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WRITTEN MONITORING AND RESPONSE PLAN <br />UNDERGROUND STORAGE TANK MONITORING PROGRAM <br />This monitoring program must be kept at the UST location at all times. The information on this monitoring program are <br />conditions of the operating permit. The permit holder must notify Environmental Health Department, (209) 468-3420 <br />within 30 days of any changes to the monitoring procedures, unless required to obtain approval or a permit before making <br />the change. Required by CCR 2632 (d) and 2641 (h) <br />FACILITYNAME <br />nr.®k-j1 <br />t-- DATE 6lZ"��� <br />FACILITY ADDRESS <br />r� <br />`t- <br />1.Name(s) and Title(s) of the people responsible for performing the monitoring and/or maintenance <br />2.Describe the frequency of performing the monitoring for: ,? <br />TANKS ��r� r N i%�%t1 PIPING b,J I 1 AJO!L-C, <br />3.Describe the location(s) of where the monitoring will be performed. ie: location of sensors <br />4.Describe the following equipment for each underground storage tank. <br />Name and Model of Monitoring Panel !� <br />Name and Model of Line Leak Detectors 1 <br />Name and Model of Annular Sensors \\�AlVfL�r <br />Name and Model of Piping Sensors <br />Name and Model of Dispenser Sensors \ - <br />Type of overfill prevention <br />5.Do the Turbine 'Sensors and Dispenser Pan Sensors shut down the turbine? Yes No ❑ <br />Does the turbine shut down if a sensor is disconnected? Ye No ❑ <br />Does the turbine shut down is the monitoring panel loses power? Yes No 0 <br />6. How will the alarm history and subsequent maintenance be recorded? _ } <br />7.Maintenance of the monitoring equipment must be performed at least once every 12 months. <br />Describe the preventive maintenance schedule and recording for the monitoring equipment. What month will <br />annual monitoring certification be performed in? <br />���� <br />Note: For new installations the secondary containment must be tested 6 months after installation. All secondary containment systems <br />must be tested once every 36 months with initial testing performed before December3l, 2003. <br />8. Describe the training necessary for the operation of UST system, including piping, and the monitoring <br />equipment.S1Mli tt"l Or t MON1 o !t✓ rJ�t'r;G�tbt t2 est <br />I.Vmtcmi4e1UST\monitoringplan.doc <br />11242002 <br />