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..PIED PROGRAM CONSOLIDATED FD.'F'A I1� 1 TANKS F=F STORAGE TANKS - TANK PAGE 2 VI.PIPINGCONSTRUCMON(GIKkaXMW.,,W UNDERGROUND PIPING ABOVEGROUNO PIPING SYSTEM TYPE I. PRESSURE ❑ 2. SUCTION ❑ ]. GRAVITY ❑ 1. PRESSURE ❑ 2. SUCTION ❑ ].GRAVITY CONSTRUCTION, 1. SINGLE WALL ❑ ]. L1NE0 TRENCH ❑99 OTHER ❑ 1. SINGLE WALL ❑95. UNKNOPM MANUFACTURER 2 WUBLE WALL 5. UNKNONTI ❑ 2. DOUBLE WALL ❑99. OTHER MANUFACTURER MANUFACTURER ❑ 1.BARE STEEL ❑ B. FRP COMPATIBLE WI 100%METHANOL ❑ 1. BARE STEEL ❑ B. FRP COMPATIBLE WI 10%METHANOL MATERIALS AND ❑ 2 STAINLESS STEEL ❑ ). GALVANIZED STEEL ❑ 2. STAINLESS STEEL CORR11 ),GALVANIZED STSTEELOSION PROTECTION ❑ ]. PLASTIC COMPATIBLE OATH CONTENTS 0 s. UNKNOWN ❑ ]. PLASTIC COMPATIBLE WITH CONTENTS ❑ a. FLEKELE(HOPE) 0 9. OTHER ❑ 4. FIBERGLASS ❑ B. FLEXIBLE(HOPE) 0 9. OTHER ❑ 4. FIBERGLASS ❑ 9.CATHODIC PROTECTION ❑ 5. STEELVWCOATING ❑ 9. CATHOOICPROT'EOTION ❑ 5. STEELWICOATING 1195. UNKNOWN VII.PIPING LEAK DETECTION JCIEkan NMt.p yi UNDERGROUND PIPING ABOVEGROUNO PIPING ANGLE WALL PIPING SINGLE WALL PIPING PRESSURIZED PIPING fGUaas loaf aiphA PRESSURIZED PIPING(Deck an Nat appy): ❑ 1. ELECTRONIC UNE LEAK DETECTOR JO GPM TEST VATH AUTO PUMP SHUT OFF FOR ❑ 1. ELECTRONIC UNE LEAK DETECTOR 30 GPX TESTWITX AUTO PUMP SHUT OFF FOR LEAK, LEAK.SYSTEM FAILURE.AND SYSTEM DISCONNECTION-AUDIBLE AND VISUAL SYSTEM FAILURE.AND SYSTEM DISCONNECTION;-AUDIBLE AND VISUAL AURMS AU0.M5 ❑ 2, MONTHLY 02 GPM TEST ❑ 2.ANNUAL NNUL INTEGRITY GITPM TEST ❑ ]. ANNUAL INTEGRITY TEST III 1 GPM) ❑ S.ANNWUNTEGRITY TEST(O1GPM) ❑ 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Lack 0 Nat appy): ❑ 5 DAILY VISUAL MONITORING OF PUMPING SYSTEM•TRIENNIAL PIPING INTEGRITY ❑ S. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST(01 GPM) ❑ B. TRIENNIAL INTEGRITY TEST(0,1 GPM) SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): ❑ ). SELF MONITORING ❑ ]. SELF MONITORING GRAVITY FLOVI GRAVITY FLON fCMck an Nat appy): ❑ 9. BIEMNIALmTEGRITY TEST(01 GPM) A ❑ B. GAILY VISUAL MONITORING ❑ 9. BIENNIAL INTEGRITY TEST(0.1 GPX) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING((Iftack as that apply) PRESSURIZED PIPING(Cnack all Pat appy): 10 CONTINUOUS TURBINE SUMP SENSOR YATX AUDIBLE AND VISUAL ALARMS AND 10.CONTINUOUS TURBINE SUMP SENSOR KITH AUDIBLE AND VISUAL ALARMS AND(Unck One) + AUTO PUMP SHUT OFF%HEN A LEAK OCCURS 11M1I a.AUTO PUP SHUT OFF WHEN A LEAK OCCURS ❑ a e AUTO PUMP SHUT OFF FOR LEANS,SYSTEM FAILURE AND SYSTEM DISCONNECTION 118, AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION ❑ c NO AUTO PUMP SHUT OFF 13E. NO AUTO PUMP SHUT OFF ell AUTOMATIC UNE LEAK DETECTOR(].O GPM TEST)VATH FLOW SHUT OFF OR RESTRICTION 11. AUTOMATIC LEAK DETECTOR 12 ANNUALINTEGRITY TEST(O.I GPM) ❑ 12.ANNUAL INTEGRITY TEST(0 1 GPM) + SUCTIONn AVITY SYSTEM: SUCTIONIGRAVITY SYSTEM. ❑ 13 CONTINUOUS SUMP SENSOR-AUDIBLE AND VISUAL ALARMS ❑ 1]. CONTINUOUS SUMP SENSOR♦AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY(Lack as Nafappyl EMERGENCY GENERATORS ONLY fCMMk 10 MI.,,W ❑ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF a AUDIBLE AND ❑ 14.CONTINUOUS SUMP SENSOR W1THOUT AUTO PUMP SHUT OFF•AUgBLE AND VISUAL VISWLAUR.45 ALARMS ❑ 15.AUTOMATIC LINE LEAK DETECTOR(00 GPM TEST)WITHOUT FLOW SHUT OFF OR ❑ 15. AUTOMATIC UNE LEAK DETECTOR(3.0 GPM TEST) RESTRKT.ON ❑ 16.ANNUAL INTEGRITY TEST(01 GPM) ❑ 16.ANNUAL INTEGRITY TEST(0.1 GPM) ❑ 17.DAILY VISUAL CHECK ❑ 17.QALY VISUAL CHECK VBL DISPENSER CONTAINMENT DISPENSER CONTAINMENT1 FLOAT MECHANISM THAT SHUTS OFF SMEAR VALVE ❑ 4.WILY VISUAL CHECK DATE INSTALLED ❑ 2.CONTINUOUS DISPENSER PAN SENSOR.AUDIBLE AND VISUAL ALARMS ❑ 5. TRENCHUNER/M10NITORING ❑ ].CONTINUOUS DISPENSER PAN SENSOR PATH AUTO SHUT OFF FOR DISPENSER•AUDIBLE AND VISUAL ALARMS ❑ B.NONE OL OWNERIOPERATOR SIGNATURE 1 cartiy Pat Na' mn ' a0 Nuakl is Imo andamrala b Na Gal pf mY Fnalk9a. SIGNATUP.EOF ERI T DATE NAMEOF ERATO .� TITLE OF 0 T 1 Parma Hum:ar(F bc.Y waenM ParmBApProraE(Fw Iws eny/ PamNEap' 4on Drta(Fibol wa wtly) BBO,2 2� d_p CUPAFORM(4199) Formery SWRCB farm R