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Jul 27 04 11259a Vall_y Pacific 120994755 p.5
<br />UNIFIED PROGRAM CONSOLIDATED FORM
<br />TANKS
<br />UNDERGROUND STORAGE TANKS - TANK PAGE 2
<br />-_-. VI. mrmG CON.\"rl(ue`r10Nlalal.nlMl enulrl P. u(
<br />_UNDERGROUND PIPING
<br />SYST13M TYPE 0I. milissllRl! 02. stio]ON 03. GRAVITY
<br />(:DN -s MUC710N 0I. SINGLE WALE. 03. I,INI:.O ITI•NCII 0W). 01HER
<br />NANUYAC'I'UltY.K 02. DOUBLE WALL 095. UNKNOWN
<br />MANUI:AcrURLR _
<br />01. HARES ULL, 0(" flit'(:OMI'A'I'I ULE W/IW, MLTIIANOI.
<br />0 1 S'rA1NLBSS STEEL 0 7. GALVANIZU13 N7'111ll. 0 Llnknawn
<br />01, I'IAS'I'Ic CoMI'A'rinl.11 W/CON'I'I:N'I'S C33In onw
<br />04. FIBERGLASS 0 K. FLEXIBLE(] IDPE)
<br />0 5. STEEI. W/COATINO 0 9, (:ATI K7DIC PROTECTION nM
<br />44X ❑ I. PItISSURL 02. SUCTION 03. GRAVITY
<br />409 0 L SINGLE WALL 095. UNKNOWN
<br />02. DOUBLE WALL 0!4). O'n IEI(
<br />441
<br />459
<br />462
<br />40
<br />0 1. HART, S rm.
<br />p 6. FRI, COMPATIBLE Wnws; MHTHANUt,
<br />02. SI'AINLESSS'rEEL
<br />07. GALVANI%IM STFUL
<br />03, I1I,AS'I'ICCUMIIA'III14V. W/CUN'IIHNIN
<br />DN,I LIi%IISI.Ii (IIUI'li) QM). OTHER
<br />0 A. 1;1111'R(ILASS
<br />0 9, CATHODIC PROTECTION
<br />05 KII;I;I.W/COAIIN(;
<br />075. UNKNOWN 4m
<br />II nnnN) IA 4eWANW41'Im Imilllo WnMNmM•MIIlit. MIN4111M mIM Ir,[a1 naMe,I.)
<br />SIN'GLF WALT. PIPING Ora
<br />PRESSURIZED VIVING (ITenk ml Im, a,r,,y
<br />0 L ELECTRONIC I,INC LUAK IX I'LCI 'OK 1.0 OPH TRST WITH At ITO PIMP SI'IUrl'
<br />OFF TORI LIM. SYSTEM FAILURE, AND SYSTEM DISCONNI:C`:I'ION+
<br />AUDIRIX AND VISUAL ALARMS.
<br />0 2. MONTI ILY 0,2 (;Ill I'DIST
<br />0 3. ANNUAL It, I'I:GRITY TBST M IGPH)
<br />U (MVHN'IIONAL SUCTION SYSTEMS
<br />0 5, GAILY VISUAL MONITORING OF PUMPING RYK'I'NM "I RIIiNN1AL PIPING
<br />I N'TP:URD'Y TEST (0. I GPH)
<br />SAFE. SII(TI'ION SYSTF;MS (NO VALUES IN BELOW GROUNDPIPI NO):
<br />01. SHLPMo NI'rnt ING
<br />URAV(TY FLOW
<br />0 9, IIIHNNIAL INTEGRITY TEST (0.1 0'11)
<br />SF,CONNARILY CON1"AINED PIPING
<br />PRESSURIZED PIPING Wl,.k pIl Ilw apply)
<br />10. CONT'INUOUS'("URBINESUMI'•SIiNSOR,w11'I I AUDIBLE AND VISUAI.
