Laserfiche WebLink
Jul 27 04 12:00p Val y Pacific 120994$0755 P.9 <br />is <br />UNIFIED PROGRAM CONSOLIDA'CED FORM <br />TANKS <br />UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br />VI. PIPING CONSTRUCTION (Che.hn01h.1. B/ vge or <br />UNDI-AGROUND PIPING <br />I ABOVEGROUND PIPING _ <br />SYSTEM TYPE 0 I. PRESSURE: _ 0 2... SUCTION ❑ 3. GRAVITY 45. <br />I. 1; ''SSUR£ 02. SUC•1'ION 0 3. GRAVITY Aso <br />MNS'I'R1JC.'I'ION ❑I. SINGLE WALL ❑7.LMEDTRHNChI UM D771HR 4d9 <br />Q ,NPN,. AWAI.I. ❑45.IINKNOWN 462 <br />MANIIFACDIRER ® 2. I'N111111.E: WALL ❑ vi. UNKNOWN <br />0 2. DOUBLEWALL 0 nn, O'I'IIITR <br />MANUI;ACI'URER i 461 <br />MANLIIAC'1UlkliR An) <br />❑I. BARESTEI?L 6 IBP COMPATIBLE W/10%MImIANOI. <br />Q 1. 13ARF. SI' F.F.I. G Ce. FRP COMPATIBLE Wll» Mb'INAN'Ul. <br />O 2. STAINLESS STEEL [17. GALVANIZED STfP.I. Q Unknown <br />02. STAINLESS STEEL 0 7. GALVAN17FD NTIT." <br />Q1, PLASTIC COMPATIBLE W1 CONTENTS' . 099. 011w <br />C3 . PLASTIC COMPATIBLE W/CON 'rLNTS 0n.l41i%IItLP:(I IDI9t) Q9). arena <br />Q 4JQm(KOIAss 0 S. FLEXIBLE (IIDPE) <br />Q 4, FIBERCIANS I] 9. CAI'I IODIC PROTECTION <br />0 5. STEEL W/C,OAI-INC. Q 9. (PAIN 1(1DIC PROTECTION 4rw <br />0 S. STEEL W/COAI'INO 0 95. UNKNOWN 491 <br />VII, PIPING LEAK DETEC'T'ION 1[hnk nllelwnpplyltAMxriryinn <br />Melwnw ni.....nm"Iw... MlW blhanenl NNney_I <br />I NIQF:R(iROUND PIPING 7 <br />A111611ACROUIND PIPING <br />SINGLE WALT. PIPING 409 <br />SINGLE WALL PIPING 40 <br />PRESNUR1410 PIPING (Clw 4.11 nwl npplyl: <br />VRIjSSUR IZEU PIPING (Crock dl 1M1 A"): <br />Q1,EI.H..CI'RONIC LINO LEAK DETECTOR 3.00PH TESTW(TH AUTO;-1IM11SH11'r <br />01. HIAICIAONIC: LINK lAAK171frIiC1'l)N i.h (Il'H'DiSI'WPfAUTO PUMP <br />O0111. 1%)R I.I!AK,.)YS'I'P,M FAILOW. AND SYSTEM DISCONNECTION+ <br />SHUT OFF FOR LEAK, SYSTEM FA ARB, AND SYSTI7M DH ISCTMNNECr1ON I <br />AUDIBLE: AND VISUAL ALARMS. <br />AUDIBLE AND VISUALALARMS. <br />[12, MONTIII.Y 0,2 GPI I TV.ST <br />[] 2. MONTHLY 0.2 GPH TKST <br />0 3. ANNUAL INTEGRITY TES 1- (O.IGFI I) <br />❑ 3. ANNUAL INTEGRITY TEST (O.IGPFq <br />04. DAILY VISUALCHECK <br />CONVENTIONAL SUCTION SYSTKhIN <br />CONVENTIONAL SUCTION SYSTEMS (6hnk alUhnl uypy) <br />05. DAILYVISUAL MONITORING OF PIIMPINC' SYS'11M+TRIENNIAL PIPING <br />Q,S,DAII,Y VISUAL MONT OWING OF PIPING AND PUMPING SYST'ITM <br />INTEGRITY TEST (0.1 GMB <br />SAFI4 SUCTION SYSTEMS (NO VALUES IN BELOW GKOUNUPINNG): <br />06. TRIENNIAL INTEGRITY TEST (0.7 GPI I) <br />0 7, SHIP MONITORING <br />SME SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPINU): <br />GRAVITY FLOW <br />M 7. NULF MONI'T'ORING <br />Q 9. DJUNNIAL INTEGRITY TEST (0.1 Gm O <br />GRAVITY FLOW (Clrck.11 mat