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_X_ Model Number: rL'S_3:f?__ lA_"J <br /> ____ Sensor Type: ___Vapor__Liquid--&–Both. / ��0� <br /> Sensor Brand: � �kc' Sensor Model:1�I-&O 3d Z <br /> ____ Location(s)for sensors[Indicate location of sensor(s)with check mark]: <br /> __Tank: Sensor Brand:_____--_Sensor Model:_____ <br /> X _Piping: Sensor Brand:________Sensor Model:______ <br /> _ K Dispenser:Sensor Brand:___ Sensor Model:-- __ <br /> Other(specify): Sensor Brand: Sensor <br /> Model: <br /> C. Monitoring and response plan submitted[Section 2632(d)(1)&(2)]. <br /> 15. 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 prim ary and/or secondary containment. <br /> 16. _x_ Tanks subject to floatation. [Section 2635(a)(7)] <br /> _R_ A Anchored by deadman or slab. <br /> _X_ B. Anchors to be installed as specified by manufacturer. <br /> _X_ C. Installation details provided on plans. <br /> ____ D. Calculations provided. <br /> 17. SPILL AND OVERFILL PREVENTION <br /> +_ Underground storage tank equipped with spill container and an overfill prevention system. (detail drawing of spill <br /> container(s)/piping sump(s)required,including tank fill and all openings). <br /> A Spill container[Section 2635(b)(1)]. <br /> ___ If made of metal,exterior wall protected from galvanic corrosion. <br /> ZCapacity: (minimum of five gallons)___5!___6_00bY1,2_____—__ _—__---—_. <br /> Equipped with a drain valve which allows drainage of spill into primary container. <br /> _X Manufacturer:_ QP�_�____��___�_ <br /> _ B. Overfill prevention system does not allow for manual override and meets one of the following <br /> requirements: <br /> (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: 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)]. <br /> Manufacturer: _ Model:___ <br /> _x (3) Provide positive shut off at no more than 95%capacity[Section 2635(b)(2)(C)]. <br /> Manufacturer: c>;)LJ__ --- Model:to 150=_J,I OO C -4�v <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 />