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11/30/2004 11:05 9163731 WALTON ENGINEE PAGE 03 Underground Storage Tank Monitoring Plan — Page 2 of 2 BVI. DISPENSER MOXITORING . MONITORING OF AREAS BENEATH DTSPENSER(S) IS PERFORiVIRD USiNG THE FOLLOWING METHOD(S) (Check all that apply) Msn• ® 1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) PANEL MANUFACTURER: Mil. MODEL #; ILS 350 MS' LEAK SENSOR MANUFACTURER: Veeder-Root M91. MODEL #(S):22AaaQ-2Qa_,. Ms4. WILL DETECTION OF A LEAK INTO THE UDC TRICYG8R AUDIBLE AND VISUAL ALARMS? e. YES ❑ b. NO M" - WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMPSHUTDOWN? ®a, YPS ❑ b. NO M56. WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ®a. YES ❑ b, NO M57 Q 2, MECHANICAL ASSEMBLY (c,g,. F1..OA'i AND CHAIN ASSEMBLY) IN UDC TRiPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER.' Mss MODEL V(S); MY). [] 3.VISUAL MONITORING DONE: ❑ a. DAiLY ❑ b. WEEKLY (Requiro agencyappmvel) M6t<. ❑ 4. NO DISPENSERS M6i. ❑ 99. OTHER (Spcci ) VIL, ENHANCED LEAK DETEC'T'ION Q ],WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M70. DETECTION (ELD) FOR. THF UST(S) COVERED BY THiS PLAN. PER 23 CCR §2(+44,1, RLI) iS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII.. 'TRAINING REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) MRA, 1, HIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 2. Er OPERATING MANUALS FOR ELECTRONIC MONITORING EQUiPMFN'r (Required) 3, ❑ THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of -January 1, 2005 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW (,, ❑ STATE WATER RESOURCES CX)NTROL BOARD (SWRCB') PUBLICATION: "HANDBOOK FOR TANK OWNERS • MANUAL AND STATISTiCAL INVENTORY RECONCILIATION" 7. ❑ SWRCI3 PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99, ❑ OTHER (Specify): Mel. Personnel with UST monitoring responsibilities arc familiar with all of the above documents relevant to their job duties and can access those documents when needed. By January 1, 2005, this facility will have a "Designated UST Operator" who has passed the Califovmia t,AT Sytcm Operator Exam administered by the International Code Council (iCC). By July I, 2005, and annually thereafter, the "Designated UST Operator" will train facility employees in the proper operation and maintcnarrcc of the UST systems. This training will include. but is not limited to, the following; ➢ Operation of the LIST swtems in a manner consistent with the facility's best management practices, A The facility employee's role with regard to the leak detection equipment. D The facility employee's role with regard to spills and overfills. D Whom to contact for emergencies and leak detection alarms. For facility cmployces hired on or alter July 1, 2005, the initial training wilt be conducted within 30 days of the date of hirc, IX. COMMENTS/ADDITIONAL INFORMATION Please use this section to include any additional UST system monitoring -related information (e.g., additional information required by your local agency): Mas. Note regarding Sectlon X. Pending certification of a Designated UST Operator, the following person has authority for performing the monitoring activities and maintaining leak detection equipment covered by this plan. NAME: JOB TITLE: . I X. PERSONNEL RESPONSIBILITIES AS OF JANUARY I, 2005, THE "DESIGNATED LIST OPERATOR" iDFNTiFTET) iN SECTION IiI OF THE CURRENT UST OPERATING PERMIT APPLICATION — FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING 1..F,AK DETECTION EQUIPMENT COVERED BY THiS PLAN, AND WiLL PERFORM AND DOCUMENT MiNiMUM MONTHLY VISUAL INSPECTIONS . OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITi 123 CCR ' 2715ft X.T.. OWNER/OPERATOR SIGNATURE C1EltTYPICATTON: I c a e information provided herein is true and accurate to the best of my knowledge. OWNER/OPERATOR S NATURE jEP_►3SG.P1T(1 Q DATE: Mor. ^ Owner Moo. /Vvo,�/ Operator O R/OPERATOR NAME (print); M92. OWNlER/OPERATOR TiTLE: M43. �9Z2 (Agency Use Only) This plan has been reviewed and: ❑ Approved ❑ Approved With Conditions ❑ Disapproved Local Agency Signature; _ _ Date: Comments/Special Conditions; UN -022A • 315 www.unidocs,org Rev. 10/14/03