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U D PROGRAM CONSOLIDATED FOR TANK UNDERGROUND STORAGE TANKS - TANK PAGE 2 Page _3 of 5 VI. PIPING CONSTRUCTION(Oheckalltnat401) ABOVEGROUND PIPING UNDERGROUND PIPING459 ® SYSTEM TYPE 1.PRESSURE D 2.SUCTION ❑3.GRAVITY458 ❑1.PRESSURE ❑2. SUCTION ❑3.GRAVITY❑95.UNKNOWN462 CONSTRUCTION/ 01.SINGLE WALL ❑3.LINEDTRENCH ❑99.OTHER 460 1.0 2.SINGLEDOUBLE LL ❑99.OTHER WALL MANUFACTURER ®2.DOUBLE WALL D 95,UNKNOWN 463 MANUFACTURER 461 MANUFACTURER 1 BARE STEEL ❑6.FRP COMPATIBLE WI166%METHANOL D 1.BARE STEEL ®6.FRP COMPATIBLE W/100% METHANOL D 7,GALVANIZED STEEL ❑2 STAINLESS STEEL ❑7.GALVANIZED STEEL D 99 NOWN 2. STAINLESS STEEL O HER ❑3, PLASTIC COMPATIBLE WI CONTENTS D B.FLEXIBLE(HDPE) D 99. OTHER ❑3.PLASTIC COMPATIBLE WI CONTENTS ❑ ❑4, FIBERGLASS D 9.CATHODIC PROTECTION ❑4.FIBERGLASS D 8.FLEXIBLE(HDPE) D 95.UNKNOWN 465 D 5.STEEL WICOATING ❑9.CATHODIC PROTECTION 464 D5. STEEL WICOATING VII:PIPINCrLEAK DETECTION(Check all that appl ) Adescn lion of thet`m6nitorin program slialAIBOVEGROUNsubmitted to tD PIPINGlocal enc ).'. UNDERGROUND PIPING SINGLE WALL PIPING 467 SINGLE WALL PIPING ass PRESSURIZED PIPING(check all that apply): PRESSURIZED PIPING(Check all Ihatapp4l' LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION+AUDIBLE AND VIAL ❑1 ELECTRONIC LINE LEAK DETECTOR RMDISCO TEST WITH ATO UMPSHVT OFF FOR R ❑1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH SU TEST WITH AUTO PUMP SHUTSOFF FOR U LEAK STEM AND E AND ALARMS. ALARMS. D2, MONTHLY 0.2 GPH TEST ❑2. MONTHLY 0.2 GPH TEST D 8, ANNUAL INTEGRITY TEST(O.IGPH) D3. ANNUAL INTEGRITY TEST(0.1GPH) ❑4, DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS(Check all that apply) CONVENTIONAL SUCTION SYSTEMS ❑5. DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING INTEGRITY D5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST(0.1 GPH) ❑6. TRIENNIAL INTEGRITY TEST(0.1 GPH) SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUNDPIPINGj'. SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): ❑7. SELF MONITORING D 7, SELF MONITORING GRAVITY FLOW GRAVITY FLOW(Check WI that apply): D9. BIENNIAL INTEGRITY TEST(0.1 GPH) D8, DAILY VISUAL MONITORING [19, BIENNIAL INTEGRITY TEST(0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING(Check all that apply): PRESSURIZED PIPING(Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10. Check one) TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AN (Checkane) ❑a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS Me. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS p AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM ❑b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION ❑c NO AUTO PUMP SHUT OFF Dc. NOAUTO PUMP SHUT OFF ®11. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHFLOW SHUTOFF OR ❑11, AUTOMATIC LEAK DETECTOR RESTRICTION [112. ANNUAL INTEGRITY TEST(0.1 GPH) ❑12. ANNUAL INTEGRITY TEST(0.1 GPH) SUCTIONIGRAVITY SYSTEM SUCTIONIGRAVITY SYSTEM ❑13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS D 13. CONTINUOUS SUMP GEN SOR+AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY(Check all that apply) EMERGENCY GENERATORS ONLY(Check all that apply) [114, CONTINUOUS SUMP SENSOR WITH AUTO PUMP SHUT OFF+AUDIBLE AND [114. VSUAINUOUSSALARMMP SENSOR WITHOUT AUTO PUMP SHUT OFF-AUDIBLE AN VISUALALARMS1-115, AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) RESTRICTION D 15 AUTOMATICNE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW SHUT OFF OR Dib. ANNUAL INTEGRITY TEST(0.1 GPH) D 16. ANNUAL INTEGRITY TEST(0.1 GPH) D 17. DAILY VISUAL CHECK 1-1 IT DAILY VISUAL CHECK ' VIII:DISPENSER-0ONYAIN�IENT1a„� DISPENSER ®4,DAILY VISUAL CHECK CONTAINMENT ❑1 FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE DATE INSTALLED ase ❑2. CONTINUOUS DISPENSER PAN SENSOR AUDIBLE AND VISUAL ALARMS D 5.TRENCH LINER I MONITORING 469 D3. CONTINUOUS DISPENSER PAN SENSORWITH AUTO OFF FORDISPENSER+ D6 NONE AUDIBLE AND VISUAL ALARMS h IX.OWNER/OPElh TLV,SIGNATURE h9 _. 470 Icedfytha(lhe'mformation provided hereWn Ws true and accurate to the best of my knowledge. DATE SIG URE OF ER/OPERATOR 3/17/00 472 TITLE OF OWNER/OPERATOR NA O RIOPRATOR(print) q ant for Tosco Zai a Gianino of RHL Design GEOU Inc. permit Expi etion Date(For to el use only) Permit Number(For local use only) 473 Permit Approved(For Localuseonly) 475 Formerly SWRCB Form B UPCF(1/99 revised)