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L - FIED PROGRAM CONSOLIDATED FORM <br />U�� ff,►Ncs <br />UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br />VlPIPING CONSTRUCTION cbrt elreu I Pw _ or _ <br />UNDERGROUND PIPRNG ABOVEGROUND PIPING <br />SYSTEM TYPE U 1. PRESSURE . SUCTION G J. GRAVITY 451 G 1. PRESSURE G 2. SUCTION G 3. GRAVITY 459 <br />CONSTauCnotLja2 SINGLE WALL G 3. LINED TRENCH U 99. OTHER 469 U.1. SINGLE WALL ❑ 95. UNKNOWN 462 <br />MANVFAC URER G 2. DOUBLE WALL O 95. UNKNOWN ❑ 2. DOUBLE WALL ❑ W. OTHER <br />MANUFACTURER 461 MANUFACTURER <br />6 <br />❑ 1. BARE STEEL U 6. FRP COMPATIBLE W1100% MEiII.WOL G [.BARE STEEL G 6. FRP COMPATIBLE Wllao%MEn1ANOL <br />G 2. STAINLESS STEEL G 7. GALVANIZED STEEL G Uakv U 2. STAINLESS STEEL G 7. GALVANIZED STEEL <br />❑ 3. PLASTIC COMPATIBLE W/ CONTENTS 1:199. Olba 03. PLASTIC COMPATIBLE W/CONTENTS ❑ S. FLEXIBLE (HDPE) (] 9g OTHER <br />G 4. FIBERGLASS G S. FLEXIBLE (HDPE) ❑ 4. FIBERGLASS <br />O 5, STEEL W/COATING O 9. CATHODIC PROTECTION 461 G 9. CATHODIC PROTECTION <br />F o ❑ s. STEEL wrcoATlNc ❑ 9s. UNKNOWN <br />.o..,,..., . „ ....T..._.._ __. 465 <br />SINGLE WALL PIPING <br />466 <br />PRESSURIZED PIPING (Ort "I w, rovly): <br />O 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ]'( AUTO PUMP SHUT <br />OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION <br />AUDIBLE AND VISI IAL ALAR:r,b. <br />G 2. MONTHLY 02 GPH TEST <br />03. ANNUAL INTEGRITY TEST (0. IGPH) <br />CONVENTIONAL SUCTION SYSTEMS , v <br />G 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING <br />INTEGRITY TEST (0.1 GPH) <br />SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUNDPIPING): <br />G 7. SELF MONITORING <br />GRAVITY FLOW <br />O9. BIENNIA. INTEGRITY TEST (0. 1 GPH) N <br />SECONDARILY CONTAINED PIPING <br />PRESSURIZED PIPING (0a all,bu roPlr): <br />10. CONTINUOUS TURBINE SUMP SENSOR -WM AUDIBLE AND VISUAL <br />ALARMS AND(Ort w) <br />0. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br />G b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM <br />DISCONNECTION . <br />O<.NOAUTO PUMP SHUTOFF <br />G 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) FLOW SHUT <br />OFF OR RESTRICTION <br />G 12. ANNUAL INTEGRITY TEST (0. 1 GPH) <br />SUCTIOWGRA VITY SYSTEM <br />G 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS <br />EMERGENCY GENERATORS ONLY (O .11 rbu roply) <br />G 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF <br />AUDIBLE AND VISUAL ALARMS <br />G 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) Winini r FLOW <br />SHUT OFF OR RESTRICTION <br />G 16. ANNUAL INTEGRITY TEST (0.1 GPH) <br />G 17. DAILY VISUAL CHECK <br />SINGLE WALL PIPING 467 <br />PRESSURIZED PIPING (Cb lfh.l.pply): <br />G I. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST)M AUTO PUMP <br />SHUT OFF FOR LEAK, SYSTEM FAD.UEE, AND SYSTF.M.^.ISCONNECTJON+ <br />A:JDIBLE AND VISUAL ALARMS. <br />G L MONTHLY 0.2 GPH TEST <br />G 3. ANNUAL INTEGRITY TEST (12.IGPH) <br />Cl 4. DAILY VISUAL CHECK <br />CONVENTIONAL SUCTION SYSTEMS (Cba W Nor µph) <br />G 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br />G 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) <br />SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): <br />G7. SELF MONITORING <br />GRAVITY FLOW (O k.11m ropy): <br />G S. DAILY VISUAL MONITORING <br />G 9. BIENNIAL INTEGRITY TEST (0.1 GPH) <br />SECONDARILY CONTAINED PIPING <br />PRESSURIZED PIPING (Omk.II rW .Wy): <br />10. CONTINUOUS TURBINE SURE SENSOR WITH AUDIBLE AND VISUAL <br />ALARMS AND (Cbrk m.) <br />G R AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br />G b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM <br />DISCONNECTION <br />Cl. NO AUTO PUMP SHUT OFF <br />❑ 11. AUTOMATIC LEAK DETECTOR <br />❑ 12. ANNUAL INTEGRITY TEST (0.1 GPH) <br />SUCTIOWGRAVTTY SYSTEM <br />013. CONTINUOUS SUMP SENSOR +AUDIBLE AND VISUAL ALARMS <br />EMERGENCY GENERATORS ONLY (ark , W W)y) <br />G 14. CONTINUOUS SUMP SENSOR WITHOI AUTO PUMP SHUT OFF <br />AUDIBLE AND VISUAL ALARMS <br />G 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) <br />U 16. ANNUAL INTEGRITY TEST (0.1 GPH) <br />G 17. DAILY VISUAL CHECK <br />CONTAINMENT <br />DISPENSER CONTAINMENT G I. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ❑ 4. DAILY VISUAL CHECK <br />DATE INSTALL 0 461 Cl 2. CONTINUOUS DISPENSER PAN SENSOR +AUDIBLE AND VISUAL ALARMS G 5. TRENCH LINER / MONITORING <br />/ ❑ J. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR <br />�V DISPENSER+ AUDIBLE AND VISUAL ALARMS G6. NONE �q <br />SIGNATURE <br />I.1yJw Ju i.Tmnti9. praM4tl Emu u.rvc.M.cmh. eJb.fe kmvle4m <br />SIGMA 1 p ATOR N DATE 470 <br />/3 O' <br />NAME OF 0OPRATOR (Pring - NI TITLE OF O R/OP TOR Ot <br />Porti, Num6u (Fw bul urs mIY) 473 Pvmrc ApFxmM (Fw IoW we on1Y) 474 Pnmir Eroinnon Dm (Fw uul uss mh) 475 <br />UPCF (12/99 revised) 12 Formerly SWRCB Form B <br />