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X6/07/2004 08:53 2094683 q,:I FIFTH FLOOR Finn PQ PAGE 07 1 rn 111111111111TENDERGROLWD TANKq TANKS TANIK PAGE 2 SYSTEM TYPE UNDERGROUND IP ❑1.PRESS 4; Pa CONSTRUCTION/ of -sucnoN MANUFACTURER 1 SINGLE WILL 3.LNED'I*ACNCH ❑t.PRESSURE 0 3-GRAVITY 458� ABOVEGROUND PIPING ... ... El 2.DOUBLE WALL 5.UNKNOWN a 99.OTHER 460. 0 1.1Sit- OLE 0 2-SUCTION Ell' GRAVITY ❑I'BAU STEEL MANUFACTU -R L032. ) 1, 1 A L"'A'. 0% 459. .UNKNOWN 462, E3 6.FRP COMPATIBLE wliog%TS MET 461. MANUFACTURER L1 99.OTHER HANOL I.BARE STEEL ❑ 463. ❑2.STAINLESS STEEL 0 7-GALVANIZEDOSTEEL El 6 FRP COMPATIBLE W/j coy.METIIAXOL 3'PLASTIC COMPATIBLE WITH CNTENC'2-STAINLESS STEEL 04.FIBERGLASS ❑ 95'UNXNOWN 03.PLASTIC 0 7-GALVANIZED 0 5.STEEL W/Co C'll'PLEXIBLE(RDPE) fgg-OTHER COMPATIBLE W/ STEEL ATING 0 9 CATHODIC IROTECTION Q 4.FIBERGLASS CONTE" 0 g'aS'OBLE(HDPE) 99 OTHER !,.v o 5.STEEL WICOATING 0 9 CATHODIC PRO TECrlOTr UNDERUNKNOWN WALL W PRESSURIZEDium 466. SINGLE W PIPING 463. ELECTRONICkQROUND PIPING SHUT-OFFLEAK SY (Check all that apply): 467, +AUDIBLE AND VISUAL ]LURE'AND SyS>EM 0 2- MONTHLY 'FH7EST WITH AUTO PUMP, Q 3. ANNUAL +AUDIBLUREAND SYSTEM DISCONNECTION TEST D.I 0 2. MONTHLY 0.2 PH TEST CONVENTIONAL SUCTION SYSTEMS 113, ANNUAL INTEGRITY TEST(o.I rpHt 04. DAILY VISUAL CHECK 05. DAILY VISUAL MONITORING CONVENTIONAL INTEGRITY TEST(D-I QPH) OF PUMPING SYSTEM+TRIENNIAL PIPING StrCT'ON SYSTEMS SAFE SUCTION (Cb=kaIIthtpIv) D 7. SYSTEMS(NO VALVES IN BELOW GROUND PIPING): 05. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYS" SELF MONITORING 06, TRIENNr,,NTEGR(TY,TEST(GI GF11) GRAVITY FLOW SAFE SUCTION SYSTEMS 09. (NO VALVES IN BELOW GROUND rIP). G): BIENNML'NTEGRr7'y'rEST(0,1 GPIJ) E3 7. SELF MONITORING N GRA VITV FLOW(Check all that apply): US. DAILY VISUAL MONITORING SECONDARILY CONTAINED MIRING 0 1- BIENNIAL INTEGRITY TEST(o.I Opli) PRESSURIZED PIPING(Cheek all that,pply). SECOND 70. ARILY CONTAINED PIPING CONTINUOUS TURBINE PRESSURIZED PfFZNG(Chmk all that apply); ALARMS AND(ChCek aft)SUMP SENSOR MMI AUDIBLE AND VISUAL to. CONTINUOUS TURBINE L3". ALTO PUMP SMT OFF WHEN A LEAK OCCURS ALARMS AND(Cheat,one) SUMP SENSOR &1W AUDIBLE AND VISUAL C1 b. AUTO PUMP SHUTOFF FOR LEAKS,SYSTEM FA&URE AND S S r DISCONNECTION FM 130• AUTO PU.)4p SHUT OFF WHEN A LEAK OCCURS Qc- NOAUTOPUMpSWTorp 0 b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM 0 DISCONNECTION It- AUTOMATICLINE LEAK DETECTOR(3.0 OPUTEST).W14 FLOW SHUT Elc- NO AUTO PUMP SHUT OFF 0"Olt RESTRICTION 012- ANNUAL INTEGRITY TEST(0.1 Gpj) 0 1].AUTOMATIC LEAK DETECTOR StUCTIONIURAVITY SYSTEM 012 ANNUAL INTEGRITY TEST(0.1 OPut) 0 13- CONTINUOUS SUMP SENSOR:AUDIBLE AND VISUALALARMS 'VCTTONICRAVITYSYSr EM EMERGENCY GENERATORS ONLY(Cheek all that apply) []13. CONTINUOUS SUMP SENSOR AAUDIBLE AND VISUAL ALARMS 014, ACONTINUOUS SUMP SENSOR 312UIQT�T AM PUMP SHUT OFF EMERGENCYGENERATORS ONLY(Check all that apply) UDIBLE AND VISUAL ALARMS 0 15, AUTOMATIC LINE LEAK D E3 14-ACONTINUOUS SUMP SENSOR-WITHOUT AUTO SHUT OFF OR REsTIUCTjON DETECTOR (J'o CPR TEST) XU= FLOW UDIBLE AND VISUAL ALARMS PU-MPSHUTOFF 016. ANNUAL INTEGRITY TEST(0)GFID0 15, AUTOMATIC LEVE LEAK DETECTOR(3.0 OPH TESTI O 7- DA/LY VISUAL CHECK 016. ANNUAL INTEGRITY TEST(0.1 OPH) 0 17. DAILY VISUAL DISPrN IF CONTAI 0 17 DAILY VISU L CHECK NMUNT 468 Q yk-U'J)i§it88ERC0NTAINP4ENT , 7 DATE INSTALLW THAT --------- amUl S OFF SHEAR VALVE E3 2. CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE 114 DAI'LY CONTINUOUS DISPENSER AND VISUAL ALARMS VISUALCHBCK 40, ISPANSERtAl-IDIRLE AND VISUAL 'QR L15. TRENCI-bia-ZERMONITORM D PAN SFN% IM AUTO 0 SHUT OF$ FOR C3 o. NONE c�ify, that the'nforrMti"PMjded her SIGNATURE WNEIVOPERATOR M11131TU accurate to the best ofrny lmowledgc. NAME OF OWN OpE OATF I 470, R TITIjoy PL'�tbiumb�(,X,,,, use only) WNEWOPERATOFI F*miit Appmvcd By BY( enc A,11 471 tete071y) 474, Pemn "Cr hwf%vm-b(1/99)-$14tEae.my) �75. httP://www.un;doea.rg Rev.02/16/00