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i Away UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VL PIPING CONSTRUCE)OIE RJpph r wVYC.UUND PIPING MTEY TYPE 1. PRESSURE ❑ 1. SUCTION ❑ ]. GRAVITY ASS ❑ I. PRESSURE ❑ Z SUCTION ❑ ] GRAVRY ANI ST I❑ 1. SINGLE WALL ❑ S LINED TRENCH ❑ 99. OTHER a60I ❑ 1. SINGLE WALL ❑ 9S. UNKNONM �aB1 MMNpFUB ACTUIER 2. OOLE WALL n C3 111. KNIJNM UN ❑ 2. DOUBLE WALL ❑ S9. OTHER WUFACTURER r M y^ -V V L 461 14AMIFACTIAIEII 1. BARE STEEL ❑I MR COMPATIBLE WI 100% METHANOL 13 . BARESTEEL ❑ 6. FRP COMPATIBLE Val 1(01, METHMad 2. STAINLESS STEEL ❑ T. GALVAMMO STEEL 112. STAINLESS STEEL ❑ T. GALVANIZED STEEL 0 PLASRCCOYPATIBLEWRHCONTENTS 0 9. UNKNOWN ❑ ]. PLA9TICCOMPATM EKTTNCONTEHFS ❑ 6. FLEXIBLE(HDPE) ❑9a. OTHER a, FIBERGLASS ❑ 6 FLEXIBLE (HOPE) ❑ W OTHER ❑ a. FIBERGLASS ❑ 9. CATMO010 PROTECTION S. STEEL We COATING ❑ 9 CATHODIC PROTECTION aha ❑ 5. STEEL W,COATING ❑ 95. UNKNOWN VII. PIPING LEAK DETECTION (CnaRa aN My alaN PRESSURIZED PIPING (Chap. W Mal appy): ❑ 1 ELECTRONICLINELEM(DETEMW000 TESTKITHAUTOPUMPSHUTOFFFOR LEAK SYSTEM FAILURE. AND SYSTEM DISCONNECTION • AUDIBLE AND VISUAL ALARMS x 2 MONTHlY020PHTEST ❑ ] ANNUAL INTECRfTY TEST 10.1 GPM CONVENTIONAL SUCTION SYSTEMS. ❑ 5 DAILY VISUAL MONITCRINGOF PUMPING SYSTEM -TRIENNIAL PIPING INTEGRITY TEST 101 GPM) E SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING)'. T SELF MONITORING VITT FLOW S BIENNIAL INTEGRITY TEST I0 1 GPH) SECONDARILY CO TAW EO PIPING PRESSURIZED PIPING (ChaYAaa Mat appy)' 10 CONTINUOUS TURBINE SUMP SENSOR loiliI AUDIBLE AND VISUAL ALARMS AND ICnwA mal ❑ a. AUTO PVMP'SLUTOFFYMIENALEAXOCCURS V a AUTO PIMP SMR OFF FOR LEAKS S'STEM FAILURE AND SYSTEM DISCONNECTION ❑ F NO AUTO pump SMR OFF I ❑ 11 iEi MATIIICC LINE LEAN DETECTOR OO G --ESTI WITH FLOW SHUT OFF OR ❑ 11 ANNUAL INTEGRITY LEST IDI GPM) SUCTIONCRAVITY SYSTEM ❑ 13 CCNTINOOUS SUMP SENSOR • AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Chew all Mat appy, ❑ 14 CCNTWUOLl9 SUMP SENSOR WITS A� C PUMP SHUT OFF -AUDIBLE AND VISUAL ALARMS ❑ 15 AUTOAATICUNELENLDETEUT (30G -ESn WnTH I FLOW SHUT OFF OR RESTRICTION ❑ 16 ANNUALINTEGRITYTEST101GPN) ❑ V C-VLYVISUKCHECK PRESSURIZED PIPING (GNCA all Mal appy,: - ❑ 1. ELECTRONIC UNE .EAI DETECTOR ] 0 GPM TEST WITH AUTO PUMP SHUT OFF FOR LEAIC SYSTEM FAILURE AND SYSTEM DISCONNECTION • AUDIBLE AND VISUAL ALMMS ❑ 2. MONTH1_Y0.2GPHTEST ❑ ]. ANNUAL INTEGRRY TEST (0.1 GPH) ❑ a. DAILYVISUKCIECK CONVENTIONALSUCTIO.S�STEMS(Che ..O,h.,..PYf ❑ 5. DAILY VISUAL MOaTORING OF PIPING AND PUMPING SYSTEM ❑ 6. TRIENMKINTEGA. YTEST 10.1 GPM) SAFE SUCTION SYSTEMS MO VALVES IN BELOW GROUND PN4NGI: ❑ T SELFMONITORING GRAVITY FLOW (Chao Y TM apply): ❑ a. DAILY VISUAL MDMTORING ❑ 9 BIENNIAL INTEGAI TEST (0 1 GPM) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (GaalW Mat appy,' 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE ANO VISUAL ALARMS AND Imes mal ❑ a. AUTO PUMP SFUT OFF WHEN A LEAK OCCURS 0 AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCGNNEC-CN ❑ C. N0AUTO1_VPSHUTOFF ❑ 11 AUTOMATIC LEA,- -ECTOR ❑ 12. ANNUAL INTEGP-• -EST (0I GPH) SUCTIONaGRAVITY SYST_ V ❑ 13 CONTINUOUS SLUR SENSOR • AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Chea ap MM appy) ❑ la. CONTINUOUS SLVP SENSOR WTHOUT AUTO PUMP SHUT OFF -AUDIBLE AND VISUAL ALARMS ❑ 15. AUTOMATIC UNE =AK DETECTOR OO GPM TEST) I❑ 16. ANNUALINTEGR- EST(O.IGPM SUI tT GAILY VI VIII. DISPENSER CONTAINMENT O'SPENSCR CCNTAINMENT ❑ I P OAT MEGFF1.SM THAT SHUTS OFF SHEAR VALVE ❑ a DAILY VISUAL CHECK DATE INSTALLED .6a ❑ 2. CONTINUOUS--SPENSER PAN SENSOR • AUDIBLE AND VISUAL ALARMS ❑ 5. TRENCH LINER i MONITORING �O CONT'NUOLS2 SPENSER PAN SENSCR MTMAUTOSHUT OFF FCR C'SPENSER i9LEANOVISVAL AV-i•VS ❑6 NONE .<.ICCNT'NUO.S]SPENSER PAN SENSCR MTHAUTOSHUT OFF FC9:5PEYSER •-,] 9LEANOV6UAL AL:PVS ❑6 NONE .<;I IX. OWNER CIPERATOR SIGNATURE UPCF L1,99) Formerly SVVRCS F- -