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Ncv-13-2002 '1:25am From-ARCO PRODUCTS +714-670-3095 T-81(' P103/307 F-538 1-run PRf)f:RAM C01VClI1 TI)ATFn FAR UpcZ, o� TANKS NDERGRQUND STORAGE TANKS-TANK PAGE 2 ?age of `Vl.PIPI111G COh51TIt CY'EON cCheek:,I that aat�vt LWDERGROUND PIPING _ ABOVEGROUND PIPING 5Y5Tum-TYPE ®1.P SSURE ❑2.SUCTION ❑3.GRAVITY 460 ❑ I.PRESSURE q SUCTION M 3.GwvVtTY 4i7 CONSTRUCTION! ❑ .51 40TXWAIL ❑3.LINED TRENCH ❑99.OTHER 460. C3 1.SINGLE WALL ❑05.UNKNOWN 462. MANUFACTURER ®2 BLE WALL ❑95.UNKNOWN Q 2,DOUBLE WALL ❑94.OTHER MAM CTURER 461 vVNUFACTUI.ER 463. (�1.BARE STEEL © .PRP COMPATIBLE Wil %,MET4ANOL ❑I.BARE STEEL (:j 6.FfW COWYATIBLE V11140%NYETHANOL p 2,STAINLESS STEEL ❑ .GALVANIZED STEEL CI 2,STAINLESS STEL•I Q 7.GALVANIZED STEEL ❑3.PLASTIC COMPATIBLE fTH CONTUNTS ❑95.UNKNOWN ❑3.PLASTIC COMPAI,BLE W.,CONTENTS ❑8.FLEXIBL9(MDPT%) ❑99.OTHER ®4.FIBERGLASS ❑ FLEXIBLE(HDPE) ❑99.OTI•IIIR ❑4 FIBERGLASS ❑9.CATHODIC PROTECTION CIS.STEEL W/COATING ❑ .CATHODIC PR01'I�CTICN 404 [15.STEEL W%COATING i [a 45,tJNKNOWN 305, VE PIPING L A1:.DE7'EC-I" N 1CAeck All mar i) A de4crl tion of the ma•aoriu8 aro r4m sk"AC,uMitced MIN lots]aild"ev.) . 1 ERGRO DPIPINC A131VF R UNDf]PING SINGLE WALL PIPING 466. SINGLE WA LL PIPING 467. PRESSITRi2ED PIPING(Che• all Ihet apply): PRESSURIZED PIPING(Check all that apply): Q 1. ELECTRONIC LINE L K DurCTOli 3.0 GPH TEST WITH AUTC PUW ❑ 1. ELECT TONIC LSNE LEAK DETECTOR 3,0 CPFI;LST WITH AUTO PUMP SHUT-OFF FOR LEAK, SYSTEM FAILURE,A14D SYSTEM DISCONNECTION SHUT OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION -AUDIBLE AND VISU 1 ALARMS, .,AUDI dU AND VISUAL ALARMS, 02, MONTHLY 0.2 MPH TE T ❑2. MONTI,LY 02 GPH TEST ❑3. ANNUAL INTEGRITY I EST(0.1 GM ❑3. kNNV.%L INT40RITY TEST(0 1 GPH) ❑4. DAIj Y VISUAL CHECK CONVENTIONAL SUCTION SYST&TWIS CONVENTIOYAL SUCTION SYSTIMS(Check all that apply) ❑3: DALLY vIWAL MONITCI O OF PUMPING SYSTEM-TRIENNIAL PIPING INTEGRITY TEST(01 GPH) ❑S. GAILY VISUAL MONITORING OF PIPING AND PUMPING S!'STL4V1 SAFE SUCTION SYbi'EMS(NO VALVES IN BELOW GROUND PIPING): 06. TRIEN'-,IAL INTEGRITY TEST(0.1 GPH) M 7. SELF MONITORING SAF$$11=4 PN SYSTEMS(NO VALVES LN BELOW GROUND PIPLVG): GRAVrrY FLOW ❑?. SELF 1110NITORINO L39, IIIT?NNIAL iNTEGRIrW T8W(0 L GFH, GRAVITY FLOW(Check all Hitt apply). ❑S. DAILY✓ISUAL MONITORING ❑9. IST9NM AL INTEGRITY TEST(01 GPH) SECONDARILY CONTAINED PIPING SI<CONDA.R LLY CONTAINED PIPING PRESSURIZED PIPING(Click all that apply)! PRESSURIZEI l PIPING(Check ell that apply); i0. