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_IN- Model Number: T�-S _3 90 l U S <br /> • _X_ Sensor Type: __--Vapor-___ Liquid____ Both. f:71.o A T- <br /> _x_ Sensor Brand: tZ-_-_--- Sensor Model:}y`j3 It() = 3a <br /> Location(s)for sensors[Indicate location of sensor(s)with check mark]: <br /> Y_Tank: Sensor Brand: __V R_---Sensor Model:-J!y i a 3a <br /> _____Piping: Sensor Brand:------------Sensor Model: <br /> __-__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 10 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. ___- Tanks subject to floatation. [Section 2635(a) (7)] R q µo LE <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 /> _k D. Calculations provided. S TarEYKEw.r P(z-cV-bs-N <br /> 17. SPILL AND OVERFILL PREVENTION <br /> _]-I- 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 /> _x A Spill container[Section 2635(b)(1)]. <br /> -___ If made of metal, exterior wall protected from galvanic corrosion. <br /> A- Capacity: (minimum of five gallons)_-___S_(� pr L <br /> Equipped with a drain valve which allows drainage of spill into primary container. <br /> _X Manufacturer: C <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 /> _ (3) Provide positive shut off at no more than 95%capacity[Section 2635(b) (2)(C)]. <br /> Manufacturer:_____.0 P VJModel:_____(Q� <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 />