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V�cu rn4JainwYl a.vnovuVMIGU I'VI'LnI <br /> TANK <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> •-' l>1.sY„E.SW Ik'.. ipSt!�!�' „N . �Y ;✓// / �i,I,. F ��r` ' %l //:;s s+ _a <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE ®1.PRESSURE 02.SUCTION 173.GRAVITY 4M 01.PRESSURE 132. SUCTION D3.GRAVITY 4M <br /> CONSTRUCTION/ D I.SINGLE WALL D 3.LINED TRENCH Cl 09.OTHER 40 13 1.SINGLE WALL ❑95.UNKNOWN 442 <br /> MANUFACTURER 02.DOUBLE WALL D 9S.UNKNOWN 0 2.DOUBLE WALL 0 99.OTHER <br /> MANUFAOIURER T I tl x 46I MANUFACTURER 465 <br /> ❑1.BARE STEEL ®e.FRP COMPATIBLE W1407L ME H MOL i]L BARE STEEL ❑6.FRP COMPATIBLE YN1WN MEMANOL <br /> 02.STA INLESS$TEE L D 7.GALVANIZED STEEL ❑UKNOWN 02. STAN.ESSSTEEL 07.GALVANIZED STEEL <br /> 113.PLASTIC COMPATIBLE WICONTENTS D99. OTHER D3 PLASTIC COMPATIBLE W1 CONTENTS CS FLEXIBLE(MOPE) 1799.OTHER <br /> 04.FIBERGLASS D B.FLEXIBLE(HOPE) 04. FIBERGLASS 09,CATHODIC PROTECTION <br /> ❑S STEEL W/COATING 09.CATHODIC PROTECTION 404 D S STEEL W/COATING ❑95.UNKNOWN 40 <br /> -UNDERGROUND I ING C 4NMA b:ddw)1 ^"o6/ii;mT�l{", r/�i. r, .: ..'%/' <br /> D PIPING <br /> SINGLE WALL PIPING 4ap SINGLE WALL PIPING 4e7 <br /> PRESSURIZED PIPING(CAM41 htwpyp. PRESSURIZED PIPING(Choc 410wwpIy): <br /> 01, ELECTRONIC UNC LEAK DETECTOR 30 GPM TEST WWIT14AUTO PUMP SHUT OFF FOR (]I. ELECTRONIC LINE LEAK DETECTOR 3.0 GPM TESTY=AUTO PUMP SHUT OFF FOR <br /> LEAK,SYS7EM FAILURE,AND SYSTEM DISCONNECTION+AUDIBLE AND VISUAL LEAK,SYSTEM FAILURE.AND SYSTEM DISCONNECTION. AUDIBLE AND VISUAL <br /> ALARMS. ALARMS, <br /> D2. MONTHLY 0.2 GPH TEST 0E MONTHLY OP GPM TEST <br /> 03. ANNUAL INTEGRITY TEST(D.1GPH1 D3. ANNUAL INTEGRITY TEST(0AGPM <br /> Da DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(CNIa om appy) <br /> 05. DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING INTEGRITY <br /> TEST(0.1 GPHI D5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUNDPPINGI, CS TRIENNIAL INTEGRITY TE ST ID I GPIJ <br /> 07, SELFMONRORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> GRAVITY FLOW D 7 SELF MONITORING <br /> E19. BIENNIAL INTEDR17Y TEST(O.I GPM) GRAVITY FLOW(DM o4 M4apyi <br /> LID, DAILY VISUAL MONRORIN'G <br /> 09 BIENNIAL INTEGRITY TEST(0 I GPM) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(CMpa all IMI appy): PRESSURIZED PIPING(Chea an IMI"ppyy <br /> 10. CONTINUOUS TURBINE SUMP SENSOR IM AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND <br /> (C"am) 0-0k me) <br /> 0A AUTO PUMP SHUT OFF WHEN A LEAK OCCURS DA AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> Dp. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM CM AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION <br /> gSCONNEGTKIN <br /> ®i. NO AUTO PUMP SHUTOFF Dc NTAUTO PUMP SHUT OFF <br /> D+1. AUTOMATIC LINE LEAK DETECTOR(3.9GPM TEST)WLRIFLOW$HUTOFF OR <br /> RESTRICTION 011. AUTOMATICLEAKOETELTOR <br /> ®12. ANNUAL INTEGRITY TEST 10.1 GPM) 012. ANNUAL INTEGRITY TEST III I GPM) <br /> SUCnOWGRAVITY SYSTEM SUCTIOWGRAVIIY SYSTEM <br /> Ll 13 CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS 013 CONTINUOUS SUMP SENSOR+AUDIBLE AND VSLAL ALARMS <br /> EMERGENCY GENERATORS ONLY(ChM al Nal appy) EMERGENCY GENERATORS ONLY(ChM al NM&poly) <br /> ❑14 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF.AUDIBLE AND ❑14. WW"t1OU9 SUMP SENSOR AUTO PUMP SHUT OFF•AUOELE AND <br /> VISUAL ALARMS VISUALAURMS WITHWT <br /> ❑15. AUTOMATIC LINE LEAK OFTECTOR RD GPM TEST)WITHOUT f LOW SHUT OFF OR <br /> RESTRICTION 015. AUTOMATIC LINE LEAK DETECTOR(30 GPH TEST) <br /> 01 ANNUAL INTEGRITY TEST(0.1 GPM) CIS. ANNUAL INTEGRITY TEST 10.1 GPM) <br /> Cl IT DAILY VISUAL CHECK 017. DAILY VISUAL CHECK <br /> ;'i:%;%'n;✓.g.:,',r:;Sri;:o:' i';,%'s�'%'•;.:oiriia-•::,1,<;. .S%G;.YtuSDISA!F.NSFR-.'OONRAINNIE`BRw'�r•:' "'",...x " <br /> DISPENSER 01. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE <br /> CONTAINMENT 01. 4.DAILY VISUAL CHECK <br /> DATEINSTALLED ay 132 CONTINUOUS DISPENSER PANSENSOR,AUDIBLE AND VISUAL ALARMS 05TRENGHLNER/MONRORING <br /> T 2/98 <br /> 113. CONTINUOUS DISPENSER PANSENSOR WITH AUTO SHUT OFF FOR DISPENSER. <br /> AUDIBLE AND VISUAL ALARMS <br /> ❑B.NONE aNI <br /> ,. ":r '/.n"f/,I iS,y �.1011�,.,.,/ „ r� DIP <br /> l' �A� ' HA Y/../::,y••,'v/e..:�. �..r e r;, <br /> (. j4•:.N l%.r , . ./ f:Yi.;l...,'/.;',:i�/`.S, ii}' <br /> I wn'N IMI Iho mlarmatq PMalded hMe6 61"and ammie 10 the bot!W my 6ga4A09e. <br /> SIGNATURE OF OW NER70PERATOR DATE 4M <br /> NAME OF OW NEFVOPRATOR(prinl) 4L/89GOF OW NERIDPERATOR 4" <br /> Dennis Smith Operations&Environmental S ecialist <br /> ParmK WmBW(Fo11pa1 ew aVYI 479 Poonit ApPNwd IFa Ipcal vae any) Pomyt EIpKMbn Dale(Fa 604 vu m1VI <br /> A75 <br /> UPCF(1/99 revised) FO7mBdV SW RCS Form S <br />