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UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 - VL PIPING CONSTRUCTION (CAadc 0 doo POW _ USDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPB 1. PRESSURE ❑ Z SUCTION ❑ i GRAVITY 458 ❑ 1. PRESSURE ❑ 2. SUCTION ❑ 3. GPAVITV a511 ❑ 1 SINGLE WALL Cl 3 UNEO TRENCH ❑ 99. OTHER 460 ❑ 1. SINGLE WALL ❑ 95. UNKNOWN 462 CONSTRUCT10Nl MANUFACTURER 2. DOUBLE WALL Cl 9S UNKNOWN ❑ 2. DOUBLE WALL ❑ 99. OTHER MANUFACTURER 481 MANUFACTURER a83 ❑ 1. BARE STEEL C3, FRP COMPATIBLE WI IDD% METHANOL ❑ I. BARE STEEL ❑ 6. FRP COMPATIBLE W111)014 METHANOL MATERIALS AND ❑ 2, STAINLESS STEEL ❑ T. GALVANIZED STEEL ❑ 2. STAINLESS STEEL ❑ T. GALVANIZED STEEL CORROSION PROTECTION ❑ 3. PUBTKromPATIBLEWtTa CONTENTS ❑95. UNKNOWN 3, PLASTIC MUPAT WITH CONTENTS ❑ 8. FLEBLE(HOPE) ❑ W. OTHER 11KI 4. flBERGLA55❑ 6. FLEXIBLE(HOPE) ❑99. OTHER ❑ 4. FIBERGLASS ❑ 9. CATHODIC PROTECTION ❑ 5. STEEL W/COATING ❑ 9 CATHODIC PROTECTION 464 ❑ 5. STEELWICOATIN' 1195. UNKNOWN 465 VII. PIPING LEAK DETECTION (ChM aF mat amyl UNDERGROUNO PIPING ABOVEGROUND PIPING SWGLE WALL PIPING 466 SINGLE WALL PIPING a6l PRESSURIZED PIPING (Chea M 6W III PRESSURIZED PIPING (Cao LI thaw apdyl- ❑ 1 ELECTRONIC UNE LEN( MTECTOR 30 G?.'EST W . HH AUTO PUMP SHUT OFF FOR Cl ' ELECTRONIC UNE _AY. Dc ECTGR SC GPM EST WITH AUTO FJ -,AP SHUT OFF FOR :EM LEAK SYSTEM FAILURE. AND SYSTEM DISCONNECTION• AUDIBLE AND VISUAL SYSTEM FAILURE AND SYSTEM DISCONNECTION• AUDIBLE AND VISUAL ALARMS ALARMS ❑ 2. MONTHLY 02 (SPH TEST ❑ 2 MONTHLY 02 GPH TEST ❑ 3. ANNUAL INEGRI. EST (0.1 GPX) ❑ 1 ANNUAL INTEGRITY TEST IDA GPM) ❑ 4. DAILY VISUAL C1ECK CONVENTIONAL SUCTION SYSTEMS (Checa a0 mat aopyl CONVENTIONAL SUCTION SYSTEMS. ❑ 5. DAILY VISUAL MONITORING OF PIPINGANO PUMPING SYSTEM ❑ 5. DAILY VISUAL MCNRDIDNG OF PUMPING SYSTEM+ TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) ❑ 6. TRIENNIALINTEGRT' TEST (0 1 GPM) SAFESUCnMSYSTEMS(NOVALVESINMLOWGROUNDRPING). SAFE SUCTION SYSTEMS NO VALVES IN BELOW GROUND PIPING): ❑ T SELFMOMTORING ❑ T. SELFMCNITORING GRAVITY FLOW GRAVITY FLOW (ChM Y 11 aPdY)' ❑ 9 BIENNALINTEGRITYTEST(0IGPH) ❑ 8. DALYVISUALMCNTORING ❑ 9. 91ENNIALINTEGR„ TEST JO.1 GPM) SECONDARILY CONTAINED PIPING SECONDARKY CONTAINED PIPING PRESSURIZED PIPING (ChM M Nat MVly)' PRESSURIZED PIPING (CM H MN APPY) 10 CONTINUOUS TURBINE SUMP SENSOR W- AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TL=EINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (W. (ChM wl onal a. AUTO PUMP RUT OFF WHEN A LEN( OCCURS ❑ a. AUTO PUMP SMUT OFF WHEN A LEAK OCCURS It AUTO FUMPSMUTOFFFORLEAKS EISTEM FAILURE AND SYSTEM DISCONNECTION ❑ 8 AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM OSCONNEC-CN ❑ c. N,AUTOpUMp SHUT GFF ❑ c. NOAUTO ?.VP SHUT OFF Cl 11 AUTOMATIC LINE LEAK DETECTOR (3 0 G --EST) VAT- FLOW SHUT OFF OR RESTRICTION ❑ 11 AUTOMATIC LEA,- _= ECTOR Cl 12 ANNUALINTEGRITY TEST (0.I GPH) ❑ 12. ANNUAL INTEGR'-- `EST (O.I GPH) SUCTIONAGRAVITY SYSTEM. SUCTIONISRAVITY SYSTEM' ❑ 13 CONTINUOUS SUMP SENSOR • AUDIBLE ATD VISUAL ALARMS ❑ 13 CONTINUOUS AVP SENSOR •AUDIBLE AND VISUAL AIPAMS EMERGENCY GENERATORS ALLY (ChM all that aP ayl ❑ 14 CCM:N000S SUMP SENSOR WIC AL- PUMP SHUT OFF -AUDIBLE AND a EMERGENCY GENERATORS ONLY (Chea sll thif pdY) ❑ 14. CONTINUOUS BLV? SENSOR WITHOUT AUTO PUMP SHUT OFF •AUDIBLE AND VISUAL VISUAL ALARMS ALARMS ❑ 15 AUTOMATIC UNE LEAK DETECTOR 13.0 GP" "ESTI WITHOUT FLOW SHUT OFF OR RESTRICTION ❑ 15. AUTOMATIC UNE _.:K DETECTOR p O GPM TESTI ❑ 16 ANNUAL INTEGRITY TEST (0.1 GPX) ❑ 16. ANNUALIMEGR-•'EST (01 GPH) ❑ 17 GNLYVISUALCHECK ❑ lT. ONLY VISUAL C= _`( VIII. DISPENSER CONTAINMENT DISPENSER CONTAINMENT Cl I FLOAT MEGMAN. SM THAT SMUTS OFF SHEAR VALVE ❑ 4 DAILY VISUAL CHECK DATE INSTALLED A65 Cl 2. CONTINUOUS:.SPENSER PAN SENSOR • AUDIBLE AND VISUAL ALARMS ClS. TRENCH LINER .+ MONITORING ILA vff MIF. (9 AS CONTINUOUS JSPENSER PAN SENSOR NTH AUTO SHUT OFF POP ^rS9fNBB12 - - - SLE AND VISUAL ALARMS ❑ 6 NONE 3 l I)L OWNER/OPERATOR SIGNATURE I a a ma nnpmauo OrwoaP I1eTm .s mw arc arrurnle 1a me Deal pl mY +rwwle09a. -s_jGfZ,WE OF OWNS RlklFEAffR DATE a J NAM �ME�PE nl apt T LE vF GWNER/OFE-. TuR s 2 Q, A Y Numpel UPCF (1!99) ForTnetly SVVRCS F- -