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WRITTEN MONITORING AND RESPONSE PLAN <br /> UNDERGROUND STORAGE TANK MONITORING PROGRAM <br /> This monitoring program must be kept at the UST location at all times.The information on this monitoring program are <br /> The permit holder must notify Environmental Health Department, <br /> (209)468-3420 <br /> conditions Of the Operating permit- monitoring procedures,unless required to obtain approval or a permit before making <br /> within 30 days of any changes to the <br /> the change.Required by CCR 2632(d)and 2641 (h) <br /> FACILITY NAME DATE_1 ��L17�0 <br /> FAC'jLT rY-AD D RE SS 1 <br /> CA- <br /> I.Name(s)and Title(s)of the people responsible for performing the Monitoring and/or maintenance <br /> 1)0 <br /> 2.Describe I the frequency of performing the monitoring for- <br /> TANKS $ PIPING C-OfJ7 VOU <br /> 'AJS <br /> location(s)of where the monitoring will be performed• ie: location of sensors <br /> 3.Describe the J? C, V 0 <br /> �Aw J%j V <br /> 4-Describe the following equipment for each underground storage tank -o 9 ,14-769 0 2 <br /> r <br /> Name and Model of Monitoring Pan el <br /> ID <br /> �L L <br /> Name andModel of Line Leak Detectors, <br /> -7 <br /> Name�and Model of Annular Sensors <br /> V <br /> Model of piping Sensors V <br /> Name and M SV <br /> Name and Model of Dispenser Sensors <br /> Type of overfill prevention <br /> 5.Do the Turbine Sensors and Dispenser Pan Sensors shut down the turbine? Yes No D <br /> Yes No 0 <br /> Does the turbine shut down if a sensor is disconnected? Yes No 11 <br /> Does the turbine shut down is the monitoring panel loses power? <br /> 6.How will the alarm history and subsequent maintenance be recorded? <br /> U ts <br /> 7.Maintenance of the monitoring equipment must be per£armed at least once every 12 months. <br /> Deseribe•tlre preventive <br /> annual'monitoring certification be performed in? <br /> p sOFF, <br /> the secondary containment must be tested 6 months afler installation.All secondary containment systems <br /> Note:For new installations 1. - <br /> must be tested once every 36 months with initial.testingperformed before December3 2003 <br /> r the operation of UST system including piping,and the monitoring <br /> 8.Describe the trainin, necessary fb r-r) ro <br /> 1101i 1111,111'' 11�111 Uj i L-L <br /> ;, W! M LO <br /> R. <br /> equipment. 11111,1111 ti;��JIL <br /> 1.\Imterni-lc\UST\nmitcningplan-doe <br /> 1124/2002 <br />