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INA' FIED PROGRAM CONSOLIDATED FORM TANK UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI.PIPING CONSTRUCTION.(Cheek all that apply) Page _ of UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE 0 1.PRESSURE O 2.SUCTION 0 3.GRAVITY 458 O 1.PRESSURE 0 2. SUCTION O 3.GRAVITY 459 CONSTRUCTION I [11.SINGLE WALL O 3.LINED TRENCH O 99.OTHER 460 O 1.SINGLE WALL [195.UNKNOWN 462 MANUFACTURER 02.DOUBLE WALL O 95,UNKNOWN O 2.DOUBLE WALL O 99.OTHER MANUFACTURER 461 MANUFACTURER 463 O 1.BARE STEEL O 6.FRP COMPATIBLE.1100% METHANOL O 1.BARE STEEL D 6.FRP COMPATIBLE w11om METHANOL O 2.STAINLESS STEEL O 7.GALVANIZED STEEL 0 UKNOWN O 2. STAINLESS STEEL 0 7.GALVANIZED STEEL O 3.PLASTIC COMPATIBLE WI CONTENTS 099. OTHER 03. PLASTIC COMPATIBLE WI CONTENTS 08.FLEXIBLE(HOPE) 099. OTHER 0 4.FIBERGLASS O 8.FLEXIBLE(HDPE) O 4, FIBERGLASS O 9.CATHODIC PROTECTION D 5,STEEL WICOATING D 9.CATHODIC PROTECTION 464 1 [15. STEEL WICOATING O 95.UNKNOWN 465 VII.PIPING LEAK DETECTION(Check all hat apply)(A descnphon of the monitoring programshall be submRed to drabbest agency.) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING(Check at that apply): PRESSURIZED PIPING(Check all that apply): O1. ELECTRONIC UNE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR 01. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION+AUDIBLE AND VISUAL LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION,AUDIBLE AND VISUAL ALARMS. ALARMS. D 2, MONTHLY 0.2 GPH TEST 02. MONTHLY 0.2 GPH TEST 03. ANNUAL INTEGRITY TEST(BAGPH) 03. ANNUAL INTEGRITY TEST(B1GPH) 0 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Check all thatapply) O5. DAILY VISUAL MONITORING OF PUMPING SYSTEM,TRIENNIAL PIPING INTEGRITY 05. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST(0.1 GPH) SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUNDPIPING): 06. TRIENNIAL INTEGRITY TEST(0.11 GPH) D 7. SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): GRAVITY FLOW 07, SELF MONITORING 09. BIENNIAL INTEGRITY TEST(0.1 GPH) GRAVITY FLOW(Check a9 thae apply): 08. DAILY VISUAL MONITORING 09. BIENNIAL INTEGRITY TEST(0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING(Check all that apply): PRESSURIZED PIPING(Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMSAND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Checkone) (Check ane) Oa. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS Da AUTO PUMP SHUT OFF WHEN A LEAK OCCURS Ob. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM Ob AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION Oc. NOAUTO PUMP SHUT OFF Dc NO AUTO PUMP SHUT OFF 011. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUTOFF OR 011 AUTOMATIC LEAK DETECTOR RESTRICTION 012. ANNUAL INTEGRITY TEST(0.1 GPH) 012. ANNUAL INTEGRITY TEST(i GPH) SUCTIONIGRAVITY SYSTEM SUCTIONIGRAVITY SYSTEM D 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS 013. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY(Check all that apply) EMERGENCY GENERATORS ONLY(Check all that apply) 014. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND 014, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND VISUALALARMS VISUALALARMS [115. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW SHUT OFF OR 0 15. AUTOMATIC UNE LEAK DETECTOR(3.0 GPH TEST) RESTRICTION 016. ANNUAL INTEGRITY TEST(0.1 GPH) D 16. ANNUAL INTEGRITY TEST(0.1 GPH) 017. DAILY VISUAL CHECK 017, DAILY VISUAL CHECK Vill.DISPENSER CONTAINMENT DISPENSER ®1, FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE D 4,DAILY VISUAL CHECK CONTAINMENT DATEINSTALLED 468 O2. CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS ❑5.TRENCH LINER I MONITORING D 3, CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER« [IS NONE 469 AUDIBLE AND VISUAL ALARMS IX.OWNERIOPERATOR SIGNATURE I certify that the information provided herein is true and accurate to the best of my knowledge. SIGNATURE OF OWNERIOPERATOR DATE 470 05/31/2007 NAME OF 0 NERIOPRATOR(print) TITLE OF OWNERIOPERATOR 472 Tiana Andriamanerivo for ConocoPhilLips Co. HSE Specialist Penrit Number(For local use only) 473 Permit Approved(For local use only) Permit Expiration Date(For local use only) 475 UPCF (1/99 revised) Formerly SWRCB Form 3