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May 14 04 01:33p 209 56,0214 p.2 UNDERGROUND STORAGE TYPE OF ACTION 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. --- :,...,, nowt F1 THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): _ ID # (Agency FACILITYNAME CA11i FACILITY SITE ADDRESS CITY "EII. �EQjIPMENT TESTING AND PVENTVE MAINTENANCE State law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be perform, accordance with the equipment manufacturers• instructions, or annually, whichever is more frequent. Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED a 1. ANNUALLY ❑ 99. OTHER (Specify): M01. M07 in. MONITOIUNG 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, line leak detector, monitoring system control panel, etc.). jr you already have a diagram (e.g-, current UST Monitoring Site Plan from a Monitoring System Certification form. Hazardous Materials Business Plan ma , etc.) which shows all required information, include it with this lan. IV. TANK MONITORING MONITORING 1S PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULTS) Mlt c. UNDER PRESSURE ❑ d. UNDER VACUUM b. LIQUID FILLED ❑ SECONDARY CONi'AINMENT IS: H a. DRi' ❑ Q �{ 1412 MODEL #: 3 ra a Ni 13 PANEL MANUFACTURER: :) t Atte ss,s LEAK SENSOR MANUFACTURER: ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANr (S NIP is PANEL MANUFACTURER: M16 MODEL # ntt� IN -TANK PROBE MANUFACTURER: MODEL#(S): \L0 WEEKLY LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. M21. ❑ d. MONTHLY ❑ e. OTHER (Specify): M2?. i1: PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): at ; ❑ 3. INVENTORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 TESTING PERIOD: ❑ a. 36 HOURS F1 b. 60 HOURS ❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 M26. M_' TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): ® 6.VISUAL MONITORING DONE: ❑ a - DAILY® b. WEEKLY (Rcquiresagencyapr 0 at ❑ 99. OTHER (Specify): V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOW ING METHOD(S) (Check all that apply) ® 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT ntz SECONDARY CONTAINMENT ISI: �I a. DRY ❑ b. LIQUID FILLED ❑ sct. UNDER PRESSURE [Id. UN'T ISDER VACUUM ,tj PANEL MANUFACTURER: 41EEn +2e'e' 32. MODEL #: .. Mia- MODEL #(S): LEAK SENSOR MANUFACTURER: su,• ®a. YES Q b. NO WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? n� WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ,® a. YES ❑ b. NO PS 2- MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OF PRODUCT FLOW WHEN A LEAK IS DETECTED NO& MODEL#(S). V D Z-Q"n oL MLLD MANUFACTURER(s): _ ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h- LEAK TESTS Mdo. MODEL #: nsa ELLD MANUFACTURER: sss PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0-2 g.p.h- ❑ b. MINIMUM ANNUAL 0.1 gp h. '%" WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN- ® a. YES ❑ b. NO \PWILL ELLD FAILURFIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES [Ib. NO ❑ 4. INTEGRITY TESTING Mas M-1 TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) CR S.VISUAL MONITORING DONE: ❑ tt. DAILY 0 b. WEEKi.Y ❑ c. MIN. MONTItt.Y & EACH TIME SYSTEM OPERATED— rt- ' Requires aga,ry appnral ^mowed for m0witorin6 of „n&uied enKrgenry generator tial piping only per l I$C �2$281.5(bY ❑ 6. PIPING 1S 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) `s - [1 99. OTHER (Specify) 07/Z3l03