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PROGRAM CONSOLIDATED FO <br /> . TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> VL PIPING CONSTRUCTION <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE I.PRESSURE 0 2.SUCTION 0 3.GRAVITY 43t 0 1.PRESSURE [12. SUCTION 0 2.GRAVITY .19 <br /> WAIL. 13 9s.UNKNOWNCONCONSTRUCTIONCTIOH 1.SINGLE WM 0l.LINED TRENCH 099.OTHER .'9 0 1.SINGLE .6: <br /> MAMIFACDlRER 0 2.DOUBLE WALL 0 95.UNKNOWN 0 2.DOUBLE WALL 0 99,OTHER <br /> MANUFACTURER wt MANUFACTURER .al <br /> 0 1.BARE STEEL 0 6.FRP COMPATIBLE wIP 0 I.BARESTEEL L3 6.FRP COMPATIBLE wnonc GaTfw+oL <br /> 01 STAINLESS STEEL [17.GALVANIZED STEEL 0(lnkv 0 2. STA04MS STEEL 0 7.GALVANIZED STEEL <br /> 0 3.PLASTIC COMPATIBLE W/CONTENTS 0 99. Odb 0 3. PLASTIC COMPATIBLE W/CONTENTS 0 L FLE7DBLE(HDPE) 099. OTHER <br /> 4.FIBERGLASS 0 1.FLEXIBLE(HDPE) 0 t. FIBERGLASS 0 9.CATHODIC PROTECTION <br /> 0 S.STEEL W/COATING 0 9.CATHODIC PROTECTION µ 0 5. STEEL WCOATING 0 95.UNKNOWN .ar <br /> VD. <br /> UNumGR OLUENAD PIPINGECTION �AaOvEGROIHD PIPING <br /> SINGLE WALL PIPING .a SINGLE WALL PIPING M7 <br /> PRESSURIZED PIPING(CI A"wly), PRESSURIZED PIPING(O. A a -PPlit <br /> ❑1.ELECTRONIC LME LEAK DETECTOR 3.0 GPH TEST MM AUTO PUMP SHUT 0 1. ELECTRONIC LIKE LEAK DETECTOR 1.0 GPH TEST$IT'LL AUTO PUMP <br /> OFF FOR LEAK SYSTEM FAILURE AND SYSTEM DISCONNECTION- SHUT OFF FOR LEAK,SYSTEM FAILURE.AND SYSTEM DISCONNECTION. <br /> AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS. <br /> 0 2.MONTHLY 0.2 GPH TEST 01 MONTHLY 01 GPH TEST <br /> 0 3,ANNUAL INTEGRITY TEST(0.IGPH) 0 3.ANNUAL INTEGRITY TEST(0.IGPH) <br /> 01. DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Ch".9 W.Vplr) <br /> ❑ <br /> S.DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING 0 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> INTEGRITY TEST(0.1 GPH) <br /> SAFE SUCTION SYSTEMS(NO VALUES M BELOW GROUNDPIPING): 0 6. TRIENNIAL INTEGRITY TEST(0.1 GPH) <br /> 0 7.SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES M BELOW GROUND PIPING): <br /> GRAVITY FLOW 0 7. SELF MONITORING <br /> 0 9,BIENNIAL INTEGRITY TEST(0.1 GPH) GRAVITY FLOW(C1.A.n ou.wlr): <br /> 0 6. DAILY VISUAL MONITORING <br /> 0 9. BIENNIAL INTEGRITY TEST(0.1 GPH) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(OM -11 a.."10 PRESSURIZED PIPING(6 .11 l .y ly): <br /> 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL <br /> ALARMS AND(Cks a.) ALARMS AND(Cn.) <br /> 0 a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 0. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> Xb. AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM 0 b AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE.AND SYSTEM <br /> DISCONNECTION DISCONNECTION <br /> Oc. NO AUTO PUMP SHUT OFF Oc NO AUTO PUMP SHUT OFF <br /> 11. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)yU'I]I FLOW SHUT 0 11 AUTOMATIC LEAK DETECTOR <br /> OFF OR RESTRICTION <br /> 0 1:, ANNUAL INTEGRITY TEST(0.1 GPH) 0 12. ANNUAL INTEGRITY TEST(0.1 GPH, <br /> SUCTION/GRAVTTY SYSTEM SUCTION/GRAVITY SYSTEM <br /> 013. CONTINUOUS SUMP SENSOR•AUDIBLEAND VISUALALARMS 013. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(Qd .11 w..PPh) EMERGENCY GENERATORS ONLY(@s NO-,-wil) <br /> 014 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF• 0 la. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF <br /> AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> 015 AUTOMATIC UNE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW 0 15 AUTOMATIC LINE LEAK DETECTOR p.0 GPH TEST) <br /> SHUT OFF OR RESTRICTION <br /> 0 16 ANNUAL INTEGRITY TEST(0.1 GPH) Cl 16.ANNUAL INTEGRITY TEST(0.1 GPH) <br /> 017. DAILY VISUAL CHECK 017. DAILY VISUAL CHECK <br /> VIII.DISPENSER CONTAINNTENT <br /> DISPENSER CONTAINMENT 01.FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE Cl-I DAILY VISUAL CHECK <br /> DATE INSTALLED 469 Cl 2-CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS 0 5.TRENCH LINER/MONITORING <br /> 0 3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR .NONE '°9 <br /> DISPENSER•AUDIBLE AND VISUAL ALARMS . <br /> DL OWNER/OPERATOR SIGNATURE <br /> VONEMPFRgITOR <br /> el) <br /> DATE 471 TITLE V( CN�PE� .R <br /> Pam..Nums..liw bulmwlyl .Ilr /anu.NPr°..a lFm Nulsalyl <br /> 474 P.a..lEgmm Dne(F.1°u u.e wlyl OS <br /> UPCF(12/99 revised) 12 Formerly SWRCB Form B <br />