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- 12/19/2002 16:27 2094683433 FIFTH FLOOR rAU= Da <br /> UNIMED PROGRAM CONSOLIDA'T'ED FORM <br /> TANX"S <br /> UNDERGROUND STORAGE TANKS-TANK PAGE 2 <br /> PIPING CONSTRUCTION:Ow1,yl 4md- <br /> UNDBROROLTND PIPING ABOYPGAOLRND PIP,NG <br /> SYSYIMTYFE (31.PREsSURB C]2_SUCTION ❑3.GRAVTFY AM 01.PRLSSURE E32.SUCTION 133.09AVITY 09 <br /> cmaTavrnoN ❑I.9ONOLE WALL ❑3".LINEDTRENCH 1399 0THER 460 ❑L SLNOLE WALL .VNFNOWN 463 <br /> MANUFACNRBR 0 .� ' <br /> 2.DOUALI WALL '4y.UNINOWN 02.DOUBLE WALL E399.OTHER <br /> MANUFACTURER / 991 MANUFACTURER f-- <br /> [31 <br /> C1.BARE STEEL ❑6.FRP COMPATIBLE Ii1997: McrxANOL ❑1.BARE STEEL Q b.FRPCOMPATIBLE'WADVA METHANOL <br /> Q 2.STAINLESS STEEL E37.GALVANIZED STEEL FKUd=.o G 2. STAINLESS STEEL []7.GALYANDU D STIBL <br /> Q 3.PLASTIC COMPATIBLE W/CONTENTS [099. Ort r O 3. PLASTIC COMPATIBLE WI CONTENTi O I.FLi1GBL1(HOM ❑vv.OTHSR <br /> Q 4.TMMU;_ASS ❑S.FLEXIBLE(HDPE) ❑A. FIBERGLASS Ll 9,CATHODIC PROTECTION <br /> S•STEEL w/COAT E+G C 9.CATHODIC PROTECTION nse ❑3. STEEL Wi0OATLNG *s.UNKNOWN A90 <br /> DETECTION( wk°II 1 _npF Maond<ea w'2eb� "- <br /> t1I1)PIPNG ANDVI R U�PEFNG <br /> SINGES WALL PIPING 4ee SINGLE WALL TIEING <br /> FRBSSURi7$D PIPINO(Uece ell Wt 4P171, PRESSURIZED PIPING(CNN:>9IN' PILIP <br /> ❑I.DPUMP <br /> OFF FOR HLC LINK LEAK r"A"SYSTEM FNILSURRE.AAND SYSTSM DISCONNECTION 3-0 GPH TEST WITH AUTO PUMP SHUT O I. SHUTT OFF FOR EAP. STEM FICIRONIC LINE LEAK DETECTOR <br /> ALL LTE,AND SYSTEM DISCONNECTION <br /> •r <br /> AUDIBLE AND Y..SUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> 0 2.MONTHLY 0.2 GP91 TEST C 2.MONTHLY 0.2 GPH TEST <br /> Q 3,ANNUAL TNTECRITY TEST(0.1GPH) [13.ANNUAL INTEGRITY TEST(0.10 PH) <br /> ❑4.DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS;GAIT A tha WL,) <br /> [3 S.ONLY VISUAL MONITORING OF PUMPING SYSTEM•TRIENNIAL PIPNO CM DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> INTEGRITY TEST(0.1 OPEL) <br /> SAFE SUCTION SYSTEMS GNC VALUES IN BELOW OROUNDPIPNO)I Q 6.TRIENNIAL 09TEGRITS"TEST(0,I GM <br /> C 7.SELF MONITORNG SAFE SUCTION SYSTEMS(NO VALVFSN BELO*GROUND PIpmo): <br /> GRAV17Y FWw ❑7. SELF MONITORM <br /> O 9.BIENNIAL INTEGRITY TEST(0,L GPM) GRAVITY FLOW CC k0IRR