BILLING 1996 - 2008 - Laserfiche WebLink

Home Browse Search

• I UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS -TANK PAGE 2 VL PIPING CONSTRUCTION(Check a7 Nat appy) UNDERGROUND PIPING • ABOVECROUNO PIPING SYSTEM TYPE 1. PRESSURE ❑ 2.SUCTION ❑ 7. GRAVITY ❑ 1. PRESSURE ❑ 2. SUCTION ❑ 0. GRAVITY CONSTRUCTION ❑ 1. GLE WALL ❑ S. LINED TRENCH ❑99 OTHER ❑ 1. SINGLE WALL - - ❑95. UNKNOWN MANUFACTURER 2, DOUBLE WALL ❑95.UNK.NOWti ❑ 2. DOUBLE WALL 1199. OTHER MANUFACTURER MANUFACTURER ❑ 1.BARE STEEL ❑ 6. FRP COMPATIBLE W7 1C0%METHANOL ❑ 1. BARE STEEL ❑6.FRP COMPATIBLE Wl iC0%METHANOL MATERIALS AND ❑ 2.ST NLESS STEEL ❑ 7.GALVANIZED STEEL C12. STAINLESS STEEL CORROSION ❑7.GALVANIZED STEEL PROTECTION ❑ LASTIC COMPATIBLE WITH CONTENTS ❑95. UNKNOWN 119. PLASTIC COMPATIBLE WITH CONTENTS ❑ 6. FLEXIBLE(MOPE) ❑99.OTHER R�.FIBERGLASS ❑ S. FLEXIBLE(HDPE) ❑99. OTHER ❑ a. FIBERGLASS ❑ 9.CATHOOIC PROTECTION - - ❑ S STEEL W/COATING ❑ 9.CATHODIC PROTECTION ❑ 5. STEEL W/COATING 1395. UNKNOWN VII.PIPING LEAK DETECTION(Check iR that aFpPj) _ UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING SINGLE WALL PIPING PRESSURIZED PIPING(Check as Nat appy): - PRESSURIZED PIPING(Check an that appal: - ❑ 1.ELECTRONIC UNE LEAK DETECTOR 3.0 GPM TEST WITH AUTO PUMP SHUT OFF FOR ❑ 1. ELECTRONIC UNE LEAK DETECTOR 7.0 GPM TEST WITH AUTO PUMP SMUT OFF FOR LEAK _LEAK SYSTEM FAILURE.AND SYSTEM DISCONNECTION-AUDIBLE AND VISUAL --SYSTEM FAILURE.AND SYSTEM DISCONNECTION•AUDAUDIBLE AND VISUAL ALARMS ALARMS ❑ 2. MONTHLY 0 2 GPM TEST ❑ 2.MONTHLY 0.2 GPM TEST ❑ ].ANNUAL INTEGP.ITY TEST(0.1 GPM) ❑ 3.ANNUAL INTEGRITY TEST(0 1 GPM) ❑ 4. DAILY VISUAL CHECK COKVENIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Check 0 that appy): ❑ S DAILY VISUAL MONITORING OF PUMPING SYSTEM•TRIENNIAL PIPING INTEGRITY ❑ S. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST(0 1 GPM) ❑ 6 TRIENNIAL INTEGRITY TEST(0.1 GPM) SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING)' SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): ❑ 7.SELF MONITORING - ❑ 7.SELF MONITORING GRAVITY FLOW GRAVITY FLOW(Cheek a.7 that appy): ❑ 9. BIENNIAL INTEGRITY TEST(0 1 GPM) - ❑ 6. DAILY VISUAL MONITORING - . _ _... ❑ 9. BIENNIAL INTEGRITY TEST(0.1 GPM) SECONDARILY CONTAINED PIPING _ - SECONDARILY CONTAINED PIPING PRESSURIZED PIPING(Check as Nat aPpy)' - PRESSURIZED PIPING(Check all Nat apply): 10. CONTI(Cyto one) TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10.CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND check ane (Deck UO ( ) ❑ Is AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑ L AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑0 AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM ❑ 0. AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM OISCONNECTION O-SCONNECTON / ❑c NO AUTO PUMP SMUT OFF ❑ C. NO AUTO PUMP SHUT OFF Cr 11 AUTOMATIC LINE LEAK DETECTOR(3.0 GPM TEST)VATM FLOW SMUT CFF OR ❑ 11. AUTOMATIC LEAK DETECTOR RESTRICTION ❑ 12 ANNUAL INTEGRITY TEST(C 1 GPM) ❑ 12- ANNUAL INTEGRITY TEST(0.1 GPM) SUCTIONGRAVITY SYSTEM: SUCTIONGRAVITY SYSTEM: ❑ 17. CONTINUOUS SUMP SENSOR•AUDIBLE AND VISUAL ALARMS ❑ 13. CONTINUOUS SUMP SENSOR•AUDIBLE ANO VISUAL ALARMS EMERGENCY GENERATORS ONLY(Check a7 ma:apply) EM ERGENCY GENERATORS ONLY(Check as that appy) ❑ ta-CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF a AUDIBLE AND ❑ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF•AUDIBLE AND VISUAL VISUAL ALARMS - ALARMS ❑ 15.AUTOMATIC UNE LEAK DETECTOR(].0 GPM TEST)WITHOUT FLOW SHUT OFF OR ❑ 11 AUTOMATIC UNE LEAK DETECTOR(3.0 GPM TEST) _ RESTRK:r.Oti - ❑ 1&ANNUAL INTEGRITY TEST(0.1 GPM) ❑ 16. ANNUAL INTEGRITY TEST(0.1 GPM) ❑ 17.DAILYVISUALCHECK ❑ 17. DAILY VISUAL CHECK VHL DISPENSER CONTAINMENT DISPENSER CONTAINMENT W1.FLOAT MECHANISM THAT SFNTS OFF SHEAR VALVE ❑ 0. DAILY VISUAL CHECK DATE INSTALLED ❑ 2.CONTINUOUS DISPENSER PAN SENSOR•AUCISLE AND VISUAL ALARMS ❑ S. TRENCM LINER IMONRCRING ❑ 1 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER•AUDIBLE ANO.VISUAL ALARMS ❑6. NCNE DL OWNER)OPERATOR SIGNATURE I unity mat Me nioni awA2=tlanvl a and amuato to Ine Heat of my kr4,-(*C,;e. SIGNATURE 'OP DATE `3 c NAME CFCIANEILOPERATOR TITLE OF OWNER CPE.RATCR n' I Pemkt Nn-ler(Aarbw u»Dory) Pemul Appno-d!O%f IOCel use 0-Y) v Pants E=awn Cue(Fbrbcat we 0^y1 CUPAFOR.%i(a93) FcrT:erty SWRCB FCm 6