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j <br /> 4 <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN--PAGE 2 <br /> VI.DISPENSER TVIONITORING <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE-FOLLOWING METHOD(S)(Check all that apply) Myo. <br /> 1.CONTINUOUS ELECTRONIC MONITORING 0UNDER DISPENSER CONTAINMENT(UDC) <br /> p � PANEL MANUFACTURER: tL Mst. MODEL#: M52. <br /> LEAK SENSOR MANUFACTURER: M53. MODEL#(S): na. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? Y(S ❑ b.NO Mss. <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? Va.YES ❑ b.NO M156. <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ -,YES ❑ b.NO Mss. <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: M58. MODEL#(S): M59. <br /> 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) Mho. <br /> �] 4.NO DISPENSERS <br /> ❑ 99.OTHER(Specify) nt61. 4 <br /> VII. ENHANCED LEAK DETECTION <br /> I.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED BEAK M?O <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 /> REFER <br /> NCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Meo. <br /> T; THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> I � <br /> 1 Q--THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) <br /> 4. GCALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 51 6 CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 64 ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MAN�AL AND cd <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7: ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br /> 99. ❑ OTHER(Specify): <br /> M81. <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 /> By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By <br /> January 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. <br /> This 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. C <br /> ➢ The facility employee's role with regard to spills and overfills. M <br /> Fj➢ Whom to contact for emergencies and leak detection alarms. <br /> r facility employees hired on or after January 1,2005,the 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 agettcy): Mas. <br /> i <br /> Y <br /> X. PERSONNEL RESPONSIBILITIES . <br /> AS OF 111/05, THE "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 /> CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> OWNER/ ERATOR SIGNAT REPRESENTING DATE: M91. <br /> ❑Owner M9o. <br /> ,®1Jperator 7-47 L' <br /> OWNER/OPE TOR (print): M92. OWNER/OPERATORTITLE: M93. <br /> Q -e Y <br /> 1 <br /> (Agency Use Only) This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑Disapproved <br /> Local Agency Signature: Date: f <br /> Comments/Special Conditions: <br /> SJCEHD-d(07/03)-3/4 07/23/03 . <br /> 7 <br />