />)< <br />AC - <br />Date: — <br />Local Agency Signature: <br />Comments/Special Conditions: <br />n•f if Z int <br />SJCEHD-d (07/03) - 3/4 <br />