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'/// <br />UNIFIED PROGRAM CONSOLIDATED FO <br />TANKS <br />UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br />Pae <br />of <br />VI. PIPING CONSTRUCTION(Check <br />all thatapply) <br />UNDERGROUND PIPING <br />ABOVEGROUND PIPING <br />SYSTEM TYPE 5TPRESSURE [12. SUCTION ❑ 3. GRAVITY 458. <br />[11. PRESSURE ❑ 2. SUCTION ❑ 3. GRAVITY <br />459. <br />99.OTHER 46 <br />3. LED TRENCH ❑ o. <br />CONSTRUCTION/ [1- SINGLE WALL [3IN <br />❑ L SINGLE W ALL ❑ 95. UNKNOWN <br />462. <br />/L <br />MANUFACTURER 5 DOUBLE WALL [195. UNKNOWN <br />❑ 2. DOUBLE WALL ❑ 99, OTHER <br />MANUFACTURER 46L <br />MANUFACTURER <br />463, <br />❑ 1. BARE STEEL [16. FRP COMPATIBLE W/100% METHANOL <br />[11. BARE STEEL ❑ 6. PEP COMPATIBLE W/100% <br />METHANOL <br />❑ 2. STAINLESS STEEL [17. GALVANIZED STEEL <br />❑ 2. STAINLESS STEEL, 1:17. GALVANIZED STEEL <br />[13. PLASTIC COMPATIBLE WITH CONTENTS ❑ 95. UNKNOWN <br />El3. PLASTIC COMPATIBLE W/ CONTENTS [18. FLEXIBLE (HDPE) <br />[399.OTHER <br />93.FIBERGLASS ❑ & FLEXIBLE (HDPE) ❑ 99. OTHER <br />[14. FIBERGLASS [19. CATHODIC PROTECTION <br />❑ 5. STEEL W/COATING [19. 9. CATHODIC PROTECTION 464. <br />[15. STEEL W/COATING [195. UNKNOWN <br />46S. <br />SINGLE WALL PIPING 466, <br />PRESSURIZED PIPING (Check all that apply): <br />❑ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP <br />SHUT-OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION <br />+AUDIBLE AND VISUAL ALARMS. <br />[12. MONTHLY 0.2 GPH TEST <br />[13. ANNUAL INTEGRITY TEST (0.1 GPH) <br />CONVENTIONAL SUCTION SYSTEMS <br />❑ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING <br />DVIEGRITY TEST (0.1 GPH) <br />SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): <br />[17. SELF MONITORING <br />GRAVITY FLOW <br />❑ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) <br />SECONDARILY CONTAINED PIPING <br />PRESSURIZED PIPING (Check all that apply): <br />10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL <br />ALARMS AND (Check one) <br />n.e a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br />pg b/. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM <br />DISCONNECTION <br />[3c. NO AUTO PUMP SHUT OFF <br />yd 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT <br />OFF OR RESTRICTION <br />0/12. ANNUAL INTEGRITY TEST (0.l GPH) <br />SUCTION/GRAVITY SYSTEM <br />❑ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS <br />EMERGENCY GENERATORS ONLY (Check all that apply) <br />[114. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF <br />AUDIBLE AND VISUAL ALARMS <br />[115. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW <br />SHUT OFF OR RESTRICTION <br />ANNUAL INTEGRITY TEST (0.1 GPH) <br />[317. DAILY VISUAL CHECK <br />SINGLE WALL PIPING 467, <br />PRESSURIZED PIPING (Check all that apply): <br />❑ L ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WW+ITL7 AUTO PUMP <br />SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION <br />+AUDIBLE AND VISUAL ALARMS. <br />[12. MONTHLY 0.2 GPH TEST <br />[13. ANNUAL INTEGRITY TEST (0.1 GPH) <br />[14. DAILY VISUAL CHECK <br />CONVENTIONAL SUCTION SYSTEMS (Check all that apply) <br />[35. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br />E36. TRIENNIAL INTEGRITY TEST (0.1 GPH) <br />SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): <br />[17. SELF MONITORING <br />GRAVITY FLOW (Check all that apply): <br />E18. DAILY VISUAL MONITORING <br />[39. BIENNIAL INTEGRITY TEST (0.1 GPH) <br />SECONDARILY CONTAINED PIPING <br />PRESSURIZED PIPING (Check all that apply): <br />10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL <br />Va.Q.L.A,RMS AND (Check one) <br />AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br />j'. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM <br />DISCONNECTION <br />Oc. NO AUTO PUMP SHUT OFF <br />❑ 11. AUTOMATIC LEAK DETECTOR <br />LaM. ANNUAL INTEGRITY TEST (0.1 GPH) <br />S <br />jt3UCTION/GRAVITY SYSTEM <br />. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS <br />EMERGENCY GENERATORS ONLY (Check all that apply) <br />[114. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF <br />AUDIBLE AND VISUAL ALARMS <br />[115. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) <br />❑ 16. ANNUAL INTEGRITY TEST (0.1 GPH) <br />❑ 17. DAILY VISUAL CHECK <br />VIII. DISPENSER CONTAINMENT <br />DISPENSER CONTAINMENT 468. ❑ 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE E14 DAILY VISUAL CHECK 469. <br />DATE INSTALLED ❑ 2 CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS ❑ S. TRENCH/L NER MONITORING <br />ills., (a3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR 136. NONE <br />IX. OWNER/OPERATOR SIGNATURE <br />I certify that theinformation mvided herein is True and accurate to the best of my knowledge. <br />470. <br />SIGNATURE OF O - _ DATE: I <br />use <br />use <br />UPCF bwfwre-b (1/99) -3/4 www.unidoes.org Rev. u2/IWUU <br />