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. t <br /> ED PROGRAM CONSOLIDATED F Zsl U g �,UQTANx <br /> UNDERGROUND STORAGE TANKS -TA GE 2 <br /> . VL PIPING CONSTRUCTION(c b-k eI tfiw <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYS'IFM TYPE ❑1. 462 <br /> PRESSURE ❑2.SUCTION ❑3.GRAVITY u8 0 1.PRESSURE []2. SUCTION ❑3.GRAVITY 459 <br /> CoNSTRUCrIoN 0 L SINGLE WALL 0 3.LINED TRENCH 0 99.OTHER 460 0 1.SINGLE WALL <br /> 0 95.UNKNOWN <br /> MANUFACNRER ❑2.DOUBLE WALL5.UNKNOWN ❑2.DOUBLE WALL ❑99.OTHER <br /> MANUFACTURER u1 MANUFACTURER <br /> ❑I.BARE STEEL ❑6.ERP COMPATIBLE w/100% MLTBANOL ❑1.BARE STEEL [16.FRP COMPATIBLE W/100'M METHANOL <br /> J 0 2.STAINLESS STEEL 0 7.GALVANIZED STEEL I (]Unknown ❑2. STAINLESS STEEL ❑7.GALVANIZED STEEL <br /> (]3.PLASTIC COMPATIBLE W/CONTENTS ❑99. Otlter [13. PLASTIC COMPAT'TBLE W1 CONTENTS ❑8.FLEXIBLE(HDPE) [199, OTTIBR <br /> 0 4.FIBERGLASS 0 S.FLEXIBLE(HDPE) 0 4. FIBERGLASS 0 9.CATHODIC PROTECTION <br /> [15.STEEL W/COATING ❑9.CATHODIC PROTECTION 4" 0 5. STEEL W/COATING 0 95,UNKNOWN 065 <br /> VIL PIPING LEAK DETECTION LCA eOthw h)(AdexxiWivv of the modto' am abnll�mbnJtwdmthebW ency. <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALL PIPING 466 SINGLE WALL PIPING 067 <br /> PRESSURIZED PIPING(Ch k.0 that npPly): PRESSURIZED PIPING(Chock W1 for appy): <br /> 0 1.ELECTRONIC <br /> SLEAK ELURWITH AUTO PUMP <br /> SHUT ❑1. STFQ <br /> O FOR LEAK, YSTEM FAILURE,AND SYSTEM DISCONNECTION ELECTRONIC <br /> FORLEAK,SYSTEM DETECTOR <br /> AND SYSTEM DISCONNECTION+ <br /> AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS. <br /> [12.MONTHLY 0.2 GPH TEST 02. MONTHLY 0.2 GPH TEST <br /> 0 3.ANNUAL INTEGRITY TEST(O.IGPH) 0 3.ANNUAL INTEGRITY TEST(O.IGPID <br /> 04. DAILY VISUAL CHECK <br /> JCONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(C'hwk aOO appy) <br /> ❑ <br /> S.DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING 0 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> INTEGRITY TEST(0.1 GPH) <br /> SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUNDPIPING): 0 6. TRIENNIAL.INTEGRITY TEST(0.1 GPH) <br /> 07.SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> GRAVITY FLOW 07. SELF MONITORING <br /> 9t BIENNIAL INTEGRITY TEST(0.1 GPm GRAVITY FLOW(Check atl rhw wly): <br /> - <br /> [3 S. DAILY VISUAL MONITORING <br /> i' 0 9. BIDVNIAL INTEGRITY TEST(0.1 GPH) <br /> SECONDARILY CONTAINED PIPING A f Fs () SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Chink all W appy). /V C//V PRESSURIZED PIPING(Click dl w apply): <br /> 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL <br /> ALARMS AND(Check aa) ALARMS AND(Check am) <br /> 0 a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 0 a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> ' 0 b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM 0 b AUTO <br /> ONNECTI U OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION <br /> 0c. NO AUTO PUMP SHUT OFF Oc NO AUTO PUMP SHUT OFF <br /> 0 11. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUT 0 11. AUTOMATIC LEAK DETECTOR <br /> OFF OR RESTRICTION <br /> 0 12. ANNUAL INTEGRITY TEST(0.1 GPH) 0 12. ANNUAL INTEGRITY TEST(0.1 GM <br /> SUCTION/GRAVITY SYSTEM SUCTION/GRAVITY SYSTEM <br /> 013. CONTINUOUS SUMP SENSOR+AUDIBLE ANDVSUALATARMS 013. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERG$NCY GENERATORS ONLY((2edc a thw apply) EMERGENCY GENERATORS ONLY(Chr ell thw,gpy) <br /> 014, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF014. ONT]NuOANDVSUAELSALARMSToU AUTO PUMPSHUTOFF <br /> AUDIBLE AND VISUAL ALARMS <br /> ❑15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW 0 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) <br /> SHUT OFF OR RESTRICTION <br /> 0 16.ANNUAL INTEGRITY TEST(0.1 GPH) 0 16.ANNUAL INTEGRITY TEST(0.1 GPH) <br /> 017. DAILY VISUAL CHECK 017. DAILY VISUAL CHECK <br /> VIII.DISPENSER CONTAINMENT <br /> DISPENSER CONTAINMENT [11.FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 0 4.DAILY VISUAL CHECK <br /> DATE INSTALLED 468 0 2.CONI24UOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS 0 5.TRENCH LINER/MONTTORTNG <br /> 3. <br /> 0 CONTINUOUS DISPENSER PAN SENSOR WiTII AUTO SHUT OFF FOR 1t5 6.NONE NO Dt S PL- A)S F <br /> DISPENSER+AUDIBLE AND VISUAL ALARMS /`� <br /> .. .. ___---"---HCOWNERIOPERATORSIGNATU!RE <br /> 1 mrify thw the ivfotmwbn pmvided le�elyutrvc wtl auwrwe wthelxw ofmy kmwk ge. <br /> GN G CH: Y DATE 470 <br /> SI <br /> - 07 <br /> O (PwW >jI-' C, E N'? TITLE OF OWNER/OPERAI'OR 6'n <br /> -_-j-1E /-I- Co ffe / T <br /> UPCF(1199 revised) 175 Formerly SWRCB Form B <br />