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04/04/02 89:22 N0.681 ®05
<br /> UNIFIED PROGRAM CONSOLIDATED FORM
<br /> TANKS
<br /> UNDERGROUND STORAGE TANKS-TANK PAGE '2 /ate
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<br /> `,..;,:=.;;;-!ti:,:;:•.;^'-kVLI?lPtNf3,f�ONSTRUCTION P?YI,;';i;-;.;,'..•:.-::,�.j,:: �rx' :���+;>y�7.
<br /> UNDERGROUND PIPING ABOVEGROUND PIPING
<br /> SYSTEM TYPE ,- PAr$SVRE ❑ 2.SUCTION ❑3,GRAII7Y 1. PRESSURE ❑2, SUCTION ❑ S.GRAVITY
<br /> CONSTRUCTION! ❑ 1. SINGLE WALL ❑a LINEOTRENCH ❑00.OTHER 1.SINGLE WALL ❑35.UNKNOWN
<br /> MANUFACTURER X2. OOUBL£WALL ON UNKNOWN 0 2, DOUBLE WALL 0 90.OTHER
<br /> MANUFACTURER Smith Fiberglass MANUFACTURER Unknown'
<br /> ❑ 1,BARE STEEL ❑8.FRP COMPATIALS Wt 100%METHANOL ❑ 1. BARE STEEL ❑8. FRP COMPATIBLE WI 100'16 METHANOL
<br /> MATERIALS AND ❑ 2.STAINLESS STEEL C�7.GALVANIZED STeEL XL STAINLESS STEEL 7,GALVANMED STEEL
<br /> CORROSION
<br /> PROTECTION ❑ 3,PLASTIC COMPAnsLF YITN CONTENTS ❑05.UNKNOWN ❑ S.PLASTIC COMPATIBLE WITH CONTENTS ❑ &FL9*WsLE(HDPE) - ❑99.OTHER
<br /> 4.PIBERMASS ❑8,FLW$LE(HDPE) ❑09.OTHER ❑ 4. FIBERGLASS ❑ 9,CATHODIC PROTECTIQN
<br /> ❑5.STEEL W COATING ❑B.CATKOWO PROTECTION ❑ 5.STEEL w(COATING ❑05.UNKNOWN
<br /> 7F'. °;...°VILPIPING'LFAKDETECT90N
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<br /> VNOERGROUNO PIPING T ABOVEGROUNO PIPING
<br /> SIN WALL-PIPINQSINGLA WALL PIPING
<br /> PRESSURIZED PIPING(Check a#mat apply): PR ESSURIZHO PIPING(Chack as that apM.
<br /> ❑ 1. ELECTRONIC LINE LEAK OETT;CTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR ❑ t, ELECTRQNIO UNE LEAK DETECTOR 3.0 GPH TEST VA H AUTO PUMP SHUT OFF FOR LEAK
<br /> LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNF&EN.AVINSLE AND VISUAL SYSTEM FAILURE,AND SYSTEM WCONNEc'nON:AUOIBLE ANO VISUAL ALARMS
<br /> ALARMS ❑ 2. MONTHLY 0,2 GPH TEST
<br /> ❑ a MONTHLY 0,2 GPH TEST (] 3,ANNUAL INTEGRITY TEST(O.1 GPH)
<br /> ❑ 3.ANNUAL INTEGRITY PEST(0.1 QPH)
<br /> 4. CWILY VISUAL CHECK.
