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UMpLU PROGRAM CONSOLIDATED FOR TANK <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> VI. PIPING CONSTRUCTION(Checkali.thatapply) Page _5 of 5 <br /> SYSTEM TYPE ®1 UNDERGROUND PIPING ABOVEGROUND PIPING <br /> .PRESSURE ❑2.SUCTION ❑3.GRAVITY 456 ❑1.PRESSURE ❑2. SUCTION ❑3.GRAVITY 459 <br /> ❑95.UNKNOWN 462 <br /> CONSTRUCTION 1 ❑1.SINGLE WALL ❑3.LINED TRENCH ❑99.OTHER 460 ❑1.SINGLE WALL <br /> MANUFACTURER ®2.DOUBLE WALL ❑95.UNKNOWN ❑2.DOUBLE WALL ❑99.OTHER 463 <br /> MANUFACTURER 461 MANUFACTURER <br /> ❑1.BARE STEEL Z 6.FRP COMPATIBLE WIN'% METHANOL [11.BARE STEEL [16.FRP COMPATIBLE W1100%METHANOL <br /> ❑2.STAINLESS STEEL [17.GALVANIZED STEEL ❑UKNOWN [12. STAINLESS STEEL ❑7.GALVANIZED STEEL <br /> ❑3.PLASTIC COMPATIBLE WI CONTENTS [199. OTHER [13. PLASTIC COMPATIBLE WI CONTENTS [18 FLEXIBLE(HDPE) ❑99. OTHER <br /> ❑4.FIBERGLASS [18.FLEXIBLE(HDPE) [14. FIBERGLASS ❑9.CATHODIC PROTECTION <br /> 464 ❑5. STEEL WICOATING [195,UNKNOWN 465 <br /> [15.STEEL WICOA7ING ❑9.CATHODIC PROTECTION _ <br /> VIL.PIPING LEAK,D=ND <br /> alf iFat:e pl Ades on tion of the monitarin programsh A80VEGROUNDe submitted to elocal P7PINGagency.) <br /> UNDERGROUND 7SINGLE WALL PIPIase SINGLE WALL PIPINPRESSURIZED PIPING(Check an mat apply): PRESSURIZED PIPING(Check all that apply):❑1. ELECTRONIC LINE LEAK DETECTOR3.0 GPH SHUT OFF FOR ❑1. ELECTRONIC UNE LEAK DETECTOR 3.0 GPH TELEAK,SYSTEM FAILURE,AND SYSTEM DISCOAND VISUAL LEAARM9 STEM FAILURE,AND SYSTEM DISCON <br /> ALARMS. <br /> ❑2, MONTHLY 0.2 GPH TEST <br /> ❑2. MONTHLY 0.2 GPH TEBT❑3. ANNUAL INTEGRITY TEST(0.1GPH) ❑3. ANNUAL INTEGRITY TEST(0.1GPH) <br /> El 4, DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Check all mat apply) <br /> 05. DAILY VISUAL MONITORING OF PUMPING SYSTEM-TRIENNIAL PIPING INTEGRITY 05. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> TEST(0.1 GPH) <br /> SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUNDPIPING): [36. TRIENNIAL INTEGRITY TEST(0.1 GPH) <br /> E17. SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> GRAVITY FLOW ❑7. SELF MONITORING <br /> ❑9. BIENNIAL INTEGRITY TEST(0.1 GPH) GRAVITY FLOW(Check all that apply): <br /> ❑8. DAILY VISUAL MONITORING <br /> ❑9. BIENNIAL INTEGRITY TEST(0.1 GPH) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Check all that apply): <br /> PRESSURIZED PIPING(Check all that apply): <br /> 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10. (heaklne)USTURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND <br /> (Check one) <br /> ®a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> ❑b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM ❑b AUTO DISCONNECTION <br /> PSHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION <br /> Oc. NO AUTO PUMP SHUT OFF Dc NO AUTO PUMP SHUT OFF <br /> ®11. AUTOMATIC UNE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUTOFF OR [111. AUTOMATIC LEAK DETECTOR <br /> RESTRICTION <br /> ❑12. ANNUAL INTEGRITY TEST(0.1 GPH) ❑U. ANNUAL INTEGRITY TEST(0.1 GPH) <br /> SUCTIOWGRAVITY SYSTEM SUCTIONIGRAVITY SYSTEM <br /> ❑13. CONTINUOUS SUMP SENSOR•AUDIBLE AND VISUAL ALARMS ❑ <br /> 13. CONTINUOUS SUMP SENSOR-AUDIBLE ANOVISUALALARMS <br /> EMERGENCY GENERATORS ONLY(Check all that apply) EMERGENCY GENERATORS ONLY(Check all that apply) <br /> ❑14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND ❑14' VSUAINUOUS SMP SENSOR WITHOU AUTO PUMP SHUT OFF-AUDIBLE AND <br /> VISUALALARMS <br /> ❑15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW SHUT OFF OR ❑15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) <br /> RESTRICTION <br /> [316. ANNUAL INTEGRITY TEST(0.1 GPH) ❑ ANNUAL INTEGRITY TEST(0.1 GPH) <br /> El 17. DAILY VISUAL CHECK [II7T DAILY VISUAL CHECK <br /> 'VIII.-DISPENSER CONTAINMENT `'H `'."x!rr <br /> DISPENSER 01, FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ®4.DAILY VISUAL CHECK <br /> CONTAINMENT <br /> DATE INSTALLED <br /> 468 ❑2. CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS ❑5.TRENCH LINER I MONITORING <br /> ❑3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER [J 6 NONE 469 <br /> AUDIBLE AND VISUAL ALARMS "' <br /> a r> <br /> I`cerldy that the Information provided herein is true and accurate to the best of my knowledge. 470 <br /> *SIGNTURE OF OWN�R/OPa RATORDATE <br /> , PF3/17/00 4nO R/OPRATOR(print) TITLE OF OvvNER/OPERATOR <br /> lanino of RHL Desi n Grou , Inc. Agent for Tosco <br /> Permit Number(For local use Only) 473 Permit Approved(Fo la al only Permit Expiration Date(Far local me only) <br /> 47 <br /> Formerly SWRCB Form B <br /> UPCF(1/99 revised) <br />