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FROM :WIGHT ENTERPRISES W00DBR:.f FAX NO. :12093396225 gin. 23 2003 03:05PM PS T UNIFIED PROGRAM CONSOLIDATED FORM IANKI TAPz3Eea PRM: PRB23LiE8 UNDERGROUND STORAGE TANKS-TANK PAGE 2 FACMI FA0003Ep7 ViPIPM corm auGTlpry UND RGR0INDPIPEaG bpeJa7 SYSTEM TYPE I.PRFS$UNE AIiDG-i.RVU; 7 PIPMf ❑2.SLICTION ❑3.GRAVITY xstl ❑ I.PRFSSUKE ❑ p•SVCTmN _I-` ❑ GRAVITY ASP <[MATx11RHN ❑I.SM(d.F.WALL ❑).LINED TRENCH F19 OTHER +60 ❑ I.RNOLEWALL r�yye.� ❑95.OTHER N Iyt.DOUNLS WALL ❑95.UNKNOWN +ex MANUFACTURER 1S1 ❑3.MHIRI.F,WALL ❑P9.OTHER MAMIFACTIRIER xy5 ❑ I.RARF$TFEL ❑6.FRP COMPATIBLE w Im MI;TWIL ❑ I.DARESTEEL ❑6.SRP COMFA I7SLE w.I00KMEIMAM)' ❑2.STAINLESS RTFF.I. ❑7.GALVANV.PHDS'rULL ❑2,STANIF STEEL ❑7.GA4NANIZED STEEL .❑,/�PIA$TKCCOMPATIHIY,W/CONTFNTS 095.UNKNOWN ❑PLASTIC.COMPATIBLE Wi C'OMFNTS m 6.F7BERGI.ASS ❑R.FLEXIBLE(IIDPF.) L]95.I..WKNOWN q 99.OTHER [14.FIBERGLASS ❑S.FLBXI0LE(1•DPF.) Q".OTHER ❑7.S'IVEL W/COATINU ❑9.CATHODIC PROTECTION +51 ❑5,STEEL WICOATIN11 ❑9.CATHODIC FROTECTION .. 1'R.PIPIN6I.16AKDETECMN CCMtlkax y,.WINOywr -- u3 IIiT OTIII[YYI;beCPWeINn MmMlydlblp 11K10f11 nC) IINDFRGROUN rinfG AROV'WRONp I'PING IY� G ALL PIPN'4 wI SINGLEWAIL PIPING PRRCgRNZ3;U PIPING(Cbeckdl IAaI apply): PRESSURIZED PIPING(CMmk Rfl IM,Fpp1YN z ❑ LEIACI KUNIC'LNFLEAK 0Ii1'E=R3.D GPM TEST WTTI,I AUTO PUMP SHIT Off p L ELECFRONICLMELEAKDSTECTOR 3.OGPH TIST WJ-Iy AUTO PILMP SINT OfF FOR Ii.AK SYSTEM PAILURE.AND SYSTEM DISCONNECTION+AUDIBLE AND FOR LEAK•SVWPK FMLURF,AFD SYSTEM WSCONNk(TION r AUVISLE AND VISUAL ALARMS. U 2.MDNITILY 0.2 GPM TEST VISVALALARMS. 03.ANNIIAI.NIWRITYTFST(0.1OPH) ❑2.MONTHLY 02CPI ITF.$T ❑3.ANN UAI.INTEGRITY TEST(0.1OPIO .p ❑A.DAILY VISUAI.CI$CK CONVENTIONAL NI IC nor%SYSTEMS CONVt',NTIONAL RUCTION SYSIEMS(Cp Apply) ❑S.DATl.V VISUAL MONITOIUNU OF PUMPINO SYSTEM F I RIEN'NUAL PIPING S.DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTH3R1'I'Y I CST(0.I GPH) 1-I SAFE SUCTION RYSTEMS(NO VAI.uec IN BELOW GROUNurtlnNGp IJ6.TPUENNLU.ISI EOIU'I Y'TFST fO.I GYM) ❑7.SF1F MONITURMG SAFE SUC-I'ION SYSTEM$(NO VALUES IN RFL4 W(MOUxDPIPIN6)r GRAVI'T'Y t10W ❑7.SELF MON,RM NG ❑4.RTFNN(AL INTEGRFTYTFST(0.D GI.11 CRAVTFY FLOW(C.Srck PM flet lWy): ❑S.DAILY