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J HUD PROGRAM CONSOLIDATED TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 UNDFR(ROU ND MIM ABOVECIROUND PIPING SYSTEM TYPE ® 1. PRESSURE ❑ 2 SUCION ❑ 3. GRAVITY 4% ❑ 1. PRESSURE ❑ 2. SUCTION ❑ 3. GRAVITY 459. C0NSITIUCTI0M 1. SINGLE WALL ❑ 3. LINED TRENCH ❑ 99 OTHER 460 13, SMOLE W ALL ❑ 95. UNKNOWN 461 MANUFACTURER 2 DOUBLE WALL ❑ 95. UNKNOWN ❑ 2 DOUBLE WALL ❑ 99. OTHER MANUFACTURER 46L MANUFACTURER 40. ❑ 1. BARS SCBE. ❑ 6. FRP COMPATIBLE W/100% METHANOL 1 ❑ 1. BARB STEEL, ❑ 6. FRP COMPATIBLE W/I OD% METHANOL 2 STAINLESS STEEL ❑ 7. GALVANIZE STEEL. ❑ 2STAINLESS STEEL [37. GALVANIZED STEEL. [33. PLASTIC COMPATIBLE WITH CONTMM a 95. UNKNOWN ❑ 3. PLASTIC COMPATIBLE W/ CONTENTS ❑ S. FLEXIBLE E (BUYS) ❑ 99. OTHER 0 4. FINFR0LA39 138 FLEXIBLE (HDPE) 1399 ❑ 4. FIBERGLASS ❑ 9. CATHODIC PROTECTION ❑ 5. MIM W/COATINO ❑ 9. CATH0DIC PR0TI3 C N 46l ❑ 5. MUM W/COATINO [195. UNKNOWN 465. SINGLE WAIL PIPING 466 PRESSURIZED PIPING (CSwk aR tlan apply): ❑ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 OPH TESL EM AUTO PUMP SHUT-OFF FOR LEAN[ SYSTEM FAILURE, AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS ❑ 2 MONTHLY 0.2 GPH TEST ❑ 3. ANNUAL INTECRITY TEST (0.1 GPI) CONVENTIONAL SUCTIONSYeTEMS [35. DAILY VISUAL MONITORING OF PUMMPINO SYSITM+ TRIENNIAL PIING 1NTH(3R1TY TEST (0.1 GFID SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING} ❑ 7. SEP MONITORING CAAVIITNFLOW 139. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PtMG PRESSURIZED PIPING (Ch k.11 Gan apply): 10. CONTINUOUS TURBINE SUMP SENSORMM AUDIBLE AND VISUAL ALARMS AND (Cori ma) M, AUTO POMP SEUT OFF WHEN A LEAK OCCURS ❑ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE ACID SYSTEM DI.9CONNBCI0N D.. NO AUID PUMP SHUT OFF ❑ 11. AUTOMATIC LMB 7 BAK DETECTOR (3.0 OPH TEST)'$= FLOW SET OFF OR RESTRICTION 1312 ANNUAL INTEGRITY TEST (al OPH) SUCTTON)GRAVTTY SYSTEM 1313. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALUU43 EAUMCFNCY GENERATORS ONLY (Clack .1 Ott apply) [314. CONTI NU OUS SUMP SENSOR WITH0UT AUTO RAMP SHUT OFF AUDIBLE AND VISUAL ALARMS ❑ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 OPH TEST) WIT$Qijj' FLOW SHUT OFF OR RESTRICTION ❑ 16 ANNUAL INTEGRITY TEST (0.1 OPH) ❑ 17. DAILY VISUAL CHUCK DISPENSER CONTAINMENT DATE INSTALLED "02- 1 1 ccrtify tbA the mfatnsbm SIGNATURE QFJOWNEEMPHI NAME OF QWNER,OPE ATO] PanvtN.bber(AB®Y u.^ ml)' SUTGLE WAIL PIPING 467 PRESSURIZED PIPING (Cb xk all th/ apply): ❑ 1. HLBCIROMC LINE LEAK DETECTOR 3.0 OPH TEST EM AUTO PUMP SHUT OFF FOR TEAK SYSTEM FAILURE, AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS ❑ 2 MONTHLY 0.2 GPHTEST ❑ 3. ANNUAL INTEGRITY TEST (0.1 OPT) ❑ 4. DAILY VISUAL CHECK CONVENTI0NAL SUCTION SYSTEMS (Chest all OY apply) ❑ 5. DAILY VISUAL MONITORING OF PIPMO AND PUMPING SYSTEM [36+ TRISIMIAL.INTBORMY TESL (0.1 0PH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PPINO): ❑7. SELFMONITCRING GRAVITY FLOW (CbNk all Ott appN} [38. DAILY VISUAL MONITORING [39 BIIINNW.INTEORITY TEST (01 GPM SECONDARILY CONTAINED PIPAIG PRESSURIZED PIPING(CbKk all the apply): 10 CONTINUOUS TURBINE SUMP SENSOR NO AUDIBLE AND VISUAL ALARMS AND (Chxk me) ❑ a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑ b. AUTO PUMP SEUL OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION Oc. NO AUTO PUMP SHUT OFF [I 11. AUTOMATIC LEAK DETBCTOR ❑ 12 ANNUAL INTWRITY TET (0.10P13) SUCTTONGRAVTIY SYSTEM C313. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS IM]ERGENCY GENERATORS ONLY (Cbwk aE that apply) [314 CONTINUOUS SMP SENSOR ATITOUr AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS ❑ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 OPH I= ❑ I6 ANNUAL INTS0RTTY TEST (0.1 GPH) ❑ 17. DAILY VISUAL CHECK 4E, I [] 1. FLOAT MM13CHAN129M THAT SHUTS OFF SHEAR VALVE [14. DAILY VISUAL CHECK 469. ❑ 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [15. TRENCH/LINRR MONITORING 03. CONTINUOUS DISPENSER PAN SENSOR MM AUTO SHUT OFF FOR 6. NONE nraovr ...7.. sun v ZI.T .7 1.v Ix OWI harcm is Sec and w=*c tO the -S-- os -- I= OF OWNER/OPERATOR: (3(,)+/.D10 4n I Y4amt ApRwee W fAamev tiro mNl 47C 475. UPCF hwfwcc-Y O/9P)' 314 http.//w urioldx wg Rn. RUNTS