Laserfiche WebLink
°>< SAN JOAQUITCOUNTY ENVIRONMENTAL HEALTH IMPARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITOPJNG PLAN-PAGE 1 <br /> TYPE OF ACTION ❑ 1.NEW PLAN 10 2.CHANGE OF INFORMATION mol. <br /> PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. I/ M02. <br /> (Check one item only) &THIS PLAN COVERS.ONLY THE FOLLOWING UST SYSTEM(S): 9 <br /> FACILITY ID#(Agency Use Only) <br /> FACILITY NAME !A (r�} i e-r1r'6p ,,J r a a�r,� (- M03. <br /> FACILITY SITE ADDRESS/Y Jtq 0 P1 CC, at <br /> ® Aa tS d M04. CITY S ®C_ Mos. <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06• <br /> accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED Ig 1.ANNUALLY ❑ 99.OTHER(Specify): M07• <br /> oil= mmmm <br /> This monitoring plan must include a Site.Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, <br /> line leak detector,monitoring system control panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification <br /> form,Hazardous Materials Business Plan map,etc.)which shows all rosuired informatio include it with this plan. <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) M10. <br /> 56 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONT I�: It a..DRY ❑.b.LIQUID FILLED 11c.UNDER PRESSURE [Id.UNDER VACUUM Ml l• <br /> ll <br /> PANEL MANUFACTURER: V 2&2 r- IZGri f M12- MODEL#: -1-/- 5 - M13. <br /> LEAK SENSOR MANUFACTURER: Vf---Jpr r M14. MODEL#(S): 4 LQ M15. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKS) <br /> PANEL MANUFACTURER: M16. MODEL#: M17 <br /> IN-TANK PROBE MANUFACTURER: ms- MODEL#(S): M19• <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20 <br /> ❑ d.MONTHLY ' ❑ e.OTHER(Specify): <br /> M21. <br /> PROGRAMMED TESTS: ❑ a 0.1 g.p.h. ❑ b..0.2 g.p.h. ❑ c.OTHER(Specify): M22 M23. <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: [1a.36 HOURS ❑ b_60 HOURS M25. <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26. M27. <br /> 6.VISUAL MONITORING DONE: jFa.DAILY ❑.b.WEEKLY(Requires egan y app,.m) <br /> ❑ 99.OTHER(Specify): M28. <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M30• <br /> jo 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING sUMP(S)/TRENcH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: il a DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM 131. <br /> PANEL MANUFACTURER: _ _f f j l r P ge h M32- MODEL#: _ t C S"aif b M33. <br /> LEAK SENSOR MANUFACTURER: *4jr m r2eeh 1434. MODEL#(S): M 20S M35. <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? JO a YES ❑ b.NO M36. <br /> WILL FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? 0 a.YES ❑ b.NO M37, <br /> 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF , <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED e <br /> MLLD MANUFACTURER(s): F',g P--L t ro M38. MODEL#(S): J' P - MLP <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> ELLD MANUFACTURER M40- MODEL#: Mat. <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ❑ b.NO M43. <br /> WILL ELLD FAILUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. <br /> ❑ 4.INTEGRITY TESTING <br /> TEST FREQUENCY: ❑ a ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46. <br /> ❑ S.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. <br /> -Requires agency approval **Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281.5(b)(3) <br /> M <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(ax3) <br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> ❑ 99.OTHER(Specify) Mas. <br /> SJCEHD-d(07/03)-1/4 07/23/03 <br />