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.2/29/2006 16:06 20946B?"q3 EHD PAGE 05 UNIFIED PROGRAM ONSOLIDATED FORM �./ TANK! PR f: FAC f: UNDERGROUND STORA GE TANKS- TANK PAGE 2 VL PANG CONSTRUCTION(c,4 m bK pph9 nn 3 on UNDERGRO OPIPING ABOVEGROUND PIPING SYSTEM TYPE ❑ I. SURE 2.SUCTION ❑ 3.GRAVITY 45a ❑ 1,PRESSURE ❑ 2.SUCTION ❑3.GRAVITY v59 cax>TRI.[HBN EF,SINGLE WALL 03.LMCD TRENCH ❑99.OTHER .M ❑ I.SINGLE WALL ❑95,UNKNOWN .af ❑2.DOUBLE WALL 095.UNKNOWN ❑2.DOUBLE WAIL ❑9p.O'1')IEK MANViACTUREK 96I MANUFACTURER 461 BARE STEEL ❑ 6.FRPCOMPATIBLE./109%)AMIANOL 01,BARS STEEL ❑S.FRP COMPATISLE w I V%METHANOL 2 STAINLESS STEEL ❑ T GALVANCLEDSTEEL ❑ 2.STAINLESS 37M ❑ 7.GALVANIZED STEEL. PLASTICCOMPATIBLEW/CONTENTS ❑95.UNKNOWN ❑ PLASTIC COMPATIBLEW/CONTENTS ❑ 95.UNKNOWN E n.FIBERGLASS ❑ R.FLEXIBLE(HOPS.) ❑99.OTHER ❑ 1.FIBERGLASS ❑L FL9MDLC(HDPE) ❑W.OTHER 5 STEEL WICOATNG ❑ 9.CATHODIC PROTECTION w ❑ S.STEEL WICOATING ❑ 9.CATHODIC PROTECTION 45 VIL PIPING LEAK DETECTION a,%01 Wan il 1--1 ✓N.---M Nu.m 11-01,memnd.0.N,W.M") UNDERGROUND POG ABOVEG0. I SINGLE WALL PIPING pf SINGLE WALL PIPING .67 PRLSSURIZED PIPINC(Ch«k pl Ihu.pplyl, PRESSUAMEDII►ING(Chah.R.ha.ppy), ❑ L ELECTROMC LMS LEAK DETECTOR 3.0 OPH TEST WITH AUTO PUMP SHUT OPP0I.ELECTRONICLMELEAKDETECTOR3.0GPHTFSTWITIIAVTOPUI.(PSIIUTOFF FOR LEAK,SYSTEM PAILURE,AND SYSTEM DISCONNECTION-AUDIBLE AND FOR LEAK SYSTEM FAILURE,AND SYSTEM DISCONNECTION•AVDIRLE AND VISUAL ALARMS. VISUAL ALARMS, ❑ 2 MONHILY 0.2 GPI(TEST ❑1 MONTHLY D1 GPH MST ❑3.ANNUAL INTEGRITY TEST(0.1 GPM) ❑3 ANNUAL NT6OMY TEST(0.1 GPH) ❑6.DAILY VISUAL CHECK CONVENTIONAL SUCTION SYS'TLMS ICh9h dl O.I.pply) CONVENMONAL SUCTION 6YSTPINS ❑ 5 DAILY VISUAL MONRORNG OE IMIMPINO SYSTEM♦TRIFNNIEAL PIPING ❑ 5.DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTEGRITY TEST(0.1 GPM) ❑E.TRIENNIAL INTEGRITY 72ST(0.1 Opt)) SATE IONSYSTEMS(NO VALUES IN BELOW GROUNDPIPING); SAFE SUCTIONSYSTEMS(NO VALUES IN BLLOW CROUNOPTPINCI+ I 7 SELFMONITORMG ❑].SELF MONITORING GLAY'M FLOW GRAVITY FLOW(CRak JI