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Jul 27 04 12:00p Vary Pacific 120994755 p.7
<br />TANKS
<br />UNDERGROUND STORAGE TANKS - TANK PAGE 2
<br />VI. PIPING")NN'IRI1(3 ION (fM1mk oll Ovan I Pnry nT
<br />I INDRRGROUND PIPING ABOVEGROUND PIPIN(i
<br />SYSTEM TYPI, ®I, I'luSSURE 02. STICTION Q3. GRAVITY -ISn
<br />.. ❑ I. PRIJSSURP. Q2. SUCTION 0:. CI<nvl'I'Y as"
<br />4Y)NSTRt1(Tl0N 0 L SINGLE WALL 0.1 I,INI;D TRENCII 0 99. OTHL'R AM ❑ L SINOLEWALL 0 75. UNKNOWN no:
<br />MANI.TAC )iwR 14 2, DOU111,U WALL 0 95. UNKNOWN 0 2, 1101/111.11 WALL [] 99 (I'I'I 1171
<br />MANUFA(TIURIM 161 MANUFA(B3)RIM4a:
<br />❑LI?AIN!S'I'Idil, 06.FRPCOMI'A'rRII.Hw110(wc MVINAN01, LBAAI, STEEL _.... 06.1ItilCOMPATIBLE• W/Innis MIOIHAN0l.
<br />❑ 2.STAINLYSS STIiIiL ❑7. CALVANI%ED STRI7• ❑Unknown 02. STAINLE.S5STEEL 07. GALVANIZED STEEL
<br />3. PLASTIC COMPATIBLE W)CONTENTS 00') Ulhcr 03, PLASTICCOMPATIBLE W/CONTENTS 0S. FLEXIBLE (HOPE) 0'M, (1nit;..R
<br />0 A. FIBERGLASS 0 H. 19,F,XIRLE(HDPE) [3 4, rlErROL.ASS Q 9,
<br />CATgUOIC PNU'I'I;TION
<br />0 5, S'lHEL W/COATING Q 4, CATI IODIC PROTECTION *4 Q 5. SVEF.I. W/COA'T'ING 0 95, IINKNOWN 165
<br />VII. PIPING LDAK Dlti I'P:(: PION 1Clwek An n.n "�-
<br />SINGLE WALL PIPING �(d
<br />PRRSSURI%UD PIPING (Chmk xll IMl Apply)
<br />0 1 10.1((:1'90NIC LINE LEAK DETECTOR 3.0 Gill i I FS1tVi'ri l AUTO PUMP SHUT
<br />Ola' FUR LEAK, SYSTEM FAILIIRIS, ANI)NVS'I'IiM UISC(INNVC I'IUN I
<br />Alll)llll.l! ANO VISt)Al, ALARM..
<br />0 2. MON'T'HLY 7.2 (11'I I'I'I:N'I'
<br />Q 3.ANNUAi, INTRGRITY'1'1+.5'1' (0.1(;Pl p
<br />CONVRAITIONAL SUCTION SYSTEMS
<br />Q S. DAILY VISUAL MONI'T'ORING OF PUMPING SYSTrM , flUENNIAL PIPING
<br />INTEGNITY11R51'((I.I GPH)
<br />SAFE SUCTION .YSI'EMS (NO VALUES IN nRLOW CROIINUPIVING):
<br />Q ?.SELF MONI'T'ORING
<br />GRAVITY FLAW
<br />Q 9. RIHNNIAL IN'I'[:GRI'I'Y'1'E.'T (0,1 (:PI I)
<br />REO)NUARILY CONTAINED PIPING
<br />PRLSSURIZRD PIPING (CAeak All 11N,PNYI'
<br />10. CONTINUOUS'r11H)IINI:NUMPSENSORWITIIAIIDlr3i.FANDVINUAr.
<br />ALARMS ANU (Check nm)
<br />ON. AUTO PUMP SHUT OFF WIMN A LUAK OCCURS
<br />0 b. AUTO PUMP SHUT OFF FOR LNAKS, NY15'11W FAILURE AND SYSTEM
<br />DISCONNECTION
<br />0c. NOAU'I'UI•UMPSHU'I'ON•
<br />011. AUTOMATIC LINK LrtAK DIl'ItiC'I'OR (3.0 GPII TEST) WITH FLAW SHI1T
<br />OFF OR RRSTUICI'ION
<br />[112. ANNIJAI.INI'R(iltl'I'Y'IILNI (0.1 GPH)'
<br />SUCTION/GRAVITY SYSTkM
<br />0 IA CONTINUOUN SUMP SI>NSOR - AUDIBLE AND VISI TAI, ALARMS
<br />EMERGENCY GENERATORS ONLY ((aevk all tlNT ally.)
