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SYSTEM TYPE CONSTRUCTION JU;X SINGLE WALL MANUFACTURERy DOUBLE WALL MANUFACTURER Gtr 11FIEO PROGRAM CONSOLIDATEDFOR,f UNDERGROUND STORAGE TANKS - TANK PAGE 2 am SUCTION ❑ 3. GRAVITY ❑ 3. LINEDTRENCH ❑99. OTHER ❑ 95. UNKNOWN ❑ 1. SINGLE WALL ❑ 2. DOUBLE WALL MANUFACTURER ABOVEGROUND ❑ 95. UNKNOWN ❑ 99. OTHER TANKS ❑ 1. BARE STEEL ❑ B. FRP COMPATIBLE W/ 1W%METHANOL ❑ 1. BARE STEEL ❑ 8. FRP COMPATIBLE W/ 100%METHANOL MATERIALS AND ❑ 2. STAINLESS STEEL CORROSION ❑ 7. GALVANIZED STEEL ❑ 2. STAINLESS STEEL 11T. GALVANIZED STEEL PROTECTION ❑ 3. PLASTICCOMPATIBLEVATH CONTENTS ❑95. UNKNCWM ❑ 3. PLASTICCOMPATISLEWTHCONTENTS ❑ 8. FLEXIBLE(HDPE) ❑99. OTHER d. FIBERGLASS ❑ B. FLEXIBLE (HOPE) ❑B9. OTHER ❑ 4. FIBERGLASS ❑ 9. CATHODICPROTECTION ❑ 5. STEELWICOATING ❑ 9. CATMODICPROTECTION ❑ 5. STEELWICOATING ❑95. UNKNOWN VII. PIPING LEAK DETECTION /Cheek MlMfepp0l -. PRESSURIZED PIPING (Check ep Tal app09: aNML WALLPIPING PRESSURIZED PIPING (Check ak fkaf apply): ❑ 1 ELECTRONIC UNE LEAK DETECTOR 3.0 GPM TEST WITH AUTO PUMP SMUT OFF FOR ❑ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPM TEST IMTH AUTO PUMP SMUT OFF FOR LEAK, LEAK. SYSTEM FAILURE, AND SYSTEM DISCONNECTION -AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION• AUDIBLE AND VISUAL ALARMS ALARMS ❑ 2. MONTHLY 0.2 GPM TEST ❑ 2. MONTHLY 0.2 GPM TEST ❑ 3. ANNUAL INTEGRITY TEST III 1 GPM) ❑ 3. ANNUAL INTEGRITY TEST (0. 1 GPM) ❑ 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: ❑ 5 DAILY VISUAL MONITORING OF PUMPING SYSTEM♦ TRIENNIAL PIPING INTEGRITY TEST 10.1 GPM) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ❑ 7. SELFMCNITORING 9. BIENNIAL INTEGRITY TEST (01 GPM) 10. CONTINUOUS TURBINE SUMP SENSOR VATH AUDIBLE AND VISUAL ALARMS AND (DMLK one) ❑ a AUTO PUMP SHUTOFF WMENA LEAK OCCURS ❑ b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ❑ c NO AUTO PUMP SHUT OFF ❑ 11 AUTOMATIC LINE LEAK DETECTOR (3.0 GPM TEST) WITH FLOW SHUT OFF OR RESTRICTION ❑ 12. ANNUAL INTEGRITY TEST III 1 GPM) SUCTIONIGRAVITY SYSTEM: ❑ 13. CONTINUOUS SUMP SENSOR -AUDIBLE AND VISUAL ALARMS U 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM ❑ 8. TRIENNIAL INTEGRITY TEST 1111 GPM) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ❑ 7. SELFMONITORING GRAVITY FLOW (CAepk ek IMI apply): ❑ 8. DAILY VISUAL MONITORING ❑ 9. BIENNIAL INTEGRITY TEST (0 1 GPM) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Chwk a8 Mal app)y): 10. CONTINUOUS TURBINE SUMP SENSOR VATM AUDIBLE AND VISUAL ALARMS AND (rnea one) ❑ a. AUTO PUMP SHUT OFF WMEN A LEAK OCCURS ❑ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ❑ a NOAUTOPUMPSHUTOFF ❑ 11. AUTOMATIC LEAK DETECTOR ❑ 12. ANNUAL INTEGRITY TEST 10.1 GPM) 13. CONTINUOUS SUMP SENSOR . AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Checka Nal apply) EMERGENCY GENERATORS DAILY (Check a8 hMl apply ❑ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SMUT OFF ♦AUDIBLE AND ❑ 14. CONTINUOUS SUMP SENSOR YATHOUT AUTO PUMP SHUT OFF. AUDIBLE AND VISUAL VISUAL ALARMS ALARMS ❑ 15. AUTOMATIC LINE LEAK DETECTOR 13.0 GPM TEST) WITHOUT FLOW SHUT OFF OR ❑ 15. AUTOMATIC UNE LEAK DETECTOR (3.0 GPM TEST) RESTRICTION ❑ 18. ANNUAL INTEGRITY TEST (0 1 GPM) ❑ 18. ANNUAL INTEGRITY MST (DA GPM) ❑ 17. DAILYVISUALCHECK ❑ 17. DAILYVISUALCHECK VSL DISPENSER CONTAINMENT DISPENSERCONTAINMENT ❑ 1. FLOATMECHANISMTHAT SMUTS OFF SHEAR VALVE ❑ 4. DMLYVISUALCRECK DATEINSTALLED ❑ 2, CONTINUOUS DISPENSER PAN SENSOR+ AUDIBLE AND VISUAL ALARMS 11 55. TRENCH LINER /MONITORING ❑ 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER. AUDIBLE ANO VISUAL ALARMS �jB. NONE CUPAFORM (4199) --�' J Fo meq SVVRCS Fong 8