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'. ­YFIED PROGRAM.CONSOLIDATED FO r <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> VL PIPING CONSTRUCTION(Cluck a90Ml appy9 <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE I PRESSURE ❑ 2. SUCTION ❑ 0. GRAVITY ❑ 1. PRESSURE ❑ 2. SUCTION ❑ 0.GRAVITI' <br /> CONSTRUCTION ❑ 1. SINGLE WALL ❑ J. UNEOTRENCH 1199 OTHER ❑ 1. SINGLE WALL ❑95. UNKNOWN <br /> MANUFACTURER 2. DOUBLE WALL ❑95 UNKNOYN ❑ Z DOUBLE VIALL ❑99, OTHER <br /> MANUFACTURER MANUFACTURER <br /> ❑ 1.BARE STEEL ❑ S. FRP COMPATIBLE W/100%METHANOL ❑ 1. BARE STEEL ❑ 6. FRPCOMPATBLEW NOG%METHANOL <br /> MATERIALRANO ❑ 2, STAINLESS STEEL ❑ T.GALYAIZE0 STEEL ❑ 2. STAINLESS STEEL ❑ T. GALVANIZED STEEL <br /> CORROSION <br /> PROTECTION ❑ 0. PLASTIC COMPATIBLE WITH CONTENTS 09S. UNKNOWN ❑ 0. PLASTIC COMPATIBLE VOTII CONTENTS ❑ 6. FL"IBLE(HOPE) ❑99.OTHER <br /> ❑ a.FIBERGLASS ❑ 6. FLEXIBLE(HOPE) ❑99. OTHER. ❑ a. FIBERGLASS ❑ 9. CATHODIC PROTECTION <br /> D 5. STEELW/COATING ❑ 9. CATHODIC PROTECTION ❑ 5. BT EEL W�OOATING ❑95. UNKNOWN <br /> VIL PIPING LEAK DETECTION(CMck aO Mat aGPM <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SAGLEWALLPIPING SINGLE WALLPIPING - <br /> PRESSURIZED PIPING(Check W hat aPpy): PRESSURIZED PIPING(Cn«k an Mat appy): <br /> ❑ L ELECTRONIC UNE LEAK DEFECTOR 0.0 GPM TEST WITH AUTO PUMP SHUT OFF FOR ❑ 1. ELECTRONIC LINE LEAK DETECTOR 0.0 GPM TEST WITH AUTO PUMP SHUT OFF FOR LEAK. <br /> LEAK.SYSTEM FAILURE.AND SYSTEM DISCONNECTION-AUDIBLE AND VISUAL SYSTEM FAILURE.AND SYSTEM OISCONNECTION•AUOIBLE AND VISUAL ALARMS <br /> ALARMS <br /> ❑ 2,MONTHLY 0.2 GPM TEST 13 2. MONTHLY 0.2 GPM TEST <br /> ❑ 0ANNUAL TEST(0.1 GPM) <br /> C] SANNUAL INTEGRITY TEST to I GPM) 13 L GAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Check all III <br /> ❑ 5 DAILY VISUAL MONITORING OF PUMPING SYSTEM•TRIENNIAL PIPING INTEGRITY ❑ S. DAILY VISUAL MONITORING OF PIPING AND PUMPINGSYSTEM <br /> TEST(01 GPM) ❑ 6 TRIENNIAL INTEGRITY TEST(0.1 GPM) <br /> SAFE SUCTION SYSTEMS(NO VALVES IN BELOVI GROUND PIPING)'. SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING). <br /> ❑ T. SELF MONITORING ❑ T. SELF MONITORING <br /> GRAVITY FLOVI GRAVITY FLOW(Cnack all Mat a <br /> ppM: <br /> ❑ 9. BIENNIAL INTEGRITY TEST 101 GPM) A <br /> ❑ 6. DAILY VISUAL MONITORING <br /> ❑ 9. BIENNIAL INTEGRITY TEST(O.1 GPM) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Cneck 0 that apply) PRESSURIZED PIPING(Chack an that apply): <br /> 10 CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS ANO 10,CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE ANO VISUAL ALARMS AND(Nack one) <br /> AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑ a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> ❑ 6 AUTOPUMPSHUTOFFFORLEAKS.SYSTEM FAILURE AND SYSTEM ❑ p. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION <br /> O.SCONNECTION <br /> ❑ t NOAUTOPUMPSHUTOFF ❑ 1, NO AUTO PUMP SHUT OFF <br /> 11 AUTOMATIC LINE LEAK DETECTOR(3.O GPM TEST)WITH FLOW SHUT OFF OR ❑ 11. AUTOMATICLEAKOETECTOR <br /> RESTRICTION <br /> 12 ANNUAL INTEGRITY TEST 101 GPM) ❑ 12. ANNUAL INTEGRITY TEST CO.1 GPM) <br /> SUCTIONGRAVITY SYSTEM. SUCTIONAGRAVITY SYSTEM: <br /> ❑ 12. CONTINUOUS SUMP SENSOR•AUOIBLEANOVISUALALARMS ❑ 12. CONTINUOUS SUMP SENSOR•AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(ChaKk 926uMppy) EMERGENCY GENERATORS ONLY(Check a9 Mat VPPA <br /> ❑ u. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF.AUDIBLE AND ❑ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF•AUDIBLE AND VISUAL <br /> VISUALALARMS ALARMS <br /> ❑ 15. AUTOMATIC UNE LEAK DETECTOR(3.0 GPM TEST)WITHOUT FLOW SMUT OFF OR ❑ 15. AUTOMATIC LIN E LEAK DETECTOR(3.0 GPM TEST) <br /> RESTRIC15.011 <br /> ❑ 16.ANNUAL INTEGRITY TEST(0 1 GPM) ❑ 16.ANNUAL INTEGRITY TEST(0.11 GPM) <br /> D 17.DAILY VISUAL CHECK ❑ 17. DAILY VISUAL CHECK <br /> VOL DISPENSER CONTAINMENT - <br /> CISPENSERCONTAIMMENT 1 FLOAT MECHANISMTHAT SHUTS OFF SHEAR VALVE ❑4.DALYWSUALCHECK <br /> OATEINSTALLEO 0 <br /> 2.CONTINUOUS DISPENSER PAN SENSOR•AUDIBLE AND VISUAL ALARMS ❑ S.TRENCHUNERIMONITORING <br /> ❑ S. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER•AUDIBLE AND VISUAL ALARMS ❑6. NONE <br /> OL OYMERIOPERATOR SIGNATURE <br /> 1 caNy NalP aopn pronwe;Main is OMaaM amnte ta Ne past al TY MPvAe0ge. <br /> SIGNATU E R DATE ` <br /> NAIVE 0TGANJFQqPERATOR TITLE OF PERAT <br /> PemtitMM .t(FwMperuAIlM f Permil Appe9ra6(Fprbcel wa Pnyl PemN Dart.(FwkolVaa-lay <br /> ) <br /> CUPAFORM(4199) JY _ Form"SWRCO Form 8 <br />