<br />014. CONTINUOUS SUMP SI?NSOR ADII "AUTO PUMP SIiII'TOFF'
<br />AUDIBLE AND VINLIAI.AIARMS '
<br />Q 15. AUTOMATIC LINH LF.'AK 011'11-4!I'OR (0.0 GPH TEST) FLOW
<br />SI IUT OFF OR RESTRICITON
<br />0 16. ANNOAI. IN'I'IiORI'rY'11ST (0.1 OPH)
<br />0 17, DAILY VISIIALCI IF.('K
<br />SINGLE. WALL PIPING 40
<br />PRL'SSURIZEDPIPING(CluAnk Wl NNnPply)
<br />0 L ELECTRONIC LINK. LPAK DKI'liC I'01( 3.0 OI•H'I V% I- WITH AlJ'IY) PUMP
<br />SIIUT OFF rOR ITAK, SYSTEM FAILURE, AND SYSTIIM DISCONNECTION ,
<br />AUDIBLE AND VISUAL ALARMS.
<br />Q 3. MONTI ILY 0,2 (IPI I TEST
<br />0 3. ANNUAL MTFGRITV TEAT (0.I GPrI)
<br />04. DATLYVISITALCIIECK
<br />CONVENTIONAL SUCT10NRYSTRMS(Ch kalkhAl apply)
<br />13.1. DAILY VISUAL MONITORING OI' PIPIN(: AND PUMPING SYSTEM
<br />0 6. TRIENNIAL INTEGRITY TEST (0.1 GPIs)
<br />SAIa5SUC1'I014SYSTEMS(NOVALVESIN BELOWGROUNDPIPING):
<br />0l, 817,1; MUNI'I'UItING
<br />GRAVITY F] DW(ciN All ftinpply).
<br />❑ R. DAILY VISUAL. MONI'101tINC
<br />0 9. BIENNIAL rNTWRITY TESTI) 1171'hl)
<br />SECONDARILY CONTAINED PIPING
<br />PRESSURIZI,D PIPING (Clack All Omaplily).
<br />10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL
<br />Al ARMS AND R'Invk,m„)
<br />❑ n AU'10 P(IMPSIIII'l'GI'F WI liiN A I.IiAK (K:(:1)RS
<br />Ell) AUTO PUMP SI IlIT 011r rOlt I.RAKS, SYSTPM F.AII,(IRC AND SYSTEM
<br />DISCONNLICIION
<br />E3n NOAII'IT)171MFSISII'I'OF'I'
<br />0 11. AUIOMA'I'IC LEAK DETECTOR
<br />Q 13. ANNUAL INTEGRITY Tr:ST(0.1 GPIs)
<br />SUCTIONMRAVITY NYSI'ICM
<br />013. CONTINUOUS SUMPSENSOR I AUDIBLE AND VISUAL ALARMS
<br />KMKIt(IKN(:V CKNERA'1'OkS ONLY (ChAek nlnhv.,gy)
<br />0I4, (:GN'I'IN000S SUMp SENSUR 1yM0121 AU'1'0 PUMP SIIUf UI9t
<br />A UDRU,I+. AND VISUAL. ALARMS
<br />0 15. AUTOMATIC LME LEAK DETECTOR (3.0 GPI I TRST)
<br />0 16. ANNUAL INTEGRITY TEST (0.1 OPH)
<br />017. DAILY VISUAL CHECK
<br />Vlll. DINPKNSER CONTAINMENT
<br />LOAT'13
<br />ENSER CON'I'AINMF;N'l' Cl L I'LOA'I' MUCI'IANI$M'I'IIAI' SIIUI'5 O)T SHEAR VALVE 0 A. DAILY VISI JAI. CHECK
<br />INSTAI,I,p;D Ann 02.CONTINHOUNDISPUNSIIII PAN SENSOR+ AUDIBLE AND VISUAL ALARMS Q S. TRENCI I I.INI!It I MONITORING
<br />® Y, CTINTINUOUS DISPENSER PAN .IiNNOR wl'I II AU 10 $I IU7 UPF PUR
<br />-_. INSMNSISR .,A? mrnrr ANn VICIIA i n, wn... ❑6. NONE All,
<br />IN. OWNER/OPERATOR SIGNATURE
<br />I rcniry nun )M inlNnnpl4N fno)vkN Ilmeln in Irve N,E ecnura,e,o,I,e M41 „fn,y k„v W IWnV.
<br />r �ra.r (1An+rr,V 1Nr.N�
<br />11
<br />P L/
<br />Formerly SWRCB Form B
<br />
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