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Model Number: TLS-350 0 <br /> Sensor Type: Vapor Liquid X Both. <br /> X Sensor Brand: VeederRoot Sensor Model: 794380208 <br /> Location(s)for sensors [Indicate location of sensor(s)with check mark]: <br /> _Tank: Sensor BrandVeederRoot Sensor Model:79438D208 <br /> Piping: Sensor Brand: Sensor Model: <br /> Dispenser: Sensor Brand:: 4 <br /> eensor Model6208 <br /> Other(specify): Sensor Brand: Sensor <br /> Model: <br /> C. Monitoring and response plan submitted [Section 2632(d) (1)&(2)].By Owner <br /> 15, Y'e$ Any special accessories,fittings,coatings,or linings not inherent within the initial design of the 1°tank or double- <br /> wall UST. [Section 2631 (b)] <br /> Yes A Approved by a nationally recognized independent testing organization. <br /> -N-LA B. Demonstration of integrity with the primary and/or secondary containment. <br /> 16. Tanks subject to floatation. [Section 2635(a)(7)] <br /> NJ—A A. Anchored by deadman or slab. <br /> NI B, Anchors to be installed as specified by manufacturer, <br /> N/A c. Installation details provided on plans. <br /> D, Calculations provided. <br /> 17. SPILL AND OVERFILL PREVENTION <br /> Underground storage tank equipped with spill container and an overfill prevention system. (detail drawing of spill <br /> container(s)Ipiping sump(s)required, including tank fill and all openings). <br /> Yes A Spill cantainer[Section 2635(b)(1)]. <br /> If made of metal, exterior wall protected from galvanic corrosion. <br /> Yes Capacity: (minimum of five galleons) OPW-12100 DEVR <br /> Yes Equipped with a drain valve which allows drainage of spill into primary container. <br /> Manufacturer: OPW-12100-DEVR <br /> B. Overfill prevention system does not allow for manual override and meets one of the following <br /> requirements: <br /> Yes (1) Alert transfer operator at 90%full by restricting the flow into the tank or triggering an audible and <br /> visual alarm [Section 2635(b)(2)(A)j , <br /> Manufacturer: VeederRoot Model: TLS-350 <br /> (2) Restrict delivery flow to the tank 30 minutes before overfill when tank is filled at no more than <br /> 95%capacity and activates an audible alarm at least five minutes before overfill[Section <br /> 2635(b)(2)(13)]. <br /> Manufacturer: Model: <br /> Yes (3) Provide positive shut off at no more than 95%capacity[Section 2635(b)(2)(C)]. <br /> Manufacturer: OPW Model: G1'Sn-400C-EVR <br /> (4) Provide positive shut-off of flow to the tank so that the fittings on top of the tank are not exposed to <br /> 7 <br />