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UNDERGROUND fSTORAOE TANK
<br /> MONITORING PLAN-PAGE 2
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<br /> MONITORINO OF AREAS 9ENEATN•DISPENSER(S)IS PBRPORMF.D USING THE FOLLOWiNO METHOD(S)(Check all that Mply) M'0`
<br /> 1 1,CON 01.13 ELECTRONIC MONITORING OF UND'R DISPENSER CONTAiNMENT(UDC)
<br /> PANEL MANUFACTURER: . f r ,• Msl' MODEL N; ATL S" S D Mss
<br /> LEAK SENSOR MANUFACTUilM: 249 w M`s' MOnEt N(S): o}��!�f?f�f�� M�'
<br /> WILL.DETECTION OF A LEAK INTO TFM UDC T7.1008R AUDIBLE AND VISUAL ALARMS? YES ❑ b,NO
<br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? YES D b,NO
<br /> WILL FALLUREMISCONNRC770N OF UM,MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? &'a.YES b.NO W7.
<br /> ❑ 2.,MECHANICAL ASSEMBLY(e.g:,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK
<br /> AS58MEi.Y MANUPACTURLRj MSA' MODEL N(S): Ms9
<br /> 3,VI9UALMONTT)k NG DONE: a,DAILY ❑ b.WEEKLY(A.omrornsanoyeovrovnp M0°•
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<br /> ❑ 1.Wn HAVE SW NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK N10'
<br /> DETECTION(ELD)FOR T'19'g UST(S)COVMM BY Tkn9 PLAN,PER 23 CCR()2644,1,BLD 19 PERFORMgD EVERY 36 MONTHS A5 REQUIRen
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<br /> RBFIENCB DOCUMENTS MAINTAINBD AT FACILITY(Cheek all that apply) MID,
<br /> 1. THIS UND1iRQR0UND STORAGE TANK MONITORING PLAN(Rtqulrtd)
<br /> 11 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Acquired)
<br /> 31 THE FACILPTY'S BEST MANAGEMENT PRACTICES(Required As of U01/2005)
<br /> 4..' CALIFORNIA UNDERGROUND STORAGE TANK RSOttLATiONS
<br /> S, CALIFORNIA UNDEROROUND STORAGE TANK LAW
<br /> 6, (� $TATE WATER RESOVACES CONTROL BOARD (SWRCS) PUPL1CATiON: "HANDBOOK FOR TANK OWNERS • MANUAL AND
<br /> STATISTICAL INMTORY RECONCILIATION"
<br /> 7...Q 9WRC9 PUBLICATION:"WBEKLY MANUAL TANK QAUOINQ FOR SMALL UNDERGROUND STORAOB TANKS"
<br /> 59,❑ OTHER(Specify); Mel'
<br /> Peroonnel whh UST monitoring responllb1I N0 Gra famillar with all of the above dooumrnts relcv"I to thelr Job dutles and can access those documents when needed.
<br /> By 30ueiy 1,2005 this rullity will have a"Dealpatod UST Operator"who hmi pwtd the operaror turn administerod by the Imometionai Codd Council(ICC), By
<br /> Jtlndity 1,2005,and annually thWeANr,the "Designated UST Operator""111 train fhcility employees in the proper operation and malmonnnea of the UST syntoms.
<br /> This Raining will include,but IS not limited V%the following'
<br /> Y Opamdom of the UST nyatema Ina manner consistent with the facil Ity's tMA mana9cment practicer.
<br /> > 'Me facl*employee's role with regard m the leak dewctlan equipment.
<br /> A Tho A4111V employee's We with regard to 501 Is and overfill 6.
<br /> >. Whom to contact for amcrpanalcs and leak dtteotion alarms.
<br /> For facrli employees hired on�r afon January I.200S,the initial Iminln will be oonduetad within 30 days of the date of hiro.
<br /> ...:.
<br /> 911100
<br /> Plaano use this seation to nclu a any additlohal UST system monitoting•retated information 0'4,addltlonat information required by your loom agency); Msr,
<br /> s' >9I• SPi�/ G�x 6��k�f is 1w v,, e-Ac/, /,9411k
<br /> UST OPERATOR'IDENTIFIED IN SECTION III OF THE C J _._ x >.- -•:,.. �7: ,;
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<br /> ' AS OF 1!1/05,•THE"AHSIGNATia"[7 UR.RI3NT UST OPERATING PERMIT APPLICATION-'
<br /> FACILITY PORM WILL HAVE ULTIMATE AUTHORITY FOR PWORMINO THE MONITORING ACTIVITIES AND MAiNTAiNINO LEAK DETECTION
<br /> EQMPMI3NT COVgRSD BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONT14LY VISUAL INSPECTIONS OF THE FACILITY'S
<br /> UST SYSTEMA IN ACCORDANCE 04
<br /> CJ RTMCATION•I cerdfy that the inlbrnution provided hereln Is trite and accurate to the best of_mknowledge,
<br /> OWNER/OPERATORSIGNATURE i3EP$ZU.,SL�q DATE: Mot'
<br /> BOwner M9° i V77
<br /> • "��i (�Operotgr � �j j
<br /> OWNBR/OPERATORNAME(print OWNERIOPERATORTiTLE; M%'
<br /> (Agency Use only) This plvicwed and: Approved ❑Approved With Conditlqno Iain -ed
<br /> Local Agency Signature: Date: I • '
<br /> Cammenta/SneelAI Condhidns
<br /> siC11i1 -d(07/b3)-3/4 Q7n31n1
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