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I <br />PROGRAM CONSOLIDATED <br />TANK <br />]UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br />VI. PIPING CONSTRUCTION Check all Out Page of <br />UNDERGROUND PIPING ABOVEGROUND PIPING <br />SYSTEMTYPE ® 1. PRESSURE D 2. SUCTION D 3. GRAVITY 458 D 1. PRESSURE D 2. SUCTION D 3. GRAVITY 459 <br />CONSMUCTION ❑ I. SINGLE WALL D 3. LINED TRENCH D 99, OTHER 460 D 1. SINGLE WALL D 95. UNKNOWN 462 <br />MANUFACTURER ® 2. DOUBLE WALL D 95. UNKNOWN D 2. DOUBLE WALL D 99. OTHER <br />MANUFACTURER ENVIRON 461 MANUFACTURER 463 <br />D 1. BARE STEEL D 6. FRP COMPATIBLE W/100% METHANOL D 1. BARE STEEL D 6. FRP COMPATIBLE W/1o0% MEIEAN01, <br />D 2. STAINLESS STEEL D 7. GALVANIZED STEEL '0 <br />Unknown D 2. STAINLESS STEEL D 7. GALVANIZED STEEL <br />D 3. PLASTIC COMPATIBLE W/ CONTENTS D 99. Other D 3. PLASTIC COMPATIBLE W/ CONTENTS D S. FLEXIBLE (HDPE) [199. OTHER <br />D 4. FIBERGLASS ® 8. FLEXIBLE (HDPE) [14 FIBERGLASS D 9. CATHODIC PROTECTION <br />[15. STEEL W/COATING ❑ 9. CATHODIC PROTECTION 464 [15. STEEL W/COATING D 95. UNKNOWN 465 <br />SINGLE WALL PIPING 466 <br />PRESSURIZEDPIBING(Chakall that apply): <br />❑ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST W AUTO PUMP SHUT <br />OFF FOR LBAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION+ <br />AUDIBLE AND VISUAL ALARMS. <br />D 2. MONTHLY 0.2 GPH TEST <br />[13. ANNUAL INTEGRITY TEST (0.1 GPH) <br />CONVENTIONAL SUCTION SYSTEMS <br />D 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM+ TRIENNIAL PIPING <br />INTEGRITY TEST (0.1 GPH) <br />SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUNDPIPING): <br />[17. SELF MONITORING <br />GRAVITY FLOW <br />[19. BIENNIAL INTEGRITY TEST (0.1 GPH) <br />SECONDARILY CONTAINED PIPING <br />PRESSURIZED PIPING (Check all that apply): <br />10. CONTINUOUS TURBINE SUMP SENSOR IN AUDIBLE AND VISUAL <br />ALARMS AND (Chak..) <br />D a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br />®b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM <br />DISCONNECTION <br />Dc. NO AUTO PUMP SHUT OFF <br />❑ 11. AUTOMATICLINE LEAK DETECTOR (3.0 GPH TEST)FLOW SHUT <br />OFF OR RESTRICTION <br />D 12. ANNUAL INTEGRITY TEST (0.1 GPH) <br />SUCTION/GRAVITY SYSTEM <br />D 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS <br />EMERGENCY GENERATORS ONLY (Check all that apply) <br />D 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF " <br />AUDIBLE AND VISUAL ALARMS <br />❑ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW <br />SHUT OFF OR RESTRICTION <br />❑ 16. ANNUAL INTEGRITY TEST (0.1 GPH) <br />❑ 17. DAILY VISUAL CHECK <br />SINGLE WALL PIPING 467 <br />PRESSURIZED PIPING (Check ell that apply): <br />D 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WIT AUTO PUMP <br />SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEMDISCONNECTION 1 <br />AUDIBLE AND VISUAL ALARMS. <br />D 2. MONTHLY 0.2 GPH TEST <br />D 3. ANNUAL INTEGRITY TEST (O.1GPH) <br />D 4. DAILY VISUAL CHECK <br />CONVENTIONAL SUCTION SYSTEMS (Chak all that apply) <br />D S. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br />[16. TRIENNIAL INTEGRITY TEST (0.1 GPH) <br />SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): <br />D 7. SELF MONITORING <br />GRAVITY FLOW (Chak all that apply): <br />D S. DAILY VISUAL MONITORING <br />D 9. BIENNIAL INTEGRITY TEST (0.1 GPH) <br />SECONDARILY CONTAINED PIPING <br />PRESSURIZED PIPING (Chak a0 that apply): <br />10. CONTINUOUS TURBINE SUMP SENSOR W AUDIBLE AND VISUAL <br />ALARMS AND (Check one) <br />D e AUTO PUMP SMT] OFF WHEN A LEAK OCCURS <br />D b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM <br />DISCONNECTION <br />Or NO AUTO PUMP SHUT OFF <br />D 11. AUTOMATIC LEAK DETECTOR <br />[112. ANNUAL INTEGRITY TEST (0.1 GPH) <br />SUCTION/GRAVITY SYSTEM <br />[113. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS <br />nIERGENCY GENERATORS ONLY (Check all0ut apply) <br />[114, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF" <br />AUDIBLE AND VISUAL ALARMS <br />D 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) <br />[116. ANNUAL INTEGRITY TEST (0.1 GPH) <br />D 17. DAILY VISUAL CHECK <br />VIII. DISPENSER CONTAINMENT <br />DISPENSER CONTAINI MNT ® 1. FLOAT MECHANSMTHAT SHUTS OFF SHEAR VALVE D 4. DAILY VISUAL CHECK <br />DATE INSTALLED 468 D 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS D 5. TRENCH LINER / MONITORING <br />1997 [13. CONTINUOUS DISPENSER PAN SENSOR AUTO SHUT OFF FOR D 6. NONE 469 <br />DISPENSER+ AUDIBLE AND VISUAL ALARMS <br />IX. OWNERIOPERATOR SIGNATURE <br />...0. Vl VW,'IDNVCGN�, �n � � - I'0 2 <br />NAME OF OWNER/OPRATOR (print) TITLE OF O R/OPE TOR 472 <br />JOHN J. ZISK OPERATIONS MANAGER <br />UPCF (1/99 <br />Formerly SWRCB Form <br />