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10, CONTIr1UOUS TURBNE SUMP SENSOR &1.1:d AUDIBLE AND VISUAL ALAReAS AND(Cbeek one) ALAi21t:S AND(C'hack one) ❑a AUTO PUMN SHUT OFF WHEN A LEAK OCCURS ❑a.A iJTO PUMP SHUT OFF WI-MN A LEAK OCCURS M b.AUTO PUIvV SHUT OFF FOR LRAKS,SYSTEM F.4.1LLIRE AND SYSTEM ❑b, A.,11*0 PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SY STEM DISCONNECTION D SCONNECTION ❑c, NQ AUTO PlIMP SHUT OFF ❑c, N)AUTO PUMP SHUT OFF 11, AUTOMATIGLWE LEAK DETECTOR(3,0 GPFI l'1iS'n WITH FLOW SKUT OFF OR RESTRICTION ❑11.AUTW,ATIC LEAK DETECTOR ❑12. ANNUAL FNTI5GR1TY TEST(0.1 GPH) ❑12. ANNUe L INTEGRITY TES':(0.1 GPH) SUCTIONrGRAVITY SYSTEM SUCTIONICR WITY SYSTEM L313. CONTINUOUS SIJMP SENSOR,AUOIBLE AND VISUAL ALARMS Z113. CObMi MOUS SUMP SENSOR*AUDIBU AND VISUAL ALARMS EMERGENCY GRNEIIATORS ONLY!KVek all that apply) EMERGENCI GENERATORS ONLY(Clteok all That apply) ❑14, CONTLNUCUS SUMPSENSM IPMOUTAUTO PUMP SHUT OFF 1114, CONI�.WOUS SUMP SENSOR-Ude T AUTO PUMP SifLri*OFF AUDIBLE AND VISUAL-ALARwA AUL7lI cLL AND VISUAL ALARM.ti ❑13 AU'I0I4ATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITMOTIJ FLOW Q 1 S. AUTO MATIC I.INF LGAK DETECTOR(3.0 GPH TEST) SMUT OFF OR RESTRICTION ❑IC. ANNUAL 0MGMTY TEST(0.1 CPH) [116. ANNE AL INTEGRITY TEST(0.1 GPH) [117. DAILY VISUAL CHECK In 17. DAIL', V15UA1.CHECK Vill,D1SFENSER CONTAINMI_Nl DISPENSER CONTAINMENT .446 oil FLOAT MECHANISM THAT S1I11TS OFF SHSAR VAL IS ©4, DAILV VISUAL CAECK 460, DATE INSTALLED 2. CONTINUOUS DISPENSER PAN SENSOR-AUDIBLE AND VMAL AI ARhl3 ❑5. TRENCH±LINER MONITORING 1011999 t. CONTINUOUS DISPENSER PAN SENSOR WTti W I.O SMUT OFF FOR ❑6. NONE DISPENSER-AUDIBLE AND VISUAL ALARMS _ _ ___ IX..OWNER/0HPA1'OR SIGNA1 URF I ce Lh R The inicrmalinn pra d hire) true ant aqurate Lit the bail 0f my knowledge. S1GN 1R F O' PE DATE: / ( A�f 470. _ _I j f/ !1 NA66F OWNER/OPrRATOI(ptinl): SCHETTER TITLE Of OW.-jmOPERA'IOP! EnvirOnmcntal Compliance 492. Permit IYmabdr(Agency use only) 473. 4:4. 1 Permit Expiration Data(Agency Eire only) 471 LTPCF hwfWre-b(1/99)-3/4 bttpiv/www,unidoes.org Rev.02/16/00