Laserfiche WebLink
ROM : OCAMPO-ESTA FAX NO. : 5526047 Sep. 20 2004 02:50PM P4 <br /> PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE z <br /> Yl. Disc : oN615 R CI•ION ICweak <br /> UNDB .nn r�pry Pa 3 of 3 <br /> RGITOUND P)PINO <br /> SYSTEM TYPE ❑I PREC81yRE ®2 <br /> SUCTION AdOVF30K.OUND PIPING <br /> CONSTRUCTLUN/ U l GRAVITY ..e. 0 1.PRESSURE 2.SlICT10N <br /> MANUPAC7VR,R 0 1.91NOIs WALL Q A.LINED TRENCH 0 Pe.OTHER .aa• ❑5.GRnvp-y 4y. <br /> 2.PUUBLE WALL UPS UNKNOWN 0 1.-STNOLE WALL U 95.UNKNOWN am_ <br /> MANUFAC'IVRSR 0 2.DOUBLE WALL Cl 99.OTHER <br /> ®1.BARS STEEL ❑6.FRP CUMpATIHLS W/1 pa91 NBTHANOL MANUFACnMZR FLETCMR COATING 661, <br /> STABIL ®I.BARE STPEL <br /> 1STAEVLM STABIL <br /> 4 7.GALVANIzsID sTe¢ ❑a.IRP coMPnz>eLa It METTIANmL <br /> TO 3.PLASTIC COMPATIBLS WITH CONTENTS ❑2.STAINLESS STEEL, 0 7.GALVANL=STSEL <br /> ❑95,UNKNOWN L3'-PLASTIC COMPATIBLE W/CONTENTS®4.FIBERGLASS 0 e.FLR%IRLE U 8.FLEXIBLE(µDFB) ❑99.OTHER <br /> (HDPE) ❑99.at-HER Q 4.P®EAOLASS 0 9.CATHODIC PROTECTION <br /> ❑£�L W10A'TINCi 13p,CATHODIC PROTHQi lUN u.. U 5.SIH51 WiCOATING <br /> ..P C EAK UE'C 'PION q 9s.UNKNOWN .� <br /> ([AW tdat: "O1:G- i. Wlhe:,oed - .. . <br /> UNDERGROUND PIPING '�ha�"12'gene4le m - <br /> SINGLE WALL PIPING <br /> a MOVBG OUND PIP)Nc <br /> PRESSURIZED PIPING(Check all tl1LL epPly)[ SINGLE WALL Pn-ING eaT <br /> ]1. ELECTRONIC LEVE I'SEMURIZRD PIPING(Check ell Ilse!apply)' <br /> L,SYSTEM <br /> DIM FAI 3R 3.n OPH 'TEST WITH AUTO PUMP 01 ELECTRONIC <br /> ZM SHUT-OFFDIEL AN LEAK,SYSTEM FAILURE,AND SYSTTi,.{OISOONNBCOON SdU7 OFF FOR LRAI(, STEM FAILURE,AND yry ATO PUMP <br /> +AUDIgLB AND VISUAL ALARMS, STEM DISCONN%CTION <br /> 02- MONTHLY 0.2 OPH TEST }AUDIBLE AND VISUAL ALARM.& <br /> El 2. MONTHLY 0,2 GPH TEST <br /> :13. ANNUAL INT5C7RITY TEST(0.1 GPH) [12, ANNUAL D.TPPGAITY TRS,to.I GFH) <br /> O e. DAILY VISUAL CHECK <br /> CONVENTIONAL STICTION kYSTSMS CONVENTIONAL SUCTION SYSTEMS(Check At,nut epplY) <br /> ❑J. DAILY VISUAL MONITORING OF PUMPING SYSTEM•TRIENNIAL PIPING <br /> INTEGRITY TEST(o.I GPH) ❑5, DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> AFR SUCTION SYSTBACS(NO VALVES IN DRLOW GROUND PIPING): El d' TRIENNIAL INTEGRITY TEST(a.I OPM) <br /> 7. SELF MONITORING <br /> SAVE SUC7TON SVST'RMS(NO VALVE BE(AW GROUND pirmo); <br /> GRAVITY PLOW <br /> 7. SELF MONITORING <br /> 39. WENNIALINT'BO1UTYIEST(0.1GYN) GRAVITY PLOW(Chc.k all hae.PO Y)' <br /> 1]e. DAH.Y VISUALMONITORING <br /> 09. BIENNIAL WrSGRITY TRST(a•1 GPH) <br /> "ECONDARILY CONTAINED PIPING RECONDARILV CONTAINED PIPING <br /> RRSRURM,pO PIPING(Chmk.b that apply): PRESSURIZED PIPING(C k all that apply}. <br /> 'N. