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10/18/2000 09:32 2094683433 FIFTH FLOOR PAGE 03 R" <br />A r v <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />TANKS <br />UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br />VL PIPING GONS7RUC71ON (GIw a0 am apply <br />UNOERGROUNO PIPING <br />PIPING <br />SYSTEM TYPE <br />�r <br />PRSURE EJ 2. SUCTION Q 3 GRAVITY <br />[3 1. ES <br />�aA90VeGAQUNO <br />131. PRESSURE 2. SuGTION 03. GRAVITY J <br />Con MUCTIO 1 <br />01 ' SINGLEYWLL ❑ 3. UNEDTRENCH Cl 99. OTHER <br />CK1 SU4LIWALL ❑0$- UNKNOWN <br />I <br />MANUFACTURER <br />E Z DGUSLA WALL O 25. UNKNOWN <br />❑ 3. DOU9LE WALL. ❑ 99. OTHER <br />MANUPACTURSA <br />MANVFACTU IAEA <br />❑ 1. PARR STEEL ❑ B. CRP COMPATIBLE WT 109% METHANOL <br />❑ I. MARE STEEL ❑ 0. FRP COMPATIBLE Wt 100% METHANOL <br />MATERIALS AND <br />❑ Z STAINLESS STEEL ❑ 7- GALVANIZED STEEL <br />❑ z STAINLiSS STEEL ❑ 7. GALVANIZED STEEL <br />CORROSION <br />PROTECTION <br />❑ 3. MASTIC COMPATIBLE WITH CONTENTS ❑ 9S. U14KNOYNI <br />❑ 3- PLASTIC COMPATIC LE WITH CONTENTS ❑ a. FLEXIBLE (MOPE) - ❑ 99. OTHER I <br />It I. FIBERGLASS ❑ a. FLEKIMtf (HDPE) Cl!* OTHER <br />A FIBERGL ISS ❑ a. CATHODIC PROTECTIC14 <br />CI a. STEEL Wr COATING ❑ a. CATKpc PROTECTION <br />❑ S. STEEL m COATING ❑ 95. UNKNOWN <br />VII. PIPING L"K DETECTION fCAoc* ar.tAateopl <br />UNDERCROUNO PIPING <br />ABOVEGROUND PIPING <br />SnGLE WALL MING <br />SING WALL PIPw <br />PRESSURIZED PIPING r'" to IN( ov;rw: <br />PR.ESSURIzeo PIPING f0'r ar mar rPPM: <br />Cl 1, ELECTRONIC UNE LEAK DETECTQA 3.0 GPM TEST Vag AVTQ PUMP SMUT OFF FOR <br />Q 1 ELECTRONIC UNE LEAK DETECTOR 3.0 GPM TEST NRTM AUTO PUMP SMUT OFF FOR LEAK <br />LEAK SYSTEM FAIWPE- AND SYSTEM DISCONNECTION - AUOIMLE ANO VISUAