BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

LIM ED PROGRAM CONSOLIDATED FOR TANK UNDERGROUND STORAGE TANKS - TANK PAGE 2 Page 3 of 5 VI.PIPING CONSTRUCTION(Crack all that apPIY) ABOVEGROUND PIPING UNDERGROUND PIPING 459 *1,BARE E ®i.PRESSURE ❑2.SUCTION ❑3.GRAVITY 458 ❑1.PRESSURE 712. SUCTION 95.UNKNOWN 462 GRAVITY 462 ON 1 ❑i.SINGLE WALL ❑3.UNED TRENCH [199.OTHER 460 ❑i,SINGLE WALL ❑gg.OTHER RER ®2.DOUBLE WALL ❑95.UNKNOWN ❑2.DOUBLE WALL 463 MANUFACTURER 461 MANUFACTURER [16.FRP COMPATIBLE w/foosc MErHArvoL TEEL M 6.FRP COMPATIBLE w1190% METHANOL ❑1.BARE STEEL 7 GALVANIZED STEEL ❑2.STAINLESS STEEL ❑7.GALVANIZED STEEL ❑UKNOWN Cl 2. STAINLESS STEEL ❑ ❑3.PLASTIC COMPATIBLE WI CONTENTS ❑99. OTHER [13. PLASTIC COMPATIBLE WI CONTENTS O 9.CATHIODIC PROLE BLE E)ECTDION9 OTHER ❑4. FIBERGLASS [14.FIBERGLASS ❑B.FLEXIBLE(HDPE) 95.UNKNOWN 465 ❑5,STEEL WICOATING D 9.CATHODIC PROTECTION 464 ❑5, STEEL WICOATING ❑ VII.PIPING LEAK DETECTION(Cneck ainhet app!". @sck'Gon o(iPH bgramshalALBbOVEGROUND PIsubmitted to the let 6,1 nc .) UNDERGROUND PIPING SINGLE WALL PIPING 467 SINGLE WALL PIPING 46fiPRESSURIZED PIPING(Check all thatapplyl: PRESNG(Check all that apply): 1. ELECTRONIC UNE LEAK DETECTOR3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR ❑1' LEAKNESYSTEM LEAKK,ANDCTOEM DISCONNECTIONEST WITH AUAUUDIBE ANDPUMP UVISUALOR LEAK SYSTEM FAILURE,AND SYSTEM DISCONNECTION.AUDIBE AND VISUAL ALARMS. ❑2, TEST ❑2. MONTHLY 0.2 GPH TEST [2 3, ANNUAL INTEGRITY TEST(0.1 GPH) ❑3. ANNUAL INTEGRITY TEST 10.iGPH) ❑4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Check all that apply! ❑5. DAILY VISUAL MONITORING OF PUMPING SYSTEM-TRIENNIAL PIPING INTEGRITY ❑5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST(0.1 GPH) D6, TRIENNIAL INTEGRITY TEST Ol GPH) SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUNDPIPING)'. SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): ❑7. SELF MONITORING [17. SELF MONITORING GRAVITY FLOW GRAVITY FLOW(snack al that apvlY): ❑9. BIENNIAL INTEGRITY TEST(0.1 GPH) ❑B. 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 SENSORWITf AUDIBLE AND VISUAL ALARMS AND t0' CONTheck one) US TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ❑a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS Na. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 6 AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM ❑b AUTO PUMP DISCONNECTION T OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM ❑ DISCONNECTION ❑c. NOAUTO PUMP SHUT OFF [1c NO AUTO PUMP SHUT OFF Eli. AUTOMATIC UNE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUTOFF OR ❑11. AUTOMATIC LEAK DETECTOR RESTRICTION ❑12. ANNUAL INTEGRITY TEST(OA GPH) [112. ANNUAL INTEGRITY TEST(0.1 GPH) SUCTION/GRAVITY SYSTEM SUCTIONIGRAVITY SYSTEM ❑13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS ❑13. CONTINUOUS SUMP SENSOR*AUDIBE ANOVISUALALARMS EMERGENCY GENERATORS ONLY(Check all that apply) EMERGENCY GENERATORS ONLY(Check all that apply) [3 14. CONTINUOUS SUMP SENSOR WITH AUTO PUMP SHUT OFF+AUDIBLE AND [114. V NTINU USS MP SENSOR WITHOUT AUTAL O PUMP SHUT OFF, AND VISUALALARMS ❑15. AUTOMATIC UNE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW SHUT OFF OR [115. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) RESTRICTION [116, ANNUAL INTEGRITY TEST(0.1 GPH) D16, ANNUAL INTEGRITY TEST(0.1 GPH) 017 DAILY VISUAL CHECK D 17. DAILY VISUAL CHECK VIII:.DISPENSER CGNTAINMENIt'lae„„ ' DISPENSER ®4.DAILY VISUAL CHECK❑5.TRENCH LINER)MONITORING CONTAINMENT D1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE DATE INSTALLED 460 [:12. CONTINUOUS DISPENSER PAN SENSOR-AUDIBLE AND VISUAL ALARMS x69 D3, CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER+ [16.NONE AUDIBLE AND VISUAL ALARMS a- y, IX.:DANE R70PERATOR SIGNATURE I comity that the information provided herein is true and accurate to the best of my knowledge. 470 SIG URE OF ER/OPEF;P,TOR DATE 3/17/00 472 RATOR(print) TITLE OF OWNEFJOPERATOR NA O R/OP Zai a Gianino RA RRL Desi n Grou , InC.L.Inc. Agent for Tosco of Permit Expiration Cale(For Ideal use only) Permlt Number(For local use only) 473 Permit Approved(For local u eon ) 475 ormerly SVVRC9PFOrrn B UPCF (1199 revised)