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UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS-TANK PAGE 2 <br /> VL PIPING CONSMUC170Ncxcta00m bye N <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE X I.PRESSURE 0 2 SUCTION 0 3.GRAVITY m ❑L PRESSURE 0 2. SUCTION 0 3.GRAVITY aP <br /> CDNRTRU M 0 1.SINGLE WALL 0 3.LINED TRENCH 0 99.OTHER 4e9 0 1.SINGLE WALL ❑9s.UNKNOWN bR <br /> MANUFACTURER 02.DOUBLE WALL 095.UNKNOWN 02.DOUBIEWALL 099.OTHER <br /> MANUFACTURER 461 MANUFACTURER 46T <br /> 0 1.BARE STEEL 0 6.FRP COMPATIBLE w 10 METHANUL 0 1.BARE STEEL ❑6.FRP COMPATIBLE W/NO%MOTHAWX <br /> 0 2.STAINLESS STEEL 0 7.GALVANIZED STEEL 0 Unko.. 0 2. STAINLESS STEEL 0 7.GALVANIZED STEEL <br /> 0 3.PLASTIC COMPATIBLE W/CONTENTS 0 99. Other 0 3. PLASTIC COMPATIBLE W/CONTENTS ❑R FLEXIBLE(HOPE) 0 W. OTHER <br /> 104.FIBERGLASS 0 R FLEXIBLE(IDPE) ❑4. FIBERGLASS 0 9.CATHODIC PROTECTION <br /> 0 5.STEEL W/COATING [19.CATHODIC PROTECTION 466 ❑5. STEEL W/COATING 0 9S.UNKNOWN 46s <br /> VIL PIPING LEAK DEr0MON(t3ade0tM >(A otONmeo emuhe m6minedmlhe tool <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 <br /> PRESSURIZED PIPING(O .n ftt-MY). PRESSURIZED PIPING(Ogden Poet eipr): <br /> 0 1.ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WW AUTO PUMP SHUT 0 1. ELECTRONIC LINE LEAK DET F,=R 3.0 OPN TEST WITH AUTO PUMP <br /> OFF POR LEAK SYSTEM FAILURE,AND SYSTEM DISCONNECTION+ SHUT On FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTON+ <br /> AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS. <br /> 0 2 MONTHLY 02 GPH TEST ❑2 MONTHLY 02 GPH TEST <br /> [13.ANNUAL INTEGRITY TEST(0.1 GPH) 0 3.ANNUAL INTEGRITY TEST(0.1 GPH) <br /> 04. DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(OmdeROm Voy) <br /> 0 5.DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING 0 S. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> INTEGRITY TEST(0.1 GPH) <br /> SAFE STICTION SYSTEMS(NO VALUES IN BELOW GROUNDPIPINGY. 0 6.TRIENNIAL INTEGRITY TEST(0.1 GIB) <br /> 0 7.SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPINGS <br /> GRAVITY FLOW 07.SELF MONITORING <br /> ❑9.BIENNIAL INTEGRITY TEST(0.1 GPH) GRAVITY FLOW(t aH Poo gpy)c <br /> 0 R DAILY VISUAL MONITORING <br /> [19. BIENNIAL INTEGRITY TEST(0.1 GPH) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTATNED PIPING <br /> PEESSURnED PIPING(ONdan Poa WIY PRESSURIZED PIPING((b Y.O mm Hyl <br /> 10. CONTINUOUS TURBINE SUMP SENSOR FYfI}I AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSORY WITH AUDIBLE AND VISUAL <br /> ALARMSAND(Cba -) ALARMS AND(Check we) <br /> 0 a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 0 e AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> ❑b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM ❑b AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION DI.SCONNECDON <br /> Off, NO AUTO PUMP SHUT OFF Oe NO AUM PUMP SHUT OFF <br /> 0 11, AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)W }j FLOW SHUT 0 11- AUTOMATIC LEAK DETECTOR <br /> OFF OR RESTRICTION <br /> �f 12. ANNUAL INTEGRITY TEST(0-1 OPH) ❑12 ANNUAL INTEGRITY TEST(0.1 OPH) <br /> SUCT)N/GRAVITY SYSTEM SUCTION/GRAVITY SYSTEM <br /> ❑13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS 013. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(Cheek m Poa aWy) EMERGENCY GENERATORS ONLY(Cheri.m Poa V*) <br /> [114 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF• 014.CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF• <br /> AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> 015. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW 015.AUTOMATIC LINE LEAK DETECTOR(3-0GPH TEST) <br /> SHUT OFF OR RESTRICTION <br /> [116.ANNUAL INTEGRITY TEST(0.1 GPH) 0 16.ANNUAL INTEGRITY TEST(0.1 GPH) <br /> 0 17.DAILY VISUAL CHECK 0 I7. DAILY VISUAL CHECK <br /> VIII.DISPENSERCONTARVMENT <br /> DISPENSER CONTAINMENT 0 1.FLOAT MECHANISM THAT SHUTS OFF SH AR VALVE 0 4.DAILY VISUAL CHECK <br /> DATEINSTALLED 4hH $I2.CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS 05.TRENCH LINER/MONITORING <br /> 0 3.CONTINUOUS DISPENSER PAN SENSOR wmT AUTO SHUT OFF FOR 0 6,NONE 469 <br /> DISPENSER. AUDIBLE AND VISUAL ALARMS <br /> IX.OWNER/OPERATOR SIGNATURE <br /> 1ntRIYPoa nm oboe aw Emf W'mYlmoxkdpt. <br /> 4A <br /> SIGNA O PERATOR DATE Q <br /> Tn4T <br /> N <br /> M ) TILE OFO b ERATOR <br /> KK uvI Diredo7r o f MainTemnc-e <br /> Permit Niwha(F Ime WY) 4T3 Pamir Appored(imbd re wlY) 474 1'amitr Wmlmt Dam(Fml 1v wry) 473 <br /> UPCF(12/99 revised) 12 Formerly SWRCB Fam B <br />