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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4RUNDERGROUND STORAGE TANK <br /> ONITORING PLAN- PAGE <br /> -YPE OF ACTION Zj.NEW PLAN ❑ 2.CHANGE OF INFORMATION M°1. <br /> el-AN TYPE XMONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. M0'- <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) <br /> FACILITY NAMEe. J ®� G�,e ® �� M01 <br /> ,-5 c'!' <br /> FACILITY SITE ADDRESS M04 I IV <br /> CITY %105. <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06. <br /> accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT 1S SERVICED I.ANNUALLY ❑ 99.OTHER(Specify): M07. <br /> III. MONITORING LOCATIONS <br /> 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, <br /> line leak detector,monitoring system control panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification <br /> form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this 2lan. <br /> IV. TANK MONITORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) M10. <br /> 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS: ❑ a.DRY Pelb.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M11. <br /> PANEL MANUFACTURER: h 1A &,V aR) 4 M12. MODEL#: %413. <br /> LEAK SENSOR MANUFACTURER: (�� 19 �a�a id M14. MODEL#(S): ®�`1� %115 <br /> m <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) <br /> PANEL MANUFACTURER: M16 MODEL#: MIT <br /> IN-TANK PROBE MANUFACTURER: M" MODEL#(S): M19 <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): M21. <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): M22. %123. <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 %124, <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M2s. <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26. 1127. <br /> 6.VISUAL MONITORING DONE: Bra.DAILY ❑ b.WEEKLY(Requires agency approval) <br /> ❑ 99.OTHER(Specify): M28. <br /> V. PIPE MONITORING <br /> MONITORING 1S PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) %130 <br /> L CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: a.DRY [Ib.LIQUID FILLED C1 c.UNDER PRESSURE ❑ d.UNDER VACUUM ,131. <br /> PANEL MANUFACTURER: al7r� /t,5 I.06AiE" M32. MODEL#: %433. <br /> LEAK SENSOR MANUFACTURER: 2,i• &A) M34 MODEL#(S): %135. <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES 5rb.NO %136 <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES 'fib.NO %137. <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED <br /> MLLD MANUFACTURER(s): M38 MODEL#(S): M39 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> ELLD MANUFACTURER: 1140. MODEL#: %141. <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42 <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO %133 <br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO <br /> ❑ 4.INTEGRITY TESTING <br /> TEST FREQUENCY: 9 a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) %445. 1446 <br /> ❑ 5.VISUAL MONITORING DONE: 19 a.DAILY ❑ b.WEEKLY' ❑ c.MIN.MONTHLY&EACH TOME SYSTEM OPER-XTED*` M-S7 <br /> Requires agency approval -Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281500) <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) <br /> 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> ❑ 99.OTHER(Specify) 1148. <br /> SJCEHD-d(07/03)-1/4 07/23/03 <br />