<br /> CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS lcmak og f W apply):
<br /> ❑ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING INTEGRITY ❑ S. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM
<br /> TEST(0.1 GPMj ❑ 8. TRIENNiAuNTEGRITY TEST(0.1 GPH)
<br /> SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING);
<br /> ❑ 7. SELF MONITORING ❑ 7. SELF MONITORING
<br /> GRAVITY FLOW GRAvrTY PLOW(chock ad tAat app:
<br /> ❑ 0. B)ENNIAL.INTEGRITY TUT(D-1 cwP q ❑ S.DAILY VISLrAL MONITORING
<br /> ❑ 9. 6tENNULLINTEGRI7YTEST(O.iGPH) '
<br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING
<br /> PRESSURIZED PIPING(Check as that apply), PRES9UAIZS0 PIPING(Chert*8#Mat appy):
<br /> 10.CONTINUOUS TURSINESUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND
<br /> (Ct1era am 10.CONTINUOUS TURBINE SUMP SENSOR WTH AUDIBLE AND VISUAL ALARMS AND Idieck anal
<br /> a.AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑ o.AUTO PUMP SHUT OFF WHEN A LEAK OCCURS
<br /> ❑ b.AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM ❑ D.AUTO PUMP SHOT OFF FGR LEAKS,SYSTEM FAILURE AND SYSTEM=CONNECTION
<br /> ❑ c.NO AUTO PUMP SHUT OFF ❑G NO AUTO PUMP SHUT OFF
<br /> ❑ 1 T.AuTQMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUT OFF OR ❑ 11. AUTOMATIC LEAK OETECTQR
<br /> j RESTRICTION
<br /> ❑ 12,ANNUAL INTEGRITY TEST(as GPH) ❑ 12.ANNUAL N rCORITY TEST(0.1 GPM
<br /> SUCTION IGRAVITY SYSTEM: SUCT(ONIGRAWTV SYSTEM:
<br /> ❑ 13. CONTINUOUS SUMP SENSOR.AUDIBLE AND VISUAL ALARMS ❑ 13.CONTINUOUS SUMP 4EN$OR.AUOIELE AND VISUAL AIRRM$'
<br /> EkTF, O NNCyGENERATORSONLY(CRrckatlMatPPRW EeeERGENCYGENERATORSONLY(Chockaothat apply)
<br /> ❑ 14.CONTINUOUS SUMP SENSOR INITHOUT AUTO PUMP SHUT OFF s AUDIBLE AND ❑ U.CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF..AUD)®LE ANQ VISUAL
<br /> VISUAL ALARMS ALARM$
<br /> CJ 15.AUTOMATIC UNE LEAK DETECTOR(3.O GPH TEST)tMMHOLIT FLOW SHu7 OFF O(1 ❑ 15.AUTOMATIC LINE LEAK DETECTOR(3.0 GPM TEST)
<br /> RFSIRICTION
<br /> 0 10.ANNUAL INTEGRITY TEST(0.1 GPH) ❑ 16.ANNUAL INTEGR"TEST(0.1 GPH)
<br /> ❑ 17.DAILY VISUAL CHECK ® 17,DAILY VISUAL CHECK
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<br /> DISPENSER CONTAINMENT ❑ 1.FLOAT MECHANISM THAT SHITS OFF SHEAR VALVE ❑ k DAILY VISUAL CHECK
<br /> DATE INSTALLED ❑ .CONTINUOUS DISPENSER PAN SENSOR.AUDIBLE AND VISUAL ALARMS ❑ S,TRENCH LINER I MONITORING
<br /> .CONnNUOUS DISPENSER PAN SENSOR WTTH AUTO SHUTOFF FOR DISPENSER.AUDIBLE AND VISUAL ALARMS ❑OL NONE
<br /> IK OWNEPJOPERATOR SIGNATU!"
<br /> 1 cwdtT that lTta N n p.mvda4hemin is Into arta tKe nta t0 the beat of my k x wea0a.
<br /> DATE �yy
<br /> SIC!NAT E TOR JE- � G.•1••t 1••+G.r"
<br /> NAME OF OVAMOPERATOR(Prim) TITLE OF LWP$RATOR
<br /> Kent J. Dur ng Facility Commander
<br /> P`etn,tl Nuel(F,arinra/,aew enry PertNt AVP.e.°eC(Fwh,cMaw ow,l ro�Mi W6.'aain,DoEv(Y•w an.r Viv�47J�••
<br /> CUPA19ORM(4199) FDtrt'ter(y SWRCS Form 8
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