BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VL PIPING CONSTRUCTION aak aR 1hanee aaaaaaaaaa UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE KLPRESSURE ❑2.SUCTION ❑3.GRAVITY 453 ❑1.PRESSURE ❑2. SUCTION ❑3.GRAVITY 459 CONSTRUCr10N ❑1.SINGLE WALL ❑3.LINED TRENCH ❑99.OTHER 4w ❑L SINGLE WALL ❑95.UNKNOWN "2 NANUPAC URIA 42.DOUBLE WALL ❑95.UNKNOWN ❑2.DOUBLE WALL ❑99.OTHER MANUFACTURER "I MANUFACTURER 03 ❑1.BARE STEEL ❑6.FRP COMPATIBLE whl UMMNOL ❑I.BARE STEEL ❑6.FRP COMPATIBLE Wfl 9 METHANOL ❑2.STAINLESS STEEL ❑7.GALVANIZED STEEL ❑Unmown ❑2. STAINLESS STEEL ❑7.GALVANIZED STEEL [33.PLASTIC COMPATIBLE W/CONTENTS ❑99. OUler ❑3. PLASTIC COMPATIBLE W/CONTENTS ❑8.FLEXIBLE(mPE) ❑99. OTHER �.FIBERGLASS [12.FLEXIBLE(HDPE) ❑4. FIBERGLASS ❑9.CATHODIC PROTECTION ❑S.STEEL W/COATING [19.CATHODIC PROTECTION 441 ❑5. STEEL WICOATING ❑95.UNKNOWN Ods VII.PIPING LEAK DETECTION (sak wmn A arw tall M nbnbd w lke bol. UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 446 SINGLE WALL PIPING 467 PRESSURIZED PIPING(a •0"apply): PRESSURIZED PIPING(aak d1 m(apply): ❑I.ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST=AUTO PUMP SHUT ❑1. ELECTRONIC LME LEAK DETECTOR 3.0 GPH TEST FM AUTO PUMP OFF FOR LEAK SYSTEM FAILURE.AND SYSTEM DISCONNECTION+ SHUT OFF FOR LEAK.SYSTEM FAILURE,AND SYSTEM DISCONNECTION+ AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALA RMS. ❑2.MONTHLY 0.2 GPH TEST ❑2. MONTHLY 0.2 GPH TEST ❑3.ANNUAL INTEGRITY REST(0.IGPH) D 3.ANNUAL INTEGRITY TEST(0.IGPH) [14. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Qa w Ihn appy) ❑5.DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING 0 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTEGRITY TEST(0.1 GPH) SAFE SUCTION SYSTEMS MO VALUES M BELOW GROUNDPWING): ❑6. TRIENNIAL INTEGRITY TEST(0.I GPH) ❑7.SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): GRAVITY FLOW - 07. SELF MONITORING ❑9.BIENNIAL INTEGRITY TEST(0.1 GPH) GRAVITY FLOW(aaaa0 wt appy): ❑8. DAILY VISUAL MONITORING ❑9. BIENNIAL INTEGRITY TEST(0.I GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING(aak all Ws appy): PRESSURIZED PIPING(Cba all Ikn appy): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND(Dai aaa) ALARMS AND(nark we) 0 e. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑9 AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM ❑b AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE.AND SYSTEM DISCONNECTION DISCONNECTION I]c. NO AUTO PUMP SHUT OFF Oc NO AUTO PUMP SHUT OFF 11. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUT 11. AUTOMATIC LEAK DETECTOR OFF OR RESTRICTION ❑ 12. ANNUAL INTEGRITY TEST(0.1 GPH) Cl 12. ANNUAL INTEGRITY TEST(0.1 GPH, SUCTIONIGRAVTfY SYSTEM SUCTIONIGRAVITY SYSTEM - 013. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS 013. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY(a« au Ou appy) EMERGENCY GENERATORS ONLY(M« w hal apply) [114. CONTINUOUS SUMP SENSOR WrrHOUT AUTO PUMP SHUT OFF• ❑ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS ❑ 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW 015. AUTOMATIC LINE LEAK DLTECTOR(3 0 GPH TEST) SHUT OFF OR RESTRICTION ❑ I6.ANNUAL INTEGRITY TEST(0.1 GPH) ❑ 16.ANNUAL INTEGRITY TEST(0.1 GPH) 1:117, DAILY VISUAL CHECK ❑17. DAILY VISUAL CHECK VIIL DISPENSER CONTAE"MNT DISPENSER CONTAINMENT ❑ 1.FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ❑4.DAILY VISUAL CHECK DATE MSTALLED 448 ❑2.CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS ❑5.TRENCH LINER I MONITORING ❑3.CONTINUOUS DISPENSER PAN SENSOR WIjj7 AUTO SHUT OFF FOR .NONE 469 DISPENSER+AUDIBLE AND VISUAL ALARMS IX.O WNERIOPERATOR SIGNATURE I mriy shat Ja iFum.liea ptmid W hmiv a trve aad aµVnle w ben ofry 4nalydpe. SIGNATUR -FOWNERIOPERATOR DATE 470 i NAME OF ±OR(pC)I % 471 TITLE OF,jaWNE OPERATOR ayJ (414 ak 7Z P-.N.r (F-1.1une y) 473 nApprwNlFx buluw aly) •474 Pmn4 Eryinlion Daw lFar local uae avlyl'-.. 475 UPCF(12/99 revised) 12 1.4 Formerly SW RCB Form B