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<br /> UNDERGROUND STORAGE TAINK
<br /> MONITORING 'LAIN m PAGE 2
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<br /> MONt IYOR22NG}OF AREAS OVEA TTI DISP8NSER(3)13 PER.PORIvIED USING THE FOLLOWINO METITOA(S)(Check all that ripply) asci
<br /> fg 1,CONTMOUS ELECTROMC MONITORING OP UNb R DISPEfNSBR CON°rAlNlvtz?N r(U 0C)
<br /> PANEL M,ANUVACTURER' till. MtODa 0:��'a�.��3 0
<br /> LEAK SIMOR XANtMAC µ � nets MODEL 4(s): 0
<br /> WILL DSTSCTIQN OF A LEAK INTO TM UDC TRIGOE9,AUDIBLE AND VISUAL ALtlli NI57 ffi a.CIES b,NO Ms.
<br /> WILL A UI X:LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? it,YES b,NO Man,
<br /> ^ 7 M57,
<br /> WILL Y�A11 URF()OI3COi�°1RCt°►t9t+t OF UDC rMIGyNTTClRINC18°t`9TEM I RI®ta6lt t"rJYO IAiYt,4CJaVII 5x3219k7�1Wal. �o,YES (",.J b.Al®
<br /> ® 2..VI CAAltl'ICAL A9SEI MY(e.g:,
<br /> MOAT AND CHAIN t AG4'} 3I3LY)IN UDC TRIPS SHEAR Va4LV,13 IN tdIl�F,QF.4IiAX
<br /> ASSEMHLY MANUkf'ACTURLR! MR MC3i n e(S): M19
<br /> 3,Vt9UAl,MU id 1 Oltwr GXJNE; a,DAMY p b,WEEKLY(aaawwo aaann>•nsora,Aii Mco.
<br /> i 4,NPO DISPENSERS
<br /> �] 99.OTHER(SPI
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<br /> I.Barg HAVE DIMN NOTIFII BY THE STATE WATER RESOURCES CONTROL SOAR.D THAT WE MUST I\4PLEMEINT ENHANCED L3e X M70'
<br /> DETECTION(ELD)FOR TtM UST(S)COVMM BY MS PIAN,PER 23 CCR 22644,I,ELD IS PERTORIBD RVRPY 36,MONTHS A5 REQUY1'2O
<br /> ”. .u,:.°! ?,� V•;� �(rrp1 nl r. ,.... eJ 8' I'! III •III :f fll]'I( tW . ...;,#:. .. i �,:._,=�":141•.., ,i a iflm
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<br /> NC13 DOCUMENTS MAINTAIN50 AT FACILITY(Check all tliat RpPly) Mxa,
<br /> I. THIS UNDEROROIJND STORAGE TANK MONITOR1140 PLAN(Required)
<br /> 21 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Rcqulmd)
<br /> 1, TkM FACILITY'S BEST MANAOEhMENT PRACTICES(IRequind es of 1/01 0S)
<br /> 4.. CAUMRNIA UN ERGROUND STORAGE TANKREGULATIONS
<br /> S, CALIFORNIAUNNDEROROMM STOP—AGE TANK LA`7!
<br /> b, 6TATE WATER RESOURCES CONTROL BOARD (9W'RCS) PL'°%1LICATTON; "HANDBOOK FOR °I OWI;7z LS • MANUAL AND
<br /> STATISTICAL INVMgTORY RECONCILIATION"
<br /> 7, SLVACE PUSLrCATItON1"WEE.ISLY MANUAL TANK 0AUCIAIG FOR SMALL UN[3�o�CllaOtlNJ�9"PCJe�t°rE TANKS"
<br /> C,S"
<br /> 99,f 'OTHB.P,(Specify):
<br /> Paroonnrl with UST monitoring reoptimlWl lide4 ate 41millar with all of the above documcnnf s r jemi tz?heir Jab dueler and can uccons those documents when noedod•
<br /> By Jerlua6 1,2005 this fpAllity will have a"DoWpl!atod UST OperatiI who hnfi penned tlld opomtx r Amari tidminimomd by tha 111=26onal Code Council(ICC), By
<br /> January 1,2005,and annually theraatter,tete "Designated UST Operator"will train Iltcility en'I in the pmpdr opm.Don and mnint:nnnro of the UST syntotns.
<br /> Ibis training will include,but IS not litnitod u%the Ibllowing!
<br /> D Operation of the UST rryetems Ina meaner consistent with the 11=111ty's b®st management practices.
<br /> The tdtcilhy employee's rolo with rI to tho I®ak disuctlon equipment.
<br /> A• The faciilry 8rdpl4y0q,3 role Willi regard w spills and overfill•.
<br /> >. Whom to eontpict flbr anrerpcnolca and leak detection aldrins,
<br /> Por facility employees hired on or eftet Jnnuary 1,2005,rho Initial training will be conduc!L within 30 days of the date o@ hire.
<br /> I11 igrfi i I I 9 :..„i, i _ tl irl 1 Iit h in(IQiCi `m(t!fi!I�t1l�PdilIl..
<br /> Plasm ueo tilts station en nolo o any additional UST syeeem tttonitoeing•reldted rnformaticn(e.n,additional tnfolrnation roquitcri by gout local gBtlney); MM
<br /> �,4r T n-:"r�• :i F'../✓� e:ad,,t�! ���.��•:r�" !:l' �v;�'et.�1%:��� �'",s.-iv �.�;�a, �:n,;.;K-.
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<br /> A9 OF 1!1!05,•THE ,NATUST OPEItATOTt”II&NTIPIED IN SECTION III OF THE CUId=NT UST OPERATING PERMIT APPLICATION a
<br /> FACILITY FORM WILL HAVE ULTIMA9f°E AUTHORITY POP,P ORMING THE MONITORING ACTIVITIES AND MAINTAINITNO LEAK DETECTION
<br /> RQWPCOV11it> x BY I ITIS PLAN,AND WILL PERFORM AND DOCUMENT MINIWJNI MOtNT14LY VISUA4 INSPECTIONS OF THE FACILITY'S
<br /> UST SYSTEM@ IN ACCORDANCE 23 COR 5 2719$1.
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<br /> �„ri•, a r f r i t s• t t�,r
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<br /> CERTIPICA,'IT N:I certi thtat the information provided lterelat to tree attd accurate to the hest of knowrledRm,
<br /> OWNEWPER.ATORSIO14ATURE �Ir q 1�'GIt�3 PATE: M9!,
<br /> Owner mm
<br /> Operawr
<br /> OWyNEWOPERATORNAME(Pttie1% €?WNER/OPERATORTrrLl3; h493
<br /> f,Apirdcy Use C3nfyf Trig pIon enrcvkeured and: Approved [3 Approved Whin on
<br /> Cdtd®nc 60 )Diattpp° •td
<br /> Local Aaenay SIPanare:
<br /> Cnnmenspee{fll Conditional
<br /> NJCT I1}•d(07/M-314 ta7nSloa
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