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7 <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 2 <br />VLDISY NSER MONITOIRING <br />M50. <br />NITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />1. CONTINUOUS ELECTRONIC MONITORING OF DER ISPEN ERCONTAJNMENT <br />L' GO t=_1 M51. �°�' M52. <br />PANEL MANUFACTURER: MODEL #: . <br />LEAK SENSOR MANUFACTURER: T— M53. MODEL #(S): b -S' <br />WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBE AND VISUAL ALARMS? YES ❑ ¢ �VO Ms <br />WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? YESO M56. <br />WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO M57. <br />2. MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br />Msa. M59. <br />ASSEMBLY MANUFACTURER: � a—A-y 0 ® X MODEL #(S): <br />❑ 3.VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY (Requires agency approval) M60. <br />❑ 4. NO DISPENSERS <br />❑ 99. OTHER (Specify) M61. <br />77 VTI. ENHANCED LEA]K;DETECTION. <br />❑ 1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M70. <br />DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §2644.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br />���u, TRAINING <br />REFS CE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) Mao. <br />I.THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) <br />2. � OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) <br />3. THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of 1/01/2005) <br />4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />STATISTICAL INVENTORY RECONCILIATION" <br />7. ❑ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br />99. ❑ OTHER (Specify): Mal. <br />Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. <br />By January I, 2005 this facility will have a "Designated UST Operator" who has passed the operator exam administered by the International Code Council (ICC). By <br />January 1, 2005, and annually thereafter, the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems. <br />This training will include, but is not limited to, the following: <br />➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br />➢ The facility employee's role with regard to the leak detection equipment. <br />➢ The facility employee's role with regard to spills and overfills. <br />➢ Whom to contact for emergencies and leak detection alarms. <br />For facility employees hired on or after January 1, 2005, the initial training will be conducted within 30 days of the date of hire. <br />PENT%ADDITIONAL INF()RIYIATi0117 <br />Please use this section to include any additional UST system monitoring -related information (e.g., additional information required by your local agency): Mss. <br />a v Fl LL Pk,(5-VIE-:7 A) L®� — MEcK (CAL- <br />rt_.�-pp <br />x'ERTNJERSPUNSBILAIES. ;. <br />AS OF 1/1/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION - <br />FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br />EQUIPMENT COVERED BY THIS PLAN, AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br />UST SYSTEMS IN ACCORDANCE WITH 23 CCR § 2715(b). <br />XI "{)WNERI�pRA7COR SIGNATURE <br />CERTIFICATION: I certify that the informatigqlwovided herein is true and accurate to the best of my knowledge. <br />OWNER/OPERATOR SIGNATUREREPRESENTING <br />f -� ^ — E3 Owner M9o. <br />DATE: M91. <br />� � %tI fl <br />✓fl `�"1�/ ator <br />(� <br />OWNER/OPERATOR NAME (print): M92. <br />OWNER/OPERATOR TITLE: M93. <br />(Agency Use Only) This plan has been revi and: Approved ❑ Approved With Conditions ❑ Disapproved <br />Local Agency Signature: rr.- Date: <br />Comments/Special Conditions: <br />SJCEHD-d (07/03) - 3/4 07/23/03 <br />