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<br /> SAN JOAQUIN CO>1,7N'd'Tr''ENVIRONMENT,AL HEALTH DEPARTMENT
<br /> UNDERGROUND S'TORACIF TANX
<br /> MONITORING PLA -PAGE I
<br /> TYPE OF ACT°CY a�aauta:, e� s a
<br /> �f 1. �u�taN �1 a.CkL.A7lCSL c1r•I�1>•,Ol�rraxat�N
<br /> PLAN TYPE �d�IOidtCORYNO ISt9 ID ICAL FOP,ALI,UST®AT THIS
<br /> 'Click no to only THIS PLAN COMERS ONLY THE FOLLOWING UST RYSTEM S):
<br /> /I vll,alt,
<br /> yPACILIT " �s!
<br /> Y73 A'(4gggy ;!•.iii'' ` '.l F c "1�11'I`i�lr'�+ ). 1�I�IiF.ld�1,_ s,. ..,. pil 1 +ly
<br /> I (Sd CrPfSA, is .I Srr1 i 'm"! ,• �1 r ,I.. I.,s14111td.
<br /> FACILI^TYNAME
<br /> PACLIlit S%TEA13IaPESS »sem" 14, �" �/lam. ��,. Sao. CITY ° .c
<br /> `,rl'&. 11ti1' "1, ,L�.1 I i a P -;- 1) }' K rlb ti II
<br /> <L.... 1�1 ! ..lyQ 6 a +'1"ri r r r.'. > !,. r 1f r1 A, - r19 :1f ,?ITV 14n5 41�i
<br /> surm taw eequlse9 khat tNRStt1(T,pravetrlsve Kraln�nancq,and oaf IbPnfieh of manisaring equipmana(e,Q„AehAorA,Drotre4,line leek deteetarn,Ctq:)Ire Fero med in
<br /> lydaNa with the squipffi t manu3 varMl irtatndCtion of atlnuh y,whichever is more Nquent, Stich work must bo porformod by Qualified porsa„lnel.
<br /> MONITORING EQUYPMEXTin SERVICED l ANNUALLY))� Pr,`.I .�I l�� ,.Il.;.,_nr•_./.'�y'6w'tn r aF'(•I•°.t�ll,,•i•t,r 1,.1�I�dr)u..1t�+1 r h�1 I' r ....._t..� ....._._. ..n ,.�:� r 99.n OTHER(+,�riCl�O(1 I�l,�..:;•e�7"r�_li
<br /> lti111J"4,,; } rilj,i.l)1 t
<br /> rs....._.
<br /> Th19 monitaring plan must inaluda a Site Plan 9riowinQ the Rcnengl tank Rnd p ping layouts and the loc4tiona wttare monitoring is perrbttned(.l.e,locatierl erennb nen
<br /> Ihre leak dota P raatlltotirts ayllc4m contwl parte!,ort,), Ifyou oleg4dy haVo 4 d14R>am(o,p„oturontUST Monitoring Slto Pfaff I7od4 a Monitoring System Certifccu
<br /> aug MlateHelg f3ualne9s P! n lyra ata wh'r h hay it t frad 1 ,a' c d wl4h thin Ian.
<br /> 4f",�? �1 ' � '1 � , �i.Ja Lv4.h ���-�'"!ai-'''l ti�'+:�i 'l� S' 1 1 ii'i .t i� Gli!tl t hY��(;I.•�iniilkl!rll li�.,.(,h'"i;.�I':
<br /> s .>�,4�....; ,..•.., .., W..., . . ,� i� �u�tdn♦.��4��tH.,.,¢,:{::� _ mlf2ln�l;,��'r� I,,,,�1II_
<br /> ,, . -:....._.._�.......P.�.� .. .:�JInGT,_A.d...J.�:Y:.. •:: +�:'llll .!.:I Su.-...I�''
<br /> MONITORNG IS PERFORM D U9(NG TRE FOLLOWING ML-THOD(S):(Chcek milt that Apply)
<br /> 1,CONTINUOUS PLECTRONIC MONITORrNO OF TAIM AiN^,dULAR(TN I SRSTtTTAQ SPACE(S)OR SRCONDAR'Y CON7AINM)rNT VAULT(5)
<br /> SECONDARY CONTAINMT IS! 9 a,DAY b,LIQUID FILLED c.UNDER PRESSURE 0 d,UNDER V kCUUM
<br /> PANEL MANUFACTURER: . MIR' MalmW.: (f.5 - $"
<br /> I,EAKSE4S(3RMANUFACTURER: Ia/�i r "' �w MODEL#(S):
<br /> I 2.AUTOMATIC TANY,GAUGING(,ATO)SYSTEM USED TO MONITOR
<br /> PANEL MANUFACTURER! � M16. MODEL fil:
<br /> IN-TANK PROBE MANUFACTUOR: MODEL
<br /> LEAK TEST FREQUDfCY; O a,CONTINUOUS C7 b,DAILY[NIGHTLY Cl c.iVRL^7:LY
<br /> 0 d,MONTHLY � e.O'T�t i(Speo(4y):
<br /> PROGRAI MED TE-STB, 0 s,01 g.p,h. Q b.0.2 g,p,h. s,07deR(Spogify):
<br /> 1~1 3.INVENTORY RECONCILIATION C 4,MANUAL PE78 23 CCR§nM 5 [( b.STATISTICAL PER 23 CCR§2645.f p
<br /> [� 4.WEEKLY MAMUAL TANK GAUCINO(M'TO)PLP,23 CCI2 42645
<br /> MT=.. a.36 Houg9 b.60 HOURS
<br /> D S,D?71' ORM Y TBSTTING PER D CCR,12443,1
<br /> T25T a.ANNUALLY b,BIENNIALLY 071-MR.(Spe6fiy):
<br /> ® 6.YISuAL mmmoRL w DOME; ® rt,DAILY [ b,bV^G,Y¢YCL S°(nnqulras�a h appnvul) ®®• _y
<br /> 9A,OTHSR(9 l '
<br /> f
<br /> 7�1 r.1rll�jlw f�?)!!5!�r�• i , pq .I..
