Laserfiche WebLink
t <br /> FLED PROGRAM CONSOLIDATED Fftk <br /> UNDERGROUND STORAGE TANKS TANK PAGE 2 TANK <br /> VI.PIPING CONSTRUCTION(Chea;a0 that apps) Page 6 of 6 <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE 0 1.PRESSURE 0 2.SUCTION 013.GRAVITY 458 0 1.PRESSURE 0 2. SUCTION 0 3.GRAVITY 459 <br /> CONMUCTION 0 1.SINGLE WALL 0 3.LINED TRENCH 099.OTHER 460 111.SINGLE WALL 0 95.UNKNOWN 462 <br /> MANUFACNRER 0 2.DOUBLE WALL 0 95.UNKNOWN 112.DOUBLE WALL 1199.OTHER <br /> MANUFACTURER A�Smith 461 MANUFACTURER_ m3 <br /> ❑1.BARE STEEL ❑6.FRP COMPATIBLE w/I00. METHANOL ❑1.BARE STEEL ❑6.FRP COMPATIBLE W/100°4 MR:THANOL <br /> 0 2.STAINLESS STEEL70 7.GALVANIZED STEEL 0 Unknown 0 2. STAINLESS STEEL <br /> [17.GALVANIZED STEEL <br /> 0 3.PLASTIC COMPATIBLE W/CONTENTS 0 99. Other 0 3. PLASTIC COMPATIBLE W/CONTENTS 0 8.FLEXIBLE(HDPE) 0 99. OTHER <br /> 0 4.FIBERGLASS 0 8.FLEXIBLE(HDPE) [14. FIBERGLASS 0 9.CATHODIC PROTECTION <br /> D 5.STEEL W/COATING 0 9.CATHODIC PROTECTION 464 0 5. STEEL W/COATING ❑95.UNKNOWN 465 <br /> VII.PIPING LEAK DETECTION(Check ell slut apps)(A demi ion ofthe monitoring pro shall ha submitted m the 6.1 agency. <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 <br /> PRESSURIZED PIPING(Check all that apFly): PRESSURIZED PIPING(Check all thu apply): <br /> 0 1.ELECTRONIC LUNE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT 0 1. ELECTRONIC LINE LEAK DETECTOR 3.6 GPH TESTVLH AUTO PUMP <br /> OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION+ SHUT OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION+ <br /> AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS. <br /> 0 2.MONTHLY 0.2 GPH TEST 0 2. MONTHLY 0.2 GPH TEST <br /> 0 3.ANNUAL INTEGRITY TEST(O.IGPH) 0 3.ANNUAL INTEGRITY TEST(0.1GPM <br /> 04. DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Check dl tum apply) <br /> 0 5.DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL.PIPING <br /> INTEGRITY TEST(0.1 GPIs) 0 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUND PIPING): [16. TRIENNW,INTEGRITY TEST(0.1 GPH) <br /> 0 7.SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> GRAVITY FLOW 07. SELF MONITORING <br /> 1:19.BIENNIAL INTEGRITY TEST(0.1 GPH) GRAVITY FLOW(Cheek all that apply): <br /> 0 S. DAILY VISUAL MONITORING <br /> 0 9. BIENNIAL INTEGRITY TEST(0.1 GPI) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Check all that apply): PRESSURIZED PIPING(Check all that apply): <br /> 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL <br /> ALARMS AND(Check one) ALARMS AND(Check one) <br /> 19 a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 0 a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> 0 Is. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM 0 Is AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION DISCONNECTION <br /> 0c. NO AUTO PUMP SHUT OFF Oc NO AUTO PUMP SHUT OFF <br /> 0 11. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUT <br /> OFF OR RESTRICTION 0 11. AUTOMATIC LEAK DETECTOR <br /> 0 12. ANNUAL INTEGRITY TEST(0.1 GPIs) 0 12. ANNUAL INTEGRITY TEST(DI GPH) <br /> SUCTION/GRAVTIY SYSTEM SUCTION/GRAVITY SYSTEM <br /> 013. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS D 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(Check all tMt.poly) EMERGENCY GENERATORS ONLY(Check all that apply) <br /> 0 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF• ❑ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF <br /> AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> 0 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WrrHOUi FLOW <br /> SHUT OFF OR RESTRICTION 0 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) <br /> 0 16.ANNUAL INTEGRITY TEST(0.1 GPM [116.ANNUAL INTEGRITY TEST(0.1 GPH) <br /> [117. DAILY VISUAL CHECK 0 17. DAILY VISUAL CHECK <br /> VIII.DISPENSER CONTAINMENT <br /> DISPENSER CONTAINMENT 111.FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 0 4.DAILY VISUAL CHECK <br /> DATE INSTALLED 468 192.CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS 0 5.TRENCH LINER/MONITORING <br /> 9/28/90 0 3.CONTINUOUS DISPENSER PAN SENSOR WITH AUTO STRUT OFF FOR <br /> DISPENSER+AUDIBLE AND VISUAL ALARMS ❑6.NONE 469 <br /> IX.OWNERIOPERATOR SIGNATURE <br /> 1 certify that the information provided herein is Ime and accurate to the bat o(my knowledge. <br /> SIGNATURE OF 0 PE R DATE 4m <br /> N.R.GERI 5/30/02 <br /> NAME OF OWNER/OPEKA R(print) TITLE OFOWNER/OPER IVK 472 <br /> Chevron Products Company/D.R. LERI Retail ESH S ecialist <br /> Permit Number(For local use only) 473 Permit Apprount(For local use only) Permit Expiration Date(For bcal use only) 475 <br /> 1 UPCF(1/99 revised) 179 Pn'-ly QIIIDI -_ - <br />