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UNIFIED PROGRAM CONSOLIDATED FL-.M <br /> TANKS <br /> UNDERGROUND STORAGE TANKS -TANK PAGE 2 <br /> P, a <br /> h, WMANEW AMM <br /> UNDERGROUND PIPING I ABOVEGROUND PIPING <br /> SYSTEW TYPE PRESSURE T 2. SUCTION I'3 GRAVITY 1' I. PRESSURE r 2. SUCTION r 3. GRAVITY 459 <br /> CONSTHUCTIONI r I,SINGLE WALL r 3. LINED TRENCH T�sq. OTHERIF 1. SINGLE WALL 1'95. UNKNOWN 462 <br /> MANUFACTURE =OLE MALL r95. UNKNOVW T'2. DOUBLE WALL P9a OTHER <br /> R <br /> MANUFACTURER 461 MANUFACTURER 463 <br /> T' 1.BARE STEEL T S. FRP COMPATIBLE W 10D%METHANOL T'I. <br /> BARE STEEL 1'6. FRP COMPATIBLE W 100%METHANOL <br /> MATER LALS AN 1"'2 STAINLESS STEEL r 7. GALVANIZED STEEL r 2 STAINLESS STEEL r 7. GALVANIZED STEEL <br /> CORRO SION <br /> PROTECTION I'3 PLASTIC COMPATIBLE WITH CONTENTS T'95. UNKNOWNT'3. PLASTIC COMPATIBLE WITH CONTENTS T'B. FLEXIBLE(HDPE) T'99. OTHER <br /> 4.FIBERGLASS r B. FLEXIBLE(HDPE) 1'9B. OTHER r 4. FIBERGLASS r 9. CATHODIC PROTECTION <br /> T 5 STEEL W COATNG ('9. CATHODIC PROTECTION 464 1'5. STEEL W COATING 1'95, UNKNOWN 465 <br /> .VILvPJPING LEAK DETECTION(G¢ecr a/Ilhatapply}(a desco'pbon o(rke momloang'prog2mshaUbe`juhmiti <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 <br /> PRESSURIZED PIPING Peck a1 that apph): PRESSURIZED PIPING(Check aN that apply): <br /> 1' 1, ELECTRONIC LINE LEAK DETECTOR 3.D GPH TEST WITH AUTO PUMP SHUT OFF FOR 1- 1. ELECTRONIC LINE LEAKOETECFOR 3.0 GPH TESTWTH AUTO PUMP SHUT OFF FOR LEAK, <br /> LEAK,SYSTEM FALURE,AND SYSTEM DISCONNECTION♦AUDIBLE AND VISUAL SYSTEM FAILURE,AND SYSTEM DISCONNECTION-AU+AUDIBLE AND VISUAL ALARMS <br /> ALARMS r 2 MONTHLYO.2 GPH TEST <br /> 1' 2 AAONTHLYO.2GPH7E5T <br /> 1' 3ANNUAL INTEGRITY TEST(0.1 GPH) <br /> r 3. ANNUAL INTEGRITYTEST(D.1 GPH) <br /> r 4 GAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS(Check apkmt apply): <br /> r S DALY VISUAL MONITORING OF PUMPING SYSTEM-TRIENNIAL PIPING INTEGRITY 1' S DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> TEST IDA GPH) r 6 TRIENNIAL INTEGRITY TEST IDA GPH) <br /> SAFE SUCTION SYSTEMS(NO VALVES W BELOW GROUND PIPING): SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> 1' 7. SELFMONIrORING r 7. SELFMONITORING <br /> GRAVITY FLOW. GRAVITY FLOW(Check all Mat appal. <br /> r 9. BIENNIAL INTEGRITY TEST(0.1 GPH) <br /> T' & DAILY VISUAL MONITORING <br /> 1' 9 SIENNIALINTEGRITYTEST(0.1GPH) <br /> SECONDARILY CONTAINED PIPING - SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Check aBthat apply): PRESSURIZED PIPING(Check all Mat apply): <br /> 40. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND <br /> (Check ane) 1D. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND(check one) <br /> TaAUTO PUMP SHUT OFF MEN ALEAK OCCURS T a. AUTO PUMP SHUT OFF MEN A LEAK OCCURS <br /> b.AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION r b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION <br /> T c NO AUTO PUMP SHUT OFF P c. NO AUTO PUMP SHUT OFF <br /> �11. AUTOMATIC LINE LEAK DETECTOR(30 GPH TEST)N@l FLOWSHUT OFF OR <br /> RESTRICTION 1'it.AUTOMATIC LEAK DETECTOR <br /> 12. ANNUAL INTEGRITY TEST(0.1 GPH) T 12.ANNUAL INTEGRITYTEST(0.1 GPH) <br /> MCTIOhOGRAVITY SYSTEM: SUCTIOWGRAVITY SYSTEM: <br /> 13. CONTINUOUS SUMP SENSOR-AUDIBLE AND VISUN.ALARMS 1'13. CONTINUOUS SUMP SENSOR-AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(CheckO Mat apply) EMERGENCY GENERATORS ONLY(Check ak that apply) <br /> 14 CONTINUOUS SUMP SENSOR TURNOUT AUTO PUMP SHUT OFF-AUDIBLE AND 1'14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF-AUDIBLE AND VISUAL <br /> VISUAL ALARMS ALARMS <br /> 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TESTI WITHOUT FLOWSHUTOFFOR 1'15. AUTOMATIC LINE LEAK DETECTOR(3,0 GPH TEST) <br /> RESTRICTION <br /> '16. ANNUAL INTEGRITY TEST(DI GPH) r 1S. ANNUAL INTEGRITY TEST(0.1 GPH) <br /> ' 17. DAILY VISUAL CHECK T'17. DAILY VISUAL CHECK <br /> VIII DISP�NSER CONAIN1.1ENT " <br /> ISPENSER CONTAINMENT T'1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 1'4. DAILYVISUAL CHECK <br /> DATE INSTALLED 466 r 2 CONTINUOUS DISPENSER PAN SENSOR-AUDIBLE AND VISUAL ALARMS 1'S. TRENCH LINER I MONITORING <br /> 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUTOFF FOR DISPENSER+AUDIBLE AND VISUAL ALARMS r S. NONE 469 <br /> - I r;•`a e. "FT^A„-IX.O'✓JNERIOPERA70R.SIGNATUR`ti <br /> I certify Nat the Wwr a9on pmvided herein Is true and acaeale to the best of my knowledge. <br /> iIGNATURE VN P R DATE 470 <br /> s 6 z <br /> 471 _,....... ._-- --- 472 <br /> xb <br /> A <br /> T <br /> rermit Number(Forlocal use orgy) 473 PermnAppruved(Faee�l use only) rr Permit Expiraiion 0a1a(Forlocal use only) 475 <br />