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UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> VI.PIPING CONSTRUCTION cw�.0 ma Pot- <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM 7ypE ❑1.PRESSURE ❑2.SUCDON O 3.GRAVITY 41s O L PRESSURE El 2. SUCTION O 3.GRAVm as9 <br /> CONSTRUCTION ❑1.SINGLE WALL ❑3.LINED TRENCH [I99-MIUR 460 D 1.SINGLE WALL [j 95.UNKNOWN <br /> w <br /> MANLIFAC111M D 2 DOUBLE WALL (]95.UNKNOWN D 2.DOUBLE WALL D 99.OTTER <br /> MANUFACTURER 461 MANUFACTURER i0 <br /> MPATIBLE <br /> C i.BARE AIMLESS S �67.G COMPATIBLE <br /> O�ANI)STEEL UU-b o� 0 1.BARE STEEL ID 16.FRP 0 2- STAiM� Z)"7.GALVVAANIZED STEEL.100%MEIHANO <br /> D 2 STAINLESS STEEL ❑ <br /> [ 3.PLASTIC COMPATIBLE W)CONTENTS ❑99. otha D 3. PLASTIC COMPATIBLE W/CONTENTS 08-FLEXIBLE(HDPE) D 99. OTHER <br /> I4 .--mn4S•S D B.FLEXIBLE(HDPE) D4. FIBERGLASS D 9.CATHODIC PROTECTION <br /> p S.S[EECW7CDATING O 9.CATHODIC PROTECTION 464 ❑5. STEEL W/COATMG ❑95.UNENOWN 486 <br /> VII.PIPING LEAK DETECTION C k&]I (A erm w0aw�w+vdw�lod ''' <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> t SINGLE WALL PIPING 466 SINGLE WAIL PIPING 467 <br /> x c • ]PRESSURIZED PIPRESSURIZED PIPING( 411 W* <br /> 1.ELECTRONIC LINE LEAK - <br /> :: <br /> DETECTOR 3.0 GPH TEST mm AUTO PUMP SHUT ❑1. 11ECIROMC f.BIE LEAK DETECTOR 3.0 GPH TEST=AUTO PUMP <br /> OFF FOR LEAK,SYSTEM FAILURE.AND SYSTEM DISCONNECTION+ AHUT OFF FOR <br /> AND LEAK.SYSTEM <br /> MIS AILURE.AND SYSTEMDISCONNECTION+ <br /> AUDIBLE AND VISUAL ALARMS. <br /> D 2 MONTHLY 02 GPH TEST O2 MONTHLY 02 GPH TEST <br /> I]3.ANNUAL INTEGRITY TEST(C.I GPH) O 3.ANNUAL INTEGRITY TESL'(0.1 GPIb <br /> Cl 4. DAILY VISUAL CHEM <br /> { CONVENTIONAL SUCIION SYSTEMS CONVENTIONAL SUCTION SYSTEMS([Lark 411Na4pWy) <br /> 15 DAILY VISUAL <br /> IS'L MONITORING OF PUMPING SYSTEM+TRERORAL PIPING D5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> INTEGSAFE SUCTION SYSTEMS(No VALUES IN BELOW GROUNDPIPING): O6. TRIENNIAL INTEGRITY TEST(0.1 GPH) <br /> I]?.SELF MONITORING SAFE SUCTION SYSTEMS MO VALVES IN BELOW GROUND PIPING} <br /> F�.:... . GRAVITY FLOW D7. SELF MONITORING <br /> 09.BIENN1ALjNTE(:RITYTESf(O.I GPH) GRAVTIYFLOW(oak4I1 VPIy): <br /> D 8.DAILY VISUAL MONIT'OR1NG <br /> 9. BIENNIAL INTEGRITY TEST(0.N GPH) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Cb k411m WTD: PRESSURIZED PIPING(C��I Oa 4wb'k <br /> ]O. CONTINUOUS TURBINE SUMP SENSOR MM AUDIBLE AND VISUAL 10. CONTINUOUSTURBINESUMP SENSOR}YfIII AUDIBLE AND VISUAL <br /> ALARMS AND(c w m) ALARMS AND(04a oe) <br /> D• AUTD PUMP SHUT OFF WHEN A LEAK OCCURS <br /> ❑a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> D L AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM D b AAM PSS OWN OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION <br /> [k NO AUTO PUMP SHUT OFF Or NO AUTO POMP SHUT OFF <br /> D IL AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEM FLOW SHUT 11.AUTOMATICLEAKDPTECI'OR y <br /> I'. OFF OR RESTRICTION if2 <br /> D 12 ANNUAL INTEGRITY TEST(0.1 GPH) Cl 12. ANNUAL INrEGR1TYT7ST(C.1 GPIU <br /> SUCRONIGRAVTTYSYSTEM SUCTION/GRAVITY SYSTEM <br /> 1]13. CONTINUOUS SUMP SENSOR AUDIBLE AND VISUAL ALARMS I]13. CONTINUOUS SUMP SENSOR*AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(Ck a Y W*) EMERGENCY GENERATORS ONLY(o a d WPW <br /> }- ¢ <br /> C D14 AUDIBLE AND <br /> VISUAL ALARMS <br /> WfTHOVf AUTO PUMP SHUT OFF D14. AUDIBLE <br /> CONTINUOUS SENSOMS <br /> R AUTO PUMPS <br /> AUDIBLE AND VISUALALARMS <br /> I]15. AUTOMATIC LINE LEAK DETECTOR(3.E GPH TEST)WITH FLOW I]15. AUTOMATIC LINE LTJ.KDEIECTOA(3A CRH 7ESIj �• <br /> "L SHUT OFF OR RESTRICTION - i <br /> ,. n 16.ANNUAL INIEGRITY7T(0.1 GPH) D 16.ANNUAL INTEGRITY <br /> TES7(0:1 GPH) <br /> ES <br /> DI7.IWLY VISUAL CHEM Cl 17. DAILY VISUAL CfgIX <br /> F` VIII.DISPENSER CONTAINMENT <br /> DISPENSER CONTAINMENT [11.FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE D 4.DAILY VISUAL CHECK <br /> DATEINSTAISED 466 D 2 CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS D S.TRENCH LWFRI MONITORING <br /> D 3.CONTINUOUS DISPENSER PAN SENSOR YM AUTO SHUT OFF FOR D 6.NONE 469 <br /> DISPENSER+AUDIBLE AND VISUAL ALARMS <br /> IX.OWNER/OPERATOR SIGNATURE <br /> I mofrWntbe Haan u+wr leG LLN1Y[blh[b[CMmy konrlWR <br /> SIGMA O O PERM DATE � <br /> 2 <br /> NAME OF OWNERQPRATOR(pont) <br /> 411TITLE OF OWNWOPERATOR <br /> Pvm 16�a(Fwbol ps mlp) 473 Pawn Allw (F.bd es on)y) 474 Pa tF�lntioeD (FwbN o<only) 475 <br /> UPCF(12/99 revised) <br /> 12 Formerly SWRCB Form B <br />