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Model Number: I L 5 Q,_ <br /> ____ Sensor Type: ---Vapor--Liquid K_Both. <br /> Sensor Brand: Sensor Model:-J�LHI3aQ-30'Z, <br /> Location(s)for sensors[Indicate location of sensor(s)with check mark]: <br /> X 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 primary and/or secondary containment. <br /> 16. _X_ Tanks subject to floatation. [Section 2635(a)(7)] <br /> _X_ 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 /> Capacity: (minimum of five gallons) S"6,1�1r6)__ _ <br /> Equipped with a drain valve which allows drainage of spill into primary container. <br /> �C Manufacturer:_ Q P <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 /> I)< Provide positive shut off at no more than 95%capacity[Section 2635(b)(2)(C)]. <br /> Manufacturer: Op W __ Model: 60150 — '-100 C 4�v 1, <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 />