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• Model Number-TLS=T5-QR-C-QX5aIa•------- <br /> ---- Sensor Type: ____Vapor_X--Liquid____Both. <br /> Sensor Brand: Veeder_RootSensor Model:794380-301 (HYDROSTATIC) <br /> ____ Location(s)for sensors[Indicate location of sensor(s)with check mark]: <br /> __X--Tank: Sensor Brand:voadpr-RoD6ensor Model:3g4380-301 <br /> _X_-Piping: Sensor Brand:Jae_der__Rg98ensor Model:J343$Q 352 <br /> _$__Dispenser:Sensor Brand:ypeder_.&zgSensor Model:79-4380-208 <br /> _____Other(specify):_________ Sensor Brand:__________Sensor <br /> Model: <br /> C.%_ Monitoring and response plan submitted[Section 2632(d)(1)&(2)]. <br /> 15. _T_ Any special accessories,fittings,coatings,or linings not inherent within the initial design of the 1°tank or double- <br /> wall UST. [Section 2631 (b)] <br /> A Approved by a nationally recognized independent testing organization. <br /> B. Demonstration of integrity with the primary and/or secondary containment. <br /> 16. _g_ Tanks subject to floatation. [Section 2635(a)(7)] <br /> A Anchored by deadman or slab. <br /> _% B. Anchors to be installed as specified by manufacturer. <br /> _% C. Installation details provided on plans. <br /> _g D. Calculations provided. <br /> 17. SPILL AND OVERFILL PREVENTION <br /> _g_ Underground storage tank equipped with spill container and an overfill prevention system. (detail drawing of spill <br /> oontainer(s)/piping sump(s)required,including tank fill and all openings). <br /> _g_ A Spill container[Section 2635(b)(1)]. <br /> If made of metal, exterior wall protected from galvanic corrosion. <br /> g Capacity: (minimum of five gallons)__5_Cal ln„___-------------------------- <br /> Equipped with a drain valve which allows drainage of spill into primary container. <br /> R Manufacturer:__Phil-Tite __---_----_---_---—---------_- <br /> _g_ B. Overfill prevention system does not allow for manual override and meets one of the following <br /> requirements: <br /> --X- (1) Alert transfer operator at 90%full by restricting the flow into the tank or triggering an audible and <br /> visual alarm[Section 2635(b)(2)(A)]. <br /> Manufacturer:_oeeder Root_ _ Model:---_---_---------__. <br /> (2) Restrict delivery flow to the tank 30 minutes before overfill when tank is filled at no more than <br /> 95%capacity and activates an audible alarm at least five minutes before overfill[Section <br /> 2635(b)(2)(B)]. N/A <br /> Manufacturer:______ ____________ Model:___________________• <br /> (3) Provide positive shut off at no more than 95%capacity[Section 2635(b)(2)(C)]. <br /> Manufacturer:_OPW__________—_ Model:____ 53VKL-0120____, <br /> _% (4) Provide positive shut-off of flow to the tank so that the fittings on top of the tank are not exposed to <br /> 7 <br />