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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGPOUNE) STORAGE TANKS - TANK PAGE Z TANKS Page m V1.PIPING CONSTRUCTION(Ch.Pk of Tlwrappy) UDDGRGROUNO PIPING ABOVEGROUND PIPING 5YSTEMTYPE �t❑ya� 1. PRESSURE �l 2 SUC110N Q i GRAVITY a5B ❑ t. PRESSURE Q 2 SUC71,Ay,0NQ 1 GRAVRy CCJSfRI1GfiONf Ip I. SINGLE WALL Q i UNm TRENCH Q 91 OTHER 490 Q 1. SINGLE WALL tl19E UNKNOWN MANUFACTURER❑ 2 OOUBLEWALL ❑91 UNKNOWN ❑ z DOUBLE WALL On OTHER MANUFACTURER 491 MANUFACTURER �3 1.BARE STEEP. ❑ 6. 1RPCCMPAR9LE1WIa l6METHANOL 1. BARE STEEL ❑ 1 FRP CONPAnaLE WI lam METHANOL MATFRLAI.AND ❑ i STAINLESS STEEL Q 7. GALVANIZED STEEL ❑ i STAINLESS STEEL Q 7. GALvAH=STv OSIO PROTECTION 1 PLASTIC COMPATIBLE V111171 CONTENTS ❑95. UNKNOWN ❑ i PLASTTC CCMPATOLE WITH CONTENTS Q L F'L6(IBLEIHOP-9 ❑99. OTHER ❑ 4. FIBERGLASS ❑ 1 FLEXIBLE(HOPES ❑99. OTHER ❑ 4. FIBERGLASS Q 1 CATHODIC PRaMC.ICN ❑ i STEEL WTCOATR4G ❑ 9. CATmo=PROTECTION 48a 113 1 STEELW/COATING 09i UNKNOWN 465 VII.PIPING LEAK DETECTION(Cbrt of mataopy/ _. UNDERGROUND PIPING ABOVC{,RClUNO PIPING SMGLE WALLPIVIG 4B8 SINGLE WALL PW WG 467 PRESSURIZED PIPING(Cp.acaptAatappy). PRESSURIZED PIPING(Chx aY mat ayq: ❑ 1. ELECTRONIC UNE LAK DETECTOR 10 GPH TESTAITH AUTO PIMP SHUT CFF FOR ❑ 1. ELECTRONIC UNE LEAK DETECTOR 10 GPM TEST W1TH AUTO PUMP SHUT OFF FOR LEAK LEAK SYSTEM FAIWREANDSYS9ACISCCNNEGTION-AUOIBLEANOVISUAL SYSTEM FAILURE AND SYSTEM(IISCONNECBCN.AUCIELEANONSUALALARMS ALARMS ❑ 2 MONTHLY OZ GRI.EBT ❑ 2 MONTHLY IL7 OPM TEST ❑ 1 ANNUAL UNTEGRITY TEST(at GPM) ❑ 1 ANNUAL INTEGRITY TEST(0.1 GFH) ❑ 0. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTICNAL SUCTION SYSTEMS(Cbv aNdrat appy!: ❑ S. DAILY VISUAL MCNm7RING OF PUMPING SYSTEM-TRIENNIPL PIPING INTEGRITY ❑ i DAILY VISUAL MCNTTCRING OF PIPING AND PUMPING SYSTEM TEST Al GFH) ❑ 9.TRIENNIAL INTEGRITY TEST Al GPH) �FE SUCTION SYSTEMS MO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): 7. SEIFMONTTCRING ❑ 7. SELF YONRORING GRAVITY FLOW: GRAVITY FLOW(CLaat atl mu appy!: ❑ a BIENNIALINTEGIRRYTEST(01 GPM) ❑ E OALLYVIEUALMONTORING Q 9. BIENNIAL INTEGRITY TEST(C.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTRIVED PIPING PRES"IZED PIRNG(OT.at as mat appy): PRESSURIZED PIRNG(CA aI ON appy): IM CONTINUOUS'NRBINE SUMP SENBOR MIH AUDIBLE AND VISUALALSRMS AND to CONTINUOUS TURBINE SUMP SENSOR`MTIAUOISLE AND VISUAL ALARMS AND(dutl[ ❑ a AUTO PUMP SHUT CF'FWHENALEAK OCCURS ❑ 0. AUTO PUMP SHUT OFr FOR LEAKS.SYSTEM FAILURE AND SYSTEM ❑ A. AUTO PUMP SHUT OFFYRIEN A LEAK CG'I.TRS DISCONNECTION ❑ 6 AUTO PUMP SHUT OFF FOR LEAKS SYSTEM FAILUIZE AND SYSTEM DISCONNECrIIIN ❑ e NO AUTO PUMP SHUT OFF ❑ it.AUTOMATIC LINE LEAK DETECTOR(10 CPH TESn Wl R FLOW SHUT OFF OR ❑ LL 'No AUTO PUMP SHUT OFF RESTRICTION - ❑ It AUTOMATIC LEAK DETECTOR ❑ iz ANNUAL INTEGRITY TEST IAL GPM) ❑ tz ANNUAL INTEGRTY TEST(a1 OPH1 SUCTIONIGRAVITY SYSTEM: ❑ 11 CONTINUOUS SUMP SENSOR•AUDIBLEANO VSUALALARMS SUCDCNUGRAVITY SYSTEM: ❑ 1a CONTINUCUS SUMP SENSOR-ALUUMFANOMSU.4LALARMS EMERGENC/GENERATORSONLYAU fmrappy) ❑'IA CCNTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF,AUDIBLE AND, aELGENCT t,bVFnATORS ONcr(drat ar mammy) VIBWLAlARMe ❑ 1A. CONTINUOUS SUMP SENSOR'MTM]IfTAUTO PUMP SHAT OFF-AUCIBLEANOVISIIAL ❑ /1 AUTOMATIC LINE LEAK DETECTOR(1D GPM mm VATHOU FLOW SHUT OF,OR ALARMS 1. RESTRICTION ❑ 1S AUTOMATIC LINE LEAK numcTOROLD GPM TEST) ❑ 16 ANNUAL INTE/aTiTTy TEST(at GPM) ❑ IT. pA1LYVISUALCHECK ❑ 1E ANNUAL INTEGRITY TEST(a1 GPM ❑ t7. OAILYVISUALCHECK VW,DISPENSE!CONTAINMENT DISPENSER CONTAINMENT ❑ 1. FLOATMgIVNIBY THAT SHUTS OFF SMEAR VALVE Q 4. DAILY`ASUAL CHECK DATE INS(i 499 Q Z CONTINUOUS OMPENSER PAN SENSOR.AUOIELEANO VMIALALARMS ❑ i TRENCH LINER I N I� M@ rrCFaNG T� ❑ 1 CONTIMCUS DISPENSER PAN SENSOR IMTH AUTO SHUT OFF FOR DISPENSER•AUOISLEAND VLSUALALARMS ❑ LL NONE 4� ITL OMNEJCNM ATCR SIGNATURE fiat ma aYarnlaam oarmaa umr rm amrs.m ma iup w pry Naw.wica. Si ECFOWR F R{ 471 RTL ERATCR 472 a R .Z w�i r. YA I w Pa NumW(Farimat. aww 471 Prilla Airtg'wlfl(Fprloalum mryl 474 I Pa Em6aC0a Dau fFerloolva.tryl 1l5 JPCF(1199) • � F'armeAy SWRCS Farm 6