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`1� PROGRAM CONSOLIDATED FOS <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> VL PIPING CONSTRUCTION a.d1.0 aW P•a• •r <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE 1.PRESSURE ❑2.SUCRON 0 3.GRAVITY 658 O I.PRFSSURE 0 2. SUCTION 0 3.GRAVITY 459 <br /> CONSTIHILTION I.SINGLE WALL 0 3.LINED TRENCH 099.oTmER 600 0 1.SINGLE WALL 0 95.UNKNOWN .62 <br /> MArNFACT1mFn O 2.DOUBLE WALL 0 95.UNKNOWN 0 L DOUBLE WALL 0 99.OTHER <br /> MANUFACTURE[ MI MANUFACTURER 461 <br /> ❑1.BARE STEEL [I6.FRP COMPATIBLE wh00x METHANOL. 0 1.BARE STEEL 0 6.FRP COMPATIBLE W/Im METHANOL <br /> 0 2.STAINLESS STEEL [17.GALVAN®STEEL 0Ildoawn 01 STAINLESS STEEL 0 7.GALVANIZED STEEL <br /> O 3.PLASTIC COMPATIBLE W/CONTEMS 0 99. Od. 0 LA <br /> 3. PSTIC COMPATIBLE W/CONTIFN S 0 t.FLEXIBLE(HDPE) 0 99. OTHER <br /> M.FIBERGLASS 0 t.FLEXIBLE(HDPE) 0 4. FIBERGLASS 0 9.CATHODIC PROTECTION <br /> 0 S.STEEL W/COATING 0 9.CATHODIC PROTECTION .N 0 5. STEEL WACOATING 0 95.UNKNOWN Ms <br /> VILP ING LEAK DETECTION a•a•8.6.. w •rw o. - •.0 1m.e.e.ama.WY.I. <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALL PIPING •6u SINGLE WALL PIPING m] <br /> PRESSURIZED PIPING(C6aE at 6a.apply), PRESSURIZED PIPING(aaE.0 M yPh): <br /> 0 I.ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST MM AUTO PUMP.SHUT 0 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP <br /> OFF FOR LEAK SYSTEM FAILURE.AND SYSTEM DISCONNECTION SHAT OFF FOR LEAK.SYSTEM FAILURE.AND SYSTEM DISCONNECTION. <br /> AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALA RMS. <br /> 0 2.MONTHLY 0.2 GPH TEST 02. MONTHLY OS GPH TEST <br /> 0 3.ANNUAL INTEGRITY TEST(0.IGPH) 0 3.ANNUAL aTmGRTY TEST In.IGPH) <br /> 0 M. DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(ou m m..pPM <br /> 0 5.DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING O S. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> INTEGRITY TEST(0.1 GPH) <br /> SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUNDPIPING): ❑6. TRIENNIAL INTEGRITY TEST to.I GPH) <br /> 0 7.SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> GRAVITY FLOW 07. SELF MONITORING <br /> 09.BIENNIAL INTEGRITY TEST(0+1 GPH) GRAVITY FLOW(o an w.whY. <br /> 0 I. DAILY VISUAL MONITORING <br /> 0 9. BIENNIAL rN EGRITY TEST(0.1 GPH) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(ad•11 m.•nhl: PRESSURIZED PIPING(CSS m <br /> 10. CONTINUOUS TURBINE SUMP SENSOR WM AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL <br /> ALARMS AND(Chaah, 1 ALARMS AND(a.E 9..) <br /> 0.. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 0 a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> ,Ngb. 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 /> 01, NO AUTO PUMP SHUT OFF O< NO AUTO PUMP SHUT OFF <br /> I I. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WM FLOW SHUT O 11 AUTOMATIC LEAK DETECTOR <br /> OFF OR RESTRICTION <br /> 0 12. ANNUAL INTEGRITY TEST(0.1 GPH) 0 12. ANNUAL INTEGRITY TEST(0.1 GPH) <br /> SUCTION/GRA V ITY SYSTEM SUCTION/GRA V ITY SYSTEM <br /> 013. CONTINUOUS SUMP SENSOR•AUDIBLE AND VISUAL ALARMS 013. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(aaw.0 u'•..whi EMERGENCY GENERATORS ONLY(amw.0 wa.wly) <br /> 0 16. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF• 0 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF <br /> AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> C 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHOO FLOW 0 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPII TEST) <br /> SHUT OFF OR RESTRICTION <br /> 0 16.ANNUAL INTEGRITY TEST(0.1 GPH) [116.ANNUAL INTEGRITY TEST(0,1 GPH) <br /> 017. DAILY VISUAL CHECK 017. DAILY VISUAL CHECK <br /> VUL DISPENSER CONTAINhIENT <br /> DISPENSER CONTAINMENT 01.-FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE O M.DAILY VISUAL CHECK <br /> DATE INSTALLED A63 O 2.CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS 0 5.TRENCH LINER/MONITORING <br /> [13.CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR NONE b9 <br /> DISPENSER.AUDIBLE AND VISUAL ALARMS <br /> IX.OWNERIOPERATOR SIGNATURE <br /> SIG A R FOWNFI DATE�O •M <br /> NA 0 NER/OPRATOR 1N1) .]1 TITLE OF ER/OPERA 492 <br /> PN.m9a IF.SgI•m alY) •]] Pam.N9.m.J(F.Waal..cal, .]. P.Y.N Eapa+...D..IF.1•u .aa1Y1 475 <br /> P. <br /> UPCF(17199 revised) 12 Formerly S WRCB Form B <br />