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10, <br /> ALARMS AND(Check am) CONREIIN)pU5 IURBDYE SUMP SENSOR 7Y1TI7 AUDWLB AND VISUAL <br /> 0 e. AUT]PUMP SHUT OFF WHEN A LEAK OCCURS ALARMS AND( Uone) <br /> De AUTO PUMP EI4UY OFF WHEN A LRAK OCCURS <br /> El b.AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM Q b.AUTO PUMP SHUT OFF FOR LBAKS,SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION DlSLONNE=ON <br /> Qe NO AUTO PUMP SENT OFF De. NO AUTO PUMP SHUT OFF <br /> [111. AUTOMATIC LOG LEAK DETEC OR(3.9)OPN TESTI WT FLAW SMUT <br /> OFF OR RESTRICTION O 11, AUTOMATIC LEAK DETSLTOR <br /> 112, ANNUALTNTBOR)TYTBST(O.1 GPFO [] 11.ANNUAL INTSGIGTY TOW(a.l GPM <br /> �l(TION/GRAVTTY SYSTRM SUCTIOPUGIWYITY 8YSTZK <br /> 013. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS 013.CONTITCUOUS SUMP SENSOR AUDIBLE AND VISUAL ALARMS <br /> 4ZRCENCY GENERATORS ONLY(Cheek.11 S.at apply) SMRRGENCV GRNERATORS ONLY(Check all that apply) <br /> t4. CONTINUOUS SUMP SNNSOR W RHOIfi AUTO PUMP SENT OFF Q 16. CONTINUOUS SUMP SENSOR yaTH=AUTO PUMP al{UT OFF <br /> AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> 15. AUTOMATIC LINE LEAK DETECTOR (3.. OPH -M-T) \Vl'Tt3Tnrr FLOW <br /> SHUT OPP OR RESTRICTION 0 15. AUTOMATIC LINB LEAK DISTBCPOR(].p GPH TEST) <br /> 46. ANNUAL INTEGRITY TEST(..1 GM) 016. ANNUAL INTBGPVi TEST(a.I UPN) <br /> 17. DAILY VLTUALC){BM e6ry} �µy��gvp�gMp 061µ7.DAILyYtfVIIS•UAI,CHECK <br /> � .. ., +y.66.YW;�Y+K'a�YYIA^",v4. L•1'!.'. .. <br /> ASI'MiY(CONTAINMENT Lai. 01. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALV(I 04. DAILY VISUAL CHECK c69 <br /> ,TE)NSTALLED 02. CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS S. TRENCH/t.IxrA MONTTORIMD <br /> N/A 0s• CONTINUOUS DFSPENSIIIR PAN SENSOR y(Lpj AUTO SHUT OFP FOR <br /> w UISPISNSYIt+ LB D VISUAL 6, NONE <br /> ., bi�7al1avlro - <br /> - : ... racy..w6 <br /> ertItY mac fie fhfomMGpn p,V vtd.d hemp is)rue■ld accurate to am best ofmy knoWI dm <br /> INATU OWNTIZVOISRATO :ft" DATE; ala <br /> e2 <br /> LAMS OF OWNSE/OPLSATOR 6.60: REW TAYLOR. TITLE OP OWN 1V PE OR IRONMENTAL MANAGCR 6D" <br /> mit Numbcr(A¢wny.eely) an. Pmif App.May(Aanmy ee.PMy) n4. Pe.m11�plrann Date Aa <br /> 6Ty uec mtly) na. <br /> RECEIVED FEB-I1-04 15:09 FROM-9168581DII TD-NLEEMAN ROEBBELEN PAGE 18 <br /> 09/20/04 MON 13:37 [TX/RX NO 83481 [ 004 <br />