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SAN JOAOiWOUNTY ENVIRONMENTAL HEALTPARTMEN'1' UNDERGROUND STORAGE TANK ONITO LAN - PAGE 1 - TYPE OF ACTION ❑ 1. NEW PLAN 2. CHANGE OF INFORMATION M01. M02. PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. MAY 2 1 2004 (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION ENVIRONM FAI TW FACILITY ID # (Agency Use On ' M03. FACILITY NAME y L FACILITY SITE ADDRESS ! p� CITY !� j'6S M05. II. EQUIPMENT TESTING VENTIVE MAINTENANCE State law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in Such must be by qualified personnel. M06. accordance with the equipment manufacturers' instructions, or annually, whichever is more frequent. work performed M07 MONITORING EQUIPMENT IS SERVICED 'g 1. ANNUALLY ❑ 99. OTHER (Specify): 1ILMONITORING LOCATIONS 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, If already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification line leak detector, monitoring system control panel, etc.). you form, Hazardous Materials Business Plan map, etc.) which shows all required information, include it with this plan. IV. TANK MONITORING '. MIO. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) Mu SECONDARY CONTAINMENT IS: . DRY b. LIQUID FILLED t El c. UNDER PRESSURE ❑ d. UNDER VAC M M13. M12. MODEL #: A . Z ; PANEL MANUFACTURER: '' M15. M14. MODEL #(S): s . LEAK SENSOR MANUFACTURER: ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MQNITOR SINGLE WALL TANK(S) MIT K PANEL MANUFACTURER: MODEL #: M19. M18 MODEL #(S): IN -TANK PROBE MANUFACTURER: LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY El c. WEEKLY M2o. e.(Specify): M21.u1. ❑ d. MONTHLY E3OTHERS f (p y)' M22. M23. PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): M24. 3. INVENTORY RECONCILIATION a. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 M25. TESTING PERIOD: 11a. 36 HOURS b. 60 HOURS 5. INTEGRITY TESTING PER 23 CCR §2643.1 M26. M27. TEST FREQUENCY: a. ANNUALLY ❑ b. BIENNIALLY F1 c. OTHER (Specify): 6.VISUAL MONITORING DONE: a. DAILY ❑ b. WEEKLY (Requires agency approval) M28 ❑ 99. OTHER (Specify): V. PIPE MONITORING '> M30. MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) ❑ I. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT M31 SECONDARY CONTAINMENT IS: Ela. DRY E] b. IQUID FILLED E] c. UNDER PRESSURE El d. UNDER VACUUM M33 /cd M32. MODEL #: PANEL MANUFACTURER: M35. Mia. MODEL #(S): LEAK SENSOR MANUFACTURER:M36. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? ❑ a. YES ❑ b. NO WILL FAILURE/DISCONNECTION OF THE MONITORNG SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO M37. ❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED M38.M39. MODEL #(S): MLLD MANUFACTURER(s): ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUYNELY PERFORMS 3.0 g.p.h. LEAK TESTS M41. AlZa Mao. MODEL #: ELLD MANUFACTURER: PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. M42. � a. YES ❑ b. NO WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN. ❑ Mai. Ma4 WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? Ela. YES El b. NO 4. INTEGRITY TESTING Mas. M46. TEST FREQUENCY: t5 a. ANNUALLY El b. EVERY 3 YEARS El c. OTHER (Specify) �5.VISUAL MONITORING DONE: 1K a. DAILY ❑ b. WEEKLY* ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED*" * Requires agency approval °t Allowed for monitoring of unburied emergency generator fuel piping only per HSC §25281.5(6)(3) M47, 6. PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR §2636(,)(3) ❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) M48. U yy. U I rtcsrc t3pecuy� 07/23/03 SJCEHD-d (07/03) -1/4