Eppy); . <br /> Q E. DAILY VISUAL MONITORING <br /> Q% BDhNIAL 1NTEORITY TEST(0.1 GPM <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED FVINO(CN*-%mnapplN: PAS28LIMED KPINO(ChnLul N IMPMi <br /> 10. CDNTNUCUS TURBINR SUMP SENSOR WITM AUDIBLE AND VISUAL IO. CONTINTIOUSTURBINESUIMp SENSORMM AUDIBLE AND VISUAL <br /> ALARMS AND(Gedt pn) ALARMS AND IC".W <br /> ❑S. ALTO PUMP SHUT OFF WHEN A LEAK OCCURS CA ALTO PUMP SH'.IT OFF WHEW A LEAK OCCURS i <br /> ❑b. AUTOPUMP SHUT OFF FOR LEAF-,SYSTEM FAILURE AND SYSTEM ❑6 AUTO SHUT OFF FOR LIAM,SYSTEM FAILURE AND SYMEM <br /> DISCONNRCTION Oz NO AUTO PUMP SHUT OFF <br /> De. NO ALTO PUMP SHUT OFF <br /> DLI. AUTOMATIC LINE LEAK DETECTOR(3.0 OPB TEST)WITH FLOW SHUT ❑I I. AUTOMATIC LEAK ORTECMOR <br /> OFF OR RESTRICTION <br /> Q a ANNUAL INTEORMTEST(0.1 GPH) [3 11 ANNUAL INTEGRITY TEST(0.1 GPM) � <br /> SUC IONIGRAVLTY SYSTEM 9UCT[ONPOR.AVTTY SYSTEM <br /> ❑11 CONTINUOUS SUMP SENSOR.AUDIBLE AND VISUAL ALARMS 1:113. CON'TINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> IMLRGENCY GINEAATORS ONLY(L}AI&pll BR Apply) EMERGENCY GLNERATOBS ONLY(CPw3+:11 pw WPI7) <br /> Q ii CONTINUOUS SUMP SENSOR '. FI AUTO PUMP SHUT OFF• ❑14. CONT MOUS SUMP SENSOR WITHOUT AUTO NMP SHUT OFF• <br /> AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> ❑11 AUTOMATIC LINE LIAKDE(ICTOR.IS.0 CPH TEST)3=1=FLOW MI5. AUTOMATIC LINE LSAKDEMCTOR(3.0 OPH TEST) <br /> SIM OFF OR PBSTRICTION <br /> 10.ANNUAL INTIORITY TEST ILA GPH) C 16,ANNUAL INTEGRITY TEST(03 GP9t) <br /> 0 17,DAILY VISUAL CHECK ❑17. DAILY VISUAL CHECK <br /> VMO.FHAPENSER CONTAINMENT <br /> DISPENSER CONTAINMENT O L FLOAT MICBANISM THATSHUTS OFF SHEAR VALVE C3 i DAILYYISUAL CHECK <br /> DATE METALLED All Q 2,CONTINUOUS DISPENSER PAN SENSOR-AUDIBLE AND VISUAL ALARMS C S.TRENCH LINER i MON1TORCYO <br /> 1 CONTINUOUS DISpiDism PAN SENSOR&M AiTO SHUT OFT FOR In 6.NONE .0 <br /> DISMISS.*AU E AND VISUAL ALARMS <br /> IX OWNENOFERATOR SIGNATURE <br /> feerilP Au Je iiA mnpnvHed ieeemetncpPd PpeuplpohtNsl o[op knv.k�s. <br /> G wvP OR A I a/121 <br /> .x <br /> t A L OF DPERAT a °'N <br /> SLA O 1 <br /> N.,.0 w,.rr,Far Inu on ) w I r,m 44=M(F.bmi.."to 671 P.,^vP G9wtIm D^e lFe:bccl u,e xy) .7S <br /> TJPCF(12/99 revised) Foemaly 5IAW'RC5 Form S <br />