<br /> ` ( l U� NIIP�i��1 �?,ll,lil Ili �' IIiI
<br /> ., •s •r�� , �..,�1:._0: �'�qtl.,l.:o�l� 1 pI;1•;�?111liE;Ni� �i�i, ,(
<br /> :. .: °s41i• `,6iNnl£J8EsUa�i"d�' uauLi:xu.aa'lA°::-:w4d` iln�. ....:.-.n .i rl•...I.i1_ ��?if R.��14.��)�!,..1,1 all 4,•�'ia
<br /> MO-,nTOR.ING 15 p4W"OILAYED USING SHE POLLOWING MBTTHDD(5)(Check alt that apply)
<br /> 1,CONT1NC10US EL�rMONIC MONrrORrm3 OF prprNG SUMP(S)MpNOH((&S)AND OTHER SECONDARY CONTAINMENT
<br /> SECONDARY CONTAINMXNT I5. a.DRY Q b,LIQUID FILLED c.UNDER PRESSURE d,UNDER VACUUM
<br /> „PAXIL MANUFACTURER; nasz Mo)7�J,a,
<br /> LEAK-SENSOR MANUFACTCT ER; f w Pt?a, MODEL,$0(S): 0� o -
<br /> WILL A PIPING LEAK A1rA&M!TRIGGER AUTOMATIC PUMP(lx,TURBINE)SKUTDOWN? a,YES ® b,NG
<br /> WILL PAILUMMISCONNECTION OV TNR MONrSO1LIY 0 3YS7'SM°FkUQOR.R.AUTOMATIC PUMP SHUTDOWN? �"a.YES {� b.No
<br /> Z MECiA.',1ICAL LINE LEAK DETECTOR (MLLD) THAT RoUTCNELY PERFo.RM9 3A g.p,h. LEAK TEATS 0tD .RS5TRJCT3 OM SMJTS
<br /> PRODUCT MOW WMN A LEAI6IS DETECT)W
<br /> MLLDMANUFACTUREWil):
<br /> 3,Et RcnoN10 LINE Lr.1K DETECTOR,(ELLD)TI'Ia1T ROUTINPLY PPRFr3ILM16 1.0 g.p.h,LEAK TESTS u
<br /> ELLD MAN(PACTMR! �, Mdo, 'MODEL P
<br /> PROGRA,MIMr1-M LINE INTSOMITY TESTS: C3 R.MIN'11MIUM MONTHLY 0.2 q,p.h• C1 b.MIIAI7MUMI A)NUAL.0,I g,p.h,
<br /> WILL ELLD DMX710 N OF A PIPING LEAK TRIGGER AUTOMATIC PUMP S HUTDtO"I lEr m.YES G b.NO
<br /> WILL LLLD FAILU:RS/DISCONNECTION TRIGGER AUTOMATIC PUMP SHLITIDOWN? to a•YES, Cl b,1,10
<br /> C3 4,I TEC}P.W T'RSTJNG
<br /> TEST PRZgTJENCY; ® a,,ANNUALLY [3 b.EVERY 3 YEARS 171 e.OT14ER(Specify)
<br /> S iNISUAL MONIM&ING DONE: S R.DAILY Q b,WMKLY11 e.MW,MONTHLY A EACH TIME SYSTEM GMAT51)”
<br /> °•11"mm,P40"m Amovet -Ali- - .vn1f.dag°i m kr1ed am.,limw g°n°ma,NMI PIPInO only p f Roe 013291•!
<br /> ®
<br /> S.PIPING 10 SUCTION PIPING MEETP140 ALL R.EQVIREMENTS VOR EXEMPTION FROM MONITORING Pi:R 23 CCR r92636(aX3)
<br /> 7.ND PRODUCY'OR REM=FILL PIPING I$CONNECTED TO THE UST(g)
<br /> .99.OTHER(Specify)
<br /> 5JCEHD d(07/01).2/4 _•� _ 17/23/1
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