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UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VL PIPING CONSTRUCTION ID.t m tba UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE &L PRESSURE 0 2.SUCTION 0 3.GRAVITY 459 ❑I.PRESSURE 0 2. SUCTION 0 3.GRAVITY 459 _ CDNSrnUCnON 0 1.SINGLE WALL ❑3.LINED TRENCH ❑99.OTI4ER 460 ❑1.SINGLE WALL. ❑95.UNKNOWN 443 MAMIFACMtFR)42.DOUBLE WALL 0 95.UNKNOWN ❑2.DOUBLE WALL 0 99.OTHER MANUFACTURER 441 MANUFACTURER -443 0 1.BARE STEEL 0 6.FRP COMPATIBLE .11 O METHANOL 0 L BARE STEEL 0 6.FRP COMPATIBLE wnm mrrRANOL 0 2.STAINLESS STEEL 0 7.GALVANIZED STEEL 0 Udm " 0 2. STAINLESS STEEL 0 7.GALVANI=STEEL 03.PLASTIC COMPATIBLE W/CONTENTS 099. Odw 03. PLASTIC COMPATIBLE W/CONTENTS 01.FLE70BLE(HOPE) 099. OTHER FIBERGLASS 0 1.FLEXIBLE(HDPE) 0 4. FIBERGLASS 0 9.CATHODIC PROTECTION 5.STEEL W/COATTNG 0 9.CATHODIC PROTECTION 444 0 5. STEEL W/0OATING 0 95.UNKNOWN 44s VII.PIPING LEAK DETECTION Cbak.O na tNoa 9rtla +.0 ba ebmo.emm.lad. UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 444 SINGLE WALL PIPING 447 PRESSUR17FM PIPING(Oa.A.O 6 w1y): PRESSURIZED PIPING(O.*.11".,ply); [11.ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST=AUTO PUMP SIRIr 0 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GFH TEST 3MLM 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 ALARMS. O 2.MONTHLY 0.2 GPH TEST - 0 2. MONTHLY 0.2 GPH TEST U 3.ANNUAL INTEGRITY TEST(0.1GPH) 0 3.ANNUAL INTEGRITY TEST(0.IGPH) 04. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Ck L.64w4 apply) 0 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 IN BELOW GROUNDPIPING): 0 6. TRIENNIAL INTEGRITY TEST(0.1 GPH) 0 7.SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): GRAVITY FLOW 07. SELF MONITORING [19.BIENNIAL INTEGRITY TEST(0.1 GPH) GRAVITY FLOW(O an Wn py): ❑1. DAILY VISUAL MONITORING ❑9. BIENNIAL INTEGRITY TEST(0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING(Cb Atb...ppy): PRESSURIZED PIPING(C . 41 A.t.ppy): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND(Oak awl ALARMS AND(Cba w.) 0.. AUTO PUMP SHUT OFF WREN A LEAK OCCURS O. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS _ pj b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM 0 b AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE.AND SYSTEM DISCONNECTION DISCONNECTION Oc. NO AUTO PUMP SHUT OFF Oe NO AUTO PUMP SHUT OFF 11, AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)MM FLOW SHUT 0 11. AUTOMATIC LEAK DETECTOR OFF OR RESTRICTION 0 12. ANNUAL INTEGRITY TEST(0.1 GPH) 0 12. ANNUAL INTEGRITY TEST(0.1 GPH) SUCTION/GRAVTrY SYSTEM SUCTION/GRAVIrY SYSTEM 013. CONTINUOUS SUMP SENSOR+AUDIBLEAND VISUAL ALARMS 013. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY(Dak.O J...pply) EMERGENCY GENERATORS ONLY(D. A l ,.pply) 014, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF• 0 14. CONTINUOUS SUMP SENSOR WITHOIrf AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS 0 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WTTHOIR FLOW [115. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) SHUT OFF OR RESTRICTION O 16.ANNUAL INTEGRITY TEST(0.1 GPH) 0 16.ANNUAL INTEGRITY TEST(0.1 GPH) 017, DAILY VISUAL CHECK 017. DAILY VISUAL CHECK VDI.DISPENSER CONTAINMENT DISPENSER CONTAINMENT 01.FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE O 4.DAILY VISUAL CHECK DATE INSTALLED 449 [12.CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS 0 5.TRENCH LINER/MONITORING �//��5I j [13.CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR .NONE 469 DISPENSER+AUDIBLE AND VISUAL ALARMS DL OWNERIOPERATOR SIGNATURE I.aurr nn na:r.a pm.+4a4 bam a..a...a aamm.m bm orwy t.awte9.. SIGNANIt FOWNER/OPERATORDATE ) 170 NAMEOF / P OR(I.nnl) 471 1 TITLE OFpWNE OPERATOR 473 7 Pmnn Num4erlFa luw YI 473 A,p (F.b 1...1,) 474 Peine Emnlwa Dae(Farkuluw ealY) 475 UPCF(17/99 revised) 12 1-.4 Formerly SWRCB Form B