apply). <br />❑ R. DAILY VISUAL MONITORING <br />0 7. BIENNIAL IN'TLORI'I'Y'TLS'I' (0.1 GPHI <br />SKCONDARIIN (.:ONTAINKD PIPING <br />SECONDARILY CONTAINED PIPING <br />PRESSURIZED PIPING ((-N.Y dl Om.ppyf <br />PRESSURIZED PIPING (Checa.IDh.t w*): <br />10.CONTINUOUS'TURBINE SUMP SENSOI( WITI I AtANUE. AND VISUAI, <br />10. CONTINUOUS ' TURBINE SUMP SENSORWI'1'11AUUIBLF; AND VISUAI. <br />ALARMS AND frloh lmn) <br />ALARMS AND (el.k ww) <br />On. AUTO PUMPSHU'I'OFF WHEN A LEAK OCCURS <br />Qe AUIUIIIJMPSIIU'I'01+1'WIIUNALIlAK(XCURS <br />(3b. AUTO PUMP SII UT OFF FOR LEAKS,SYSTEM FAIR 1141; ANDSYSTI;M <br />Mb AU'T'OPUMPSHUT'UI9'I'UR1.1•AKS, SY.S'I'lIM Fnu.UKl!AND RYS'T'I4M <br />DISCONNECTION <br />DISCONNI3CTION <br />09, N(7AIJTOPVMPSHUTOFF <br />U9 NU AUTO PUMP 81 UTOIT <br />®11. At HOMKITC LI NE LIiAK DETECTOR 0.0(lPI I Tr -%T) WITH FTAWSI It IT <br />011. AUTOMATIC LEAK DETECTOR <br />OFF OR REST-RICII'IDN <br />012. ANNUAL INTEGRTI Y ITS1(0.1 0111) <br />012. ANNUAL INTEGRITY TEST (G. 1 GPH) <br />SI X71'1ON9IRAVT'1'V SYSTI(M <br />SUCI'IONK;RAV1'I'Y IYX'rllM <br />Q 1;4, CONI INUOUS SUMP SENSOR AUDIBLE AND VISUAI, ALARMS <br />013. CONTINUOUS SUMP SLNSOR � AUI)1111.1Y AND VISUAI. AIARMS <br />KMRKCKNCY CKNERK10111 ONLY (Clink all OwT apply) <br />KME)lY GRNRRATORS ONLY (Check wl chr.ppry) <br />014. CONTINUOUS SUMI'SENSOR WITHOUT AUTO 11UM11 SITT ITON <br />Q14, CON'I'1NUOUSSUMPSISNWRWI"FI D'I' A111OPUMPSHDTOFF• <br />Al1DIDLE. AND VISUAL ALARMS <br />AUDIlil l AND VINVAI. AIARMS <br />❑IS,AU'IOMA'OC LINI3 LEAK DCTCCTOR(3.0 OPH TEST)WITHQUI FLOW <br />Q15. AUTOMATIC LINE LEAK BET EC'1'OR(3.0 CPH TEST) <br />SI ILP 10111; OR RESTRICTION <br />0 16. ANNUAL INTEGRITY TISST ().1 61111) <br />[116. ANNUAL INTEGRITY TEST (0.1 GPH) <br />017, DAILY VISUAL CHECK <br />1 017. DAILY VISUAL CHECK <br />VI 11. DISPENSER CONTAINMENT <br />UISPENSER CONTAINMENT❑1.FI.OA'I'MIKIIANISM'rI1A'I'SHUTS019' SHF•SR VALVE ❑ 4. DAILY VISUAL CHECK <br />OM I' F. INNTAI,IAiD 41A ❑ 2. CONTINUOUS DISPI'.NSHIt PAN SENSOR 1 AUDIBLE• AND VISUAL ALARMS 0 5. TRCNCI I LINER / MONITORING <br />®3.CONI IN000S DISj1LNS1AC PAN SEN' ITI( OR WAUTO SHAT OFF FOR 06. NONli an0 <br />DISPFNSF:R I AUDHILL AND VISUALALARMS <br />IX. OWNEWIDPERATOR SIGNATURE <br />Innniry 1hn11hn in6nmuinn prnv'Ided hNein is nue nm.es, nnv. bran „I'nry k,y,wIM1N. yy ' <br />SIGNA"1114L(P//WNJi14A)P' A'I'Olii <br />DAT% 4711, <br />-N­A-MVqt uWNE1 I'ItA'I'ON (pool) 471 <br />'1`1111i OFUWNWUOM1IN'I0R 47'- <br />7111 <br />J <br />Yrcn,n NuudKrlYnY kw.l uwan y) --' 41:1. Pahl Appmwd(11p1ttAitkoNy) 474 pow l'xyrtalo- Nit(Fo, mh'. MN) 41, <br />UPCF (12199 revised) <br />12 <br />5` <br />Formerly SWRCB Form B <br />