t111N ApR10 ❑9,Q NNlnf.INTEGRITY TEST(0.1)GPIt ❑S.DAILY VISUAL MONITORING ❑9 BIENNIAL INTEGRITY TEST(01)GPH SECONDARILY CONTAINED RPING SECONDARTLV CONTAINED RPING PRESSURIZED PIPING(Chs.k ill Ibm apply): PRESSURIZED PIPING(Chak MI IRM ppply): 10.CONTNUOUS TURBINE SUMP SENSOR WITRAUWBLG AND VISUAL ID CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND ICWk wnl ALARMS AND fdeA mO ALTO PUMP S11UT OFF WNeN A LEAK OCCURS [I I.AUTO PUMP SIRFf OFF WHEN A LEAK OCHRY s AUTO FVMP SHUT DFF FOR LEAKS.SYSTEM PAILURP AND SYSTEM ❑V AUTO PUMPSHVT OPE FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION D15[ONNECII N 7 .. ?"AUTO, .'skuroIF C]c. NO AUTO PUMP SHUT OFF II AVTOMATICL EIEAK DETECTOR 6.0 GPM TEST FLOW SHUT OFF OR ❑ II AUTOMATIC LEAK DETECTOR RESTMIC 0 ❑ 1±ANNUn IN 0.)GPH) ❑ 12.ANNUAL INTEGRITY TEST(0.1 GPH) SECTIOWG S SGCTIONIGMVITY SYSTEM ❑ U CON VOLA$ PSP.NSOR•AUDIRLP AND VISUAL ALAA6LS ❑ 1.1 CON]TNVOUS SUMP SENSOR.AUDIBLE AND VISUAL ALAAMSS EM RGENCY GENERATORS ONLY(Onk lldm OIL) EMFDGENCY GENERATORS ONLY ICb.r.o a,.MFM) ❑ 14CONTNUOVS UMP SENSOR WITHOUT AUTO PUMP SHUT OFF• ❑ 14.CO BVf$VMP SENSOR�SlO1LT AUTO PUMP SHUT OFF• AUDIBLE AND VISUAL ALARMS 15 AUTOMATIC LINE LEAK DETECTOR 0,0 GPM TESTI WITt10UT FLOW ❑ 1 J.AUTOMAT OFF TIC LIN ELSAX G ON T ECT OR(3 0 OPH'TIE5T)WITHOUT PLOW ❑ 51 HLT OFF OR RESTAICTION 16 ANNUAL INTEGFUTY TEST(D I OPH) ❑ 16.ANNUAL INTEGRITY TEST(0 1 OPII) J 13 DALY VISUAL CHECK ❑ 17.DAILY VISUAL CHECK VN.DISPENSE CONTAMMENT DISPENSER CONTAINMENT ❑ I,FLOAT MECHANISM THAT SHUTS OPP SHEA VALVE ❑6.DAILY VISUAL CHECK DATE LNSTALLEO .bI ❑2.[ON)7NUOU5 D)SPENSER,PAN SENSORx•A IBLE AND VISUAL ALJUIMS ❑S.TRENCH LMERIMONITORING C) .CONTMUOUSDISPENSERPAN SENSOR ' AUTOSHUTOFFPOR ❑&NONE Nf DISPENSER'AUDIBLE AND VISUAL ALARMS L`L OW14ERIOPE TOR SIGNATURE Icenih-Ru 4•nlwna�.p'a'iNeY binYw.,Y.c<«.eV Me.<cc of _ .fn SIG.' OF OWNENOPEM'F DATE a- E O R OPERATO ) 71 L Ow. 'EM70R of " + r.roi ww.oa a«ka.vv:.nh) .''^ ro.ikApp«dIPol.nlxw y) ft NMYI F4iNticn D.K(Fw 1pJ aw wy) ns a CPCF(12/99 rcviscd)