VISUAL MONITORING ❑9.13 N- IAL M'IEGMYTEST(D.q CPH SF.CONUA W LY CONTAINFO PIPING SECONDARILY CONTAINED PIPING PRFSCUN/•GED PIPING([Neck ax INT^PPIA; PRESSURIZED PIPING(4 0ck IS IhNI aPIPYN 10.Cf3NTMlIO11S T1)RNINF SUMP SENSOR WT .Tlj AUDINIS ANU VISUAL IO.CONTNUOt A TVMIHE SUMP SkNSTv W9LI IVOIIILt AND VISUAL ALARM,�SAAND(T ISR) ALARMSAND(Cb RIV LN 1�AV 10 PUMP til Ni OFF W 14EN A LEAK(KlURS ❑A.AUTO PUMP sl t n'UFs WHEN A 1.1 AK OCCURS ❑b.AUTO PUMP SHU T OFF FOR LEAK.q SYSTEM FAII URF AND SYSIYM ❑b.AUTO PUMP SHUT OFF FOR LEAK,SYSTEM FAILURE AND SYSTRM DI.SC(FNNEClION DISCONNECTION ❑a. NO AUTO PUMP SHUT OFF ❑x.NO AUTO PUMP SHUT OFF ❑ 11. G*IATC LINE LEAK DETECTOR,(3.0 GPM TES'T)WITH FLOW SINTOFFOR RF$TW ❑ 11 AUTOMAII[6F,AK VBIECTOA ❑ 12.ANNUAL INTEGRITY TEST IV)GPM) ❑ 13.ANNUAL INTEGRITY TFST SUCTION/GRA VI'TY SYSIT.M SUCTIONrxRAVITV SYSTEM ❑ 13.CONTINUOUNSUMPSENSOR I AUDIBLE AND VISUAL ALARMS p 13.CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS F.MPRGRNCY GEN KRATORS ONLY(a.a.nW 'wy) SMFRCP.NCV CINIOiATORF ONLY(Li Ra a RP wJr) ❑ 14.(XINTNUOV$SUMP SENSOR WILT AUTO PUMP SHUT OFF` ❑ 14.C. NUOUS SUMP SENSORWI_TMWIA1'TO PUMPSHU'f OFF• AUDIBLE AND VISUAL AT ARMS AUDIBLE AND VISI JAI.AT ARMS n15.AUTOMATIC LINE IFAK DF.TTMA D U CMI TEST)WITHOUT FLAW ❑ 15.ALTOMATC'LINE LEAK DBTKI-UK 0.0 G'll TESD WI I'HWT FLOW SHUT OFF OR RFSTW."ION $HU7OFF OR RESTRICTION ❑ 16.ANSI/AI.INTEGWTYTEST(O.IC,P14) ❑ 16.AWVAI.IN')klUW'I'Y7'EST(0.IGPM ❑ 17.1)A1I.VVIRUALCHECK ❑ 17.DAILY VISUAL CHECK Vill.DISPF.NSP.N T:OIPFpIryMEry7 '- IF $EALJ.ED NMENT ?)A �1 LFLOAT MFCNANI.4M THAT SHITS OFF SIMAIVALVF. M51'KNUM COED (7 A.DAILY VISUAL CHECK � L.� Wtl ❑I MNTINUUVS DISPENSER PAN SFNSOR+AUDIBLE AND VISUAL ALARMS El 3.TRENCIII.NFR/MOfIITORNG YF(a(O3 ❑).CONTINUOUS DISPENSER PAN SENSOR Aa AUTO SHUT OFF FOR 0.NONE { WSPENSFR I AUDIRLF AND VISUAL Al ARMS IX.OWNER% P R;LTO R NA7`URE Lori :ti:xP:An::..;:..Pa6u SotlMk AxexMxnnllebllebvl a:m kxWogF SIONnTURF.OF'Vw PP.neg - DATE `r�vA3 ---- nn fiaa NAME OF OWNuv( ERATQR AAt40A c �( TITLE OF OW NF.N/(::•F RILMT 4'Av,� att +N PPTP' Mon N:FF1xe1M IpIFIWbxr) 471p/Pnnil AFperFC lFvb[d Beni Y) Ylm:f RyilFm UlblFi.l.Aal lye 001•i a1y. P 'O003729 L'E0003804 12/31/2002 UPCF(12/99 H:vlsca)