BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

NIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANKS - TANK PAGE 2 Page TANKS VI. PIPING CONSTRUCTION (Chad a9thotoppy) UWERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE 1. PRESSURE ❑ 2. SUCTION - ❑ 3. GRAVITY 458 ❑ I. PRESSURE ❑ 2. SUCTION ❑ 3. GRAVITY 459 ❑ 1. SINGLEWALL ❑ 3. UNEDTRENCH ❑99. OTHER 460 Q 1. SINGLE WALL - 095. UNKNOWN - 462 CONSTRUCTION/ MANUFACTURE 2. DOUBLE WALL 1195. UNKNOWN ❑ 2. DOUBLE WALL ❑ N. OTHER ANUFACTURER 461 MANUFACTURER 483 ❑ 1. BARE STEEL ❑ S. FRP COMPATIBLE Wl 1W% METHANOL ❑ 1. BARE STEEL ❑ 6. FRP COMPATIBLE W/ 100% METHANOL MATERIALS AND ❑ 2. STAINLESS STEEL ❑ 7. GALVANIZED STEEL ❑ 2. STAINLESS STEEL ❑ 7. GALVANIZED STEEL CORROSION PROTECTION ❑ ] PLASTIC COMPATIBLE WITH CONTENTS ❑ 95. UNKNOWN ❑ 3. PLASTIC COMPATIBLE WITH CONTENTS ❑ 8. FLEKIBLE (HOPE) ❑ 99. OTHER 1 . FIBERGLASS ❑ 8. FLFXISLE(HDPE) ON, OTHER ❑ 4. FIBERGLASS ❑ 9. CATMCOIC PROTECTION ❑ S. STEELWICOATING ❑ 9. CATHODIC PROTECTION 464 ❑ S. STEEL W! COATING 1195. UNKNOWN 465 LR. PIPING LEAK DETECTION (Chad a9 that appy).': - - UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLEWALLPIPING 467 PRESSURIZED PIPING (Chxk a9 Mat appy): PRESSURIZED PIPING (Check all Mat appy): ❑ 1. ELECTRONIC UNE LEAK DETECTOR 3.0 GPM TEST WITH AUTO PUMP SHUT OFF FOR ❑ 1. ELECTRONIC UNE LEAK DETECTOR 3.0 GPM TEST WITH AUTO PUMP SHUT OFF FOR LEAK LEAK SYSTEM FAILURE. AND SYSTEM DISCONNECTION - AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION - AUDIBLE AND VISUAL ALARMS ALARMS Q 2. MONTHLY 0.2 GPM TEST ❑ 2. MCNTHLY0.2GPH TEST ❑ 3 ANNUAL INTEGRITY TEST (0.1 GPM) ❑ 3. ANNUALINTEGMTY TEST(0.1 GPM) ❑ a. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Chxk all that appy): ❑ S. DAILY VISUAL MONITORING OF PUMPING SYSTEM• TRIENNIAL PIPING INTEGRITY ❑ 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST (0.1 GPM) ❑ 6. TRIENNIAL INTEGRITY TEST(O.IGPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ❑ 7. SELF MONITORING ❑ 7. SELF MONITORING GRAVITY FLOW. GRAVITY FLOW (Chxk all Mat appy): ❑ 9. BIENNIAL INTEGRITY TEST (0.1 GPM) ❑ 8. ONLY VISUAL MONITORING ❑ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Che* all that appy): PRESSURIZED PIPING (Check alt that appy): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (meat (ChxA one) one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑ a. AUTO PUMP SHUT OFF MEN A LEAK OCCURS h. AUTO PUMP SHIT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ❑ A. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ❑ c NO AUTO PUMP SHUT OFF ❑ c NO AUTO PUMP SHIT OFF 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TESTI WITH FLOW SHUT OFF OR RESTRICTION ❑ 11, AUTOMATIC LEAK DETECTOR ❑ 12. ANNUAL INTEGRITY TEST (0.1 GPH) ❑ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIOWGRAVITY SYSTEM: ❑ 13. CONTINUOUS SUMP SENSOR a AUDIBLE AND VISUAL ALARMS SUCTION/GRAVITY SYSTEM: ❑ 13. CONTINUOUS SUMP SENSOR • AUDIBLE AND VISUAL ALARMS .„..„.-.__......_. EMERGENCY GENERATORS ONLY (Cheer all that appy) EMERGENCY GENERATORS ONLY (Cheri all that appy) ❑ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF i AUDIBLE AND VISUALAIARMS ❑ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF• AUDIBLE AND VISUAL ❑ 15. AUTOMATIC UNE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR ALARMS RESTRKDECN ❑ 15. AUTOMATIC UNE LEAK DETECTOR (3.0 GPH TEST) ❑ 16. ANNUAL INTEGRITY TEST (0.1 GPH) ❑ 16. ANNUAL INTEGRITY TEST (0.1 GPH) ❑ 17. DAILYVISUALCHECK ❑ 17. DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT DISPENSER CONTAINMENT1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ❑ 4. DALYVISUALCHECK DATE INSTALLED 488 2. CONTINUOUS DISPENSER PAN SENSOR• AUDIBLE AND VISUAL ALARMS ❑ S. TRENCHUNERI " MONITORING ❑ 3. CONTINUOUS DISPENSER PAN SENSOR` NTH AUTO SHUT OFF FOR DISPENSER- AUDIBLE AND VISUAL ALARMS ❑ a. NONE 469 IX OWNERIOPERATOR SIGNATURE: I cannily Mal Ne Inforna8pn proritletl heroin is We and amoate M no haat of My )ux McU9e. SIGNATURE OF OWNERIOPERATOR DATE 470 00 NAMEOFOWNER/OPERATOR (pnM) 471 01fe TITLEOFON/NER/OPERATOR 4TZ D s Mb/t UPCF (1/99) 0 0 Formerly SWRCS Form 8