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SAN JOAGMN COUNTY ENVIRONMENTAL HEALTMEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE 1 TYPE OF ACTION ❑ 1.NEW PLAN &.2.CHANGE OF INFORIYATION 7777 Mol. PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS-FACILITY. MO'- ' (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency.Use Only) 77 _ l -FACILITY NAMEM03. FACILITY SITE ADDRESSl® ® M 4. CITY m 5. Z2493 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 M06. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified p'rsonnel. ". MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY Mol ❑ 99.OTHER(Specify): t I; III. MONITORING LOCATIONS j This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,l cation of each sensor, ' Gine 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 form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) M10 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARYCONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: a.DRY LIQUID FILLED ❑ d.UNDER VACUUM 11. 3 I� .b.LIQ ❑ c.UNDER PRESSURE M PANEL MANUFACTURER: �G ClQ 01 M12. MODEL#: IL U dt13. LEAK SENSOR MANUFACTURER: �� M14. MODEL#(S): ? dM15. 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: 10 6y rf16 MODEL#: /C'o b 1 MIT I IN-TANK PROBE MANUFACTURER: ,�� 1Is. MODEL:#(S): M19. i LEAK TEST FREQUENCY: []ra:CONTINUOUS ❑ b.DAILY/NIGHTLY c.WEEKLY M20 ❑ d.MONTHLY ❑ e.OTHER(Specify): M'-I PROGRAMMED TESTS: g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): j ❑ a.0.1 M22. M23. 93/3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26. M'7. 1 &3""6.VISUAL MONITORING DONE: 0�ra.DAILY ❑ b.WEEKLY(Requires agency approval) [] 99.OTHER(Specify): M28. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) MM M � 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMPS)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: 0a.�D,1RY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31. PANEL MANUFACTURER: M32 MODEL#: 60 C) M33. LEAK SENSOR MANUFACTURER: M34. MODEL#(S): M35. s 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? [tea.YES ❑ b.NO M37. 4a 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT RO TINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICT OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTFrD/- MLLD MANUFACTURER(s): /`:�G .,/ �i �f3s. MODEL#(S): M39. G] 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: M40. MODEL#: M41. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42 g•P• �* WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? Ela.YES L,`a b.NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES [ b.NO INTEGRITY TESTING TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS _ ❑ c.OTHER(Specify) Mas. M46. S 25.VISUAL MONITORING DONE: DAILY ❑ b.WEEKLY* ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** n#47. •Requires agency approval -Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281.5(4)(3) [f] 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) 99.OTHER(Specify) �\ Ma8. SJCEHD-d(07/03)-1/4 07/23/03 r