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UNHUD PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> VL PIPING CONSTRUCTION 4s«t.R" p•s•_9r_ <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE L PRESSURE D 2.SUCTION ❑3.GRAVITY 4" 1 D 1.PRESSURE D 2. SUCTION D 3.GRAvrrY 459 <br /> CONMucMN I.SINGLE WALL D 3.LINED TRENCH D 99.077 ER 4441 D 1.SINGLE WALL D 95.UNKNOWN 462 <br /> MANUFACTURE!.)41.DOUBLE WALL D 95.UNKNOWN D 2.DOUBLE WALL D 99.OTHER <br /> MANUFAC INTER 441 I MANUFACTURER 44$3 <br /> D I.BARE STEEL D 6.FRP COMPATIBLE w/14141x WETHANOL D 1.BARE STEEL D 6.FRP COMPATIBLE W/1414154 METIANOL <br /> [12.STAINLESS STEEL [17.GALVANZID STEEL D Unl o D 2. STAINLESS STEEL D 7.GALVANIZED STEEL <br /> D 3.PLASTIC COMPATIBLE W/CONTENTS ❑99. Odw [33. PLASTIC COMPATIBLE W/CONTENTS D S.FLE)aBIE(HDPE) D 99. OTHER <br /> FIBERGLASS ❑S.FLEXIBLE(HDPE) D/. FIBERGLASS D 9.CATHODIC PROTECTION <br /> 5. <br /> STEEL W/COATING D 9.CATHODIC PROTECTION 44$4 [15. STEEL W/COATING D 95.UNKNOWN 465 <br /> VII.PIPING LEAK DEEECTTON4 at1sr n erme-.: mall W reruee m me b..l. <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALL PING 464 SINGLE WALL PIPING 467 <br /> PRESSURIZED PIPING(CbpY.O 641 appy): PRESSURIZED PIPING(Cbk.0 Wt apply): <br /> D I.ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST Mi AUTO PUMP SHUT D 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP <br /> OFF FOR LEAK SYSTEM FAILURE.AND SYSTEM DISCONNECTION+ SHUT OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION+ <br /> AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALA RMS. <br /> D 2.MONTHLY 0.2 GPH TEST [12. MONTHLY 01 GPH TEST <br /> D 3.ANNUAL INTEGRITY TEST(0.1 GPH) D 3.ANNUAL INTEGRITY TEST(0.IGPH) <br /> 04. DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(aak A <br /> D 5.DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING <br /> INTEGRITY TEST(0.1 GPM 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUNDPIPING): D 6. TRIENNIAL INTEGRITY TEST(0.1 GPH) <br /> D 7.SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> GRAVITY FLAW D 7. SELF MONITORING <br /> D 9.BIENNIAL INTEGRITY TEST(0.1 GPH) GRAVITY FLOW(o.h sit ma appy): <br /> D B. DAILY VISUAL MONITORING <br /> [19. BIENNIAL INTEGRITY TEST(0.1 GPH) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Chsk.11".ppy): PRESSURIZED PIPING(ask w mn apply): <br /> 10. CONTINUOUS TURBINE SUMP SENSOR W M AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL <br /> ALARMS AND(aai me) ALARMS AND(Cha#m.) <br /> D.. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS D a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> �}b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM Cl b AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE.AND SYSTEM <br /> DISCONNECTION DISCONNECTION <br /> D<. NOAUTOPUMPSHUTOFF Oc NO AUTO PUMP SHUT OFF <br /> 11. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUT <br /> OFF OR RESTRICTION ❑11. AUTOMATIC PEAK DETECTOR <br /> D 12. ANNUAL INTEGRITY TEST(0.1 GPH) D 12. ANNUAL INTEGRITY TEST(0.1 GPH) <br /> SUCTION/GRAVITY SYSTEM SUC ION/GRAVrTY SYSTEM <br /> D 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS D 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(aeek.0 m,apply) EMERGENCY GENERATORS ONLY(aaa.0 UVI apply) <br /> D 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF• [114. CONTINUOUS SUI14P SENSOR WITHOUT AUTO PUMP SHUT OFF <br /> AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> D 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW <br /> SHUT OFF OR RESTRICTION D 15. AUTOMATIC LINE LEAK DETECTOR J 0 GPI I TEST) <br /> D 16.ANNUAL INTEGRITY TEST(0.1 GPH) D 16.ANNUAL INTEGRITY TEST(0.1 GPH) <br /> 017 DAILY VISUAL CHECK D 17. DAILY VISUAL CHECK <br /> VIII.DISPENSER CONTAINNIENT <br /> DISPENSER CONTAINMENT D I.FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 04.DAILY VISUAL CHECK <br /> DATE INSTALLED 44$11 [12.CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS D 5.TRENCH LINER/MONITORING <br /> 1/""4 Y'ND t � D 3 DIISSPE�NSER(+AUDIBLE AND VISS DISPENSER PAN UALOALA MUS AUTO SHUT OFF FOR <br /> NONE 44$9 <br /> IX.OWNER/OPERATOR SIGNATURE <br /> I anly.Wt me'nrwwu.n prvrNeJ heel.u.rv..ad.wn.ata bea9Fry te9.rkd11e. <br /> SIGNATUR F OWNER/OPERATOR I DATE j/ G3/ 470 <br /> NAMEOFF OR(pr 410 47, TITLE OFIIWNEPIOPERATOR 4II <br /> Pemn NumbnlFa l9r yl 473 nA"-. (Fw 4411..9.10 474 Pmn.E,-,-Dn.(1-b fur only) <br /> 473 <br /> UPCF(17199 revised) 12 Formerly SWRCB Form B <br />