<br />ALARMS AND Wh kImp)
<br />0n. AUTO PUMP SHUT OPF WIHRN A LEAK O(I(:UI(S
<br />Gb. AII'rOPUMPSIIUTOFFFORI.In,AKS,SYS'rHMPAII.IIRIi ANDSYS'1'1'M
<br />OISCONNIX.' i'IUN
<br />06. NO AUTO PlIMI'SI-101'OFF
<br />911. AUTOMRI'ICLINE LFAKOIt'1'I:(:IT)R(3(ICIPIH'I'I:S7')-%YMPLOWSI•IIIT
<br />Orb OR RESTRICTION
<br />012, ANNUAL, IN'MrIU'IY 1'L•ST(0,1 C.PII)
<br />SU(•I'IONlGRAVI'FY SYSTEM '
<br />011. CONTINUOUS SUMP SENSOR 1 AUDII tEE AND VISUAL ALARMS
<br />F-rdIWG6NCY GENERATORS ONLY (Chrcl.lUMl •ppw)
<br />014. CON'rINUOU$ SUMPSENSOR wi'ri IOUT AU TO PUMP SHUT OFF•
<br />AIJDInLB AND VISUAL ALARMS
<br />0 15, AU'I1OMATIC LINE LEAK DETHCIT)It (3,U O111 I'1'PG'1') VW.Uht)= FLOW
<br />SI TUI' UFF OR RESTRICTION
<br />0 16. ANNUAL INTP.CRI'1'Y'II;ST (0.1 GPH)
<br />017, DAILY VISUALCIIL•'CK
<br />PIPING 4m
<br />PIDISSURI%HU PIPING (CM41c.II IMI4ppIY1'
<br />0 I. I:LIiC'I'RON IC ILINIi LEAK Uli l'b:Cr01< 7 � GNI I TRS'I' W I_I'H AIJ1Y) I'l1MD
<br />SHUT 0I117 FOR LEAK. SYSTEM FAILURE, AND SYS'r15M DISC:ONNI(CI'ION I
<br />AUDIBLE AND VISUAL ALARMS.
<br />0 2. MONTIHI,Y Q GPH TEST
<br />C) 3, ANNIJAI. INI11GRD'Y 71iS'I* (D, 101114)
<br />04. DAD,YVISUALCHHCK
<br />CONVENTIONAL SUCTION SYSTEMS (Check .VIM, .p*i
<br />[31, DAI I,Y VISUAI. MONITORING 011 PIPING AND PUMPING SYS'T'EM
<br />0 6. TRIENNIAL INTEGRITY TEST (0.1 OPhp
<br />SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING)',
<br />07. SIILII MON[ 'I'CHINO
<br />GRAVITY FLOW (Clunk JI IMI apply).
<br />OS, DAILY VISUAL MONI'MRINO
<br />09, 1111LNNIAL IN'1'IiORI'IV l'1!Sl'(U.10191)
<br />SECONDARILY CONTAINED PIPING
<br />I'Illi$SIJRI%);p IIIIIING tGluek YII Ilul YWIVL
<br />10, CON1'INDOIIS'I'1.11MIND: SUMP SIINSLIR WI Ill AllllIBLE•. AND VISI JAI.
<br />ALARMS ANI) (CTma mu)
<br />0 a AUTO PUMP SHUT OFi4 WH14N A uiAK OCCURS
<br />0 b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM
<br />DISCONNI'17TION
<br />Ci; NUAUrUPUMPSICTOFII
<br />0 n, ALn'OMATIC IXAK DBTE(TUR
<br />0 12. ANM IAI, INTRORITY 7'FS'r (0.1 CPN)
<br />SIJCTION/(IkAVI'I'Y SYS'I'I;M
<br />013. CONI'INU00S SIIMPSRNS(M+AIIDIIII.F: AND VISUAI, ALARMS
<br />F,MRRC.F,NCY GF,NRILATORS ONI.Y (Chxk ah Ihnl appy,
<br />014. CONTINUOiNSUMP SENSOR WITI IOU rr AUl'(1 PUMP NI III "I'01W
<br />AUDIHI.Ii AND VINUAL ALARMS
<br />015, AUTOMATIC LING LEAK DETECTOR (3.0 GPIs TEST)
<br />0 16. ANNUAL INTRCRITY TEST (0.1 CNH)
<br />017. DAILY VISUAL CHECK
<br />VIII. DISPENNP:R OONTAINMFNT
<br />DISI'loNSHR CONTAINMENT 01.111.OAI'MII0 IANISM'rHATSHUTS 01'FSIIEAR VALVE 04, DAILY VISUALCIMCK
<br />DATE MSTAI.I.eU 4N5 02, CONTINUOUS DISPRNSkjt PAN SENSOR+ AUDIBLE AND VISUAL AIARMS 05.1101N(9•I LINIEt/MONITORIN(I
<br />0.3 3.1 CONTINUOUS DISPENSER PAN SkNSOR WITH AUTO SHUT OFF FOR
<br />DISPENSERAIIDIBI.F AND VISUAI. AI ARMS Q
<br />+ h, NONI•. 4n4
<br />_ IX OWNER/OPIU"I'OR$WN'A•11IRF
<br />I cutiry Rut IM Infli muMn pMvi4M Mw4 k 1, c blal n2orn4 w IM hep nfmy knnwleig.. � T �•��---
<br />'SiGN'I'U UW�R/OP?EkA'I1yk� OATS ,7 ,b� 4A1
<br />�� E' l
<br />NAME POWNERCIPRAI'01t IPri1 471'I'I'1'IA OFOWNERA)PERA'1'UR 472
<br />t""N. A -v2'1\\ Sti-,nA-�N(
<br />urLr (I2/99reVISeG) 1 1 12 Formerly SWRCR Form R
<br />
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