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UNIFIED PROGRAM CONSOLIDATED FORM OCT d 3 2002 <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> t <br /> VI.PIPING CONSTRUCTION(Check all that apply) <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE X 1 PRESSURE F 2 SUCTION F 3. GRAVITY r 1 PRESSURE 12 SUCTION T 3 GRAVITY 459 <br /> CONSTRUCTION r 1 SINGLE WALL h 3 LINED TRENCH IF 99. OTHER r 1. SINGLE WALL I-95 UNKNOWN 462 <br /> t X 2. DOUBLE WALL 195 UNKNOWN r 2. DOUBLE WALL I`99. OTHER <br /> MANUFACTURE <br /> R MANUFACTURER 461 MANUFACTURER 463 <br /> I_ 1 BARE STEEL I' 6. FRP COMPATIBLE W/100%METHANOL F 1. BARE STEEL I' 6 FRP COMPATIBLE W/100%METHANOL <br /> MATERIALS AND I_ 2 STAINLESS STEEL F 7 GALVANIZED STEEL I 2. STAINLESS STEEL F 7 GALVANIZED STEEL <br /> CORROSION <br /> PROTECTION h 3 PLASTIC COMPATIBLE WITH CONTENTS 1195 UNKNOWN I' 3. PLASTIC COMPATIBLE WITH CONTENTS F 8. FLEXIBLE(HDPE) T 99 OTHER <br /> X 4 FIBERGLASS F 8 FLEXIBLE(HDPE) 1-99 OTHER I'4. FIBERGLASS r 9 CATHODIC PROTECTION <br /> I 5. STEEL W1 COATING T 9 CATHODIC PROTECTION 464 F 5. STEEL W/COATING F95. UNKNOWN 465 <br /> VII.PIPING LEAK DETECTION(Check aU that apply)(A desariphoh of the monitoring pirogram shay be suhmlfted m the bca/agency) <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 <br /> PRESSURIZED PIPING(Check all that apply). PRESSURIZED PIPING(Check all that apply) <br /> F 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR r 1. ELECTRONIC LINE LEAK DETECTOR 3 0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK <br /> LEAK.SYSTEM FAILURE,AND SYSTEM DISCONNECTION+AUDIBLE AND VISUAL SYSTEM FAILURE,AND SYSTEM DISCONNECTION+AUDIBLE AND VISUAL ALARMS <br /> ALARMS r 2. MONTHLY 0.2 GPH TEST <br /> F 2 MONTHLY 0 2 GPH TEST r 3. ANNUAL INTEGRITY TEST(0 1 GPH) <br /> F 3 ANNUAL INTEGRITY TEST(0.1 GPH) I' 4. DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS(Check all that apply). <br /> I 5 DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING INTEGRITY r 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> TEST(0 1 GPH) r 6. TRIENNIAL INTEGRITY TEST(0.1 GPH) <br /> SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING) SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING) <br /> F 7 SELF MONITORING F 7. SELF MONITORING <br /> GRAVITY FLOW GRAVITY FLOW(Check all that apply): <br /> F 9 BIENNIAL INTEGRITY TEST(0 1 GPH) I 8 DAILY VISUAL MONITORING <br /> r 9. BIENNIAL INTEGRITY TEST(O 1 GPH) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Check alt that apply): PRESSURIZED PIPING(Check all that apply) <br /> 10 CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND(check acre) <br /> (Check one) <br /> X a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS I a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> I, b AUTO PUMP SHUT OFF FOR LEAKS SYSTEM FAILURE AND SYSTEM [' b. AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM DISCONNECTION <br /> DISCONNECTION <br /> r c NO AUTO PUMP SHUT OFF I c NO AUTO PUMP SHUT OFF <br /> X 11 AUTOMATIC LINE LEAK DETECTOR(30 GPH TEST)WITH FLOW SHUT OFF OR F 11. AUTOMATIC LEAK DETECTOR <br /> RESTRICTION <br /> X 12 ANNUAL INTEGRITY TEST(0 1 GPH) r 12 ANNUAL INTEGRITY TEST(0 1 GPH) <br /> SUCTION/GRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM <br /> F 13 CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS F 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(Check all that apply) EMERGENCY GENERATORS ONLY(Check all that apply) <br /> F 14 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND I 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND VISUAL <br /> VISUAL ALARMS ALARMS <br /> T_ 15 AUTOMATIC LINE LEAK DETECTOR(3 0 GPH TEST)WITHOUT FLOW SHUT OFF OR F 15 AUTOMATIC LINE LEAK DETECTOR(3 0 GPH TEST) <br /> RESTRICTION <br /> r 16 ANNUAL INTEGRITY TEST(01 GPH) h 16 ANNUAL INTEGRITY TEST(0 1 GPH) <br /> I 17 DAILY VISUAL CHECK r 17. DAILY VISUAL CHECK <br /> VIII.DISPENSER CONTAIMAENT <br /> DISPENSER CONTAINMENT X 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE F 4 DAILY VISUAL CHECK <br /> DATE INSTALLED 468 F2 CONTINUOUS DISPENSER PAN SENSOR-AUDIBLE AND VISUAL ALARMS I` 5 TRENCH LINER/MONITORING <br /> _1990r 3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER+AUDIBLE AND VISUAL ALARMS F 6 NONE 469 <br /> IX QWVNFRIQPFRATQRSjr.NATIJRF <br /> I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> SIGNAT E OF OWNERIpPERATOR s DATE 470 <br /> d 9/24102 <br /> NAME OF OWNER/OPERATOR(pent) 471 TITLE OF OWNER/OPERATOR 472 <br /> Bruce T. Marubashi for Shell Oil Products US HSE Analyst 925-766-3498 <br /> Permit Number(For local use only) 473 I Permit Approved(For local use only) 474 I Permit Expiration Date(For local use only) 475 <br /> 6 <br />