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FIED PROGRAM CONSOLIDATED FOR <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> VI.PIPING CONSTRUCTION(Check all that apply) <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE X 1. PRESSURE r 2. SUCTION r 3. GRAVITY I 1 PRESSURE I 2. SUCTION I 3. GRAVITY 459 <br /> CONSTRUCTION r 1. SINGLE WALL h 3. LINED TRENCH 199. OTHER I 1. SINGLE WALL 195 UNKNOWN 462 <br /> / X 2. DOUBLE WALL r95 UNKNOWN I, 2, DOUBLE WALL I�99. OTHER <br /> MANUFACTURE <br /> R MANUFACTURER 461 MANUFACTURER 463 <br /> F 1.BARE STEEL I' 6. FRP COMPATIBLE W/100%METHANOL F 1. BARE STEEL r 6. FRP COMPATIBLE W/100%METHANOL <br /> MATERIALS AND F 2. STAINLESS STEEL F 7. GALVANIZED STEEL I� 2. STAINLESS STEEL F 7. GALVANIZED STEEL <br /> CORROSION <br /> PROTECTION F 3. PLASTIC COMPATIBLE WITH CONTENTS IF 95. UNKNOWN F 3, PLASTIC COMPATIBLE WITH CONTENTS F 8. FLEXIBLE(HDPE) F99. OTHER <br /> X 4. FIBERGLASS F 8. FLEXIBLE(HDPE) r99. OTHER I' 4, FIBERGLASS F 9. CATHODIC PROTECTION <br /> F 5. STEEL W/COATING F 9. CATHODIC PROTECTION 464 I 5. STEEL W/COATING F 95. UNKNOWN 465 <br /> VII.PIPING LEAK DETECTION(Check all that apply)(A description of the monitoring program shall be submitted to the focal 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 /> I 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR F 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 I 2. MONTHLY 0.2 GPH TEST <br /> I 2. MONTHLY 0.2 GPH TEST I 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) F 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 /> I 9 BIENNIAL INTEGRITY TEST(0.1 GPH) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Check all 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 one <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 /> F b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM F b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION <br /> DISCONNECTION <br /> Il c. NO AUTO PUMP SHUT OFF I' c. NO AUTO PUMP SHUT OFF <br /> X 11. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUT OFF OR F 11. AUTOMATIC LEAK DETECTOR <br /> RESTRICTION <br /> I 12. ANNUAL INTEGRITY TEST(0.1 GPH) F 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 /> r 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 /> F 15 AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW SHUT OFF OR I 15 AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) <br /> RESTRICTION <br /> F 16. ANNUAL INTEGRITY TEST(0.1 GPH) I 16 ANNUAL INTEGRITY TEST(0.1 GPH) <br /> I 17 DAILY VISUAL CHECK I 17 DAILY VISUAL CHECK <br /> VIII.DISPENSER CONTAINMENT <br /> DISPENSER CONTAINMENT F 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE F 4. DAILY VISUAL CHECK <br /> DATE INSTALLED 468 F 2. CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS F 5. TRENCH LINER/MONITORING <br /> 1989 X 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER+AUDIBLE AND VISUAL ALARMS r 6. NONE 469 <br /> I certify that the information provided herein is true and ac ate to the best of my knowledge. <br /> SIGN F OWNER/OP TOR \ DATE 470 <br /> 12/6/01 <br /> NAME OF OWNER/OPERATOR(print) 471 TITLE OF OWNER/OPERATOR 472 <br /> Bruce T. Marubashi for Equilon Enterprises LLC PERMIT ANALYST 925-766-3498 <br /> Permit Number(For local use only) 473 Permit Approved(For local use only) 474 Permit Expiration Date(For local use only) 475 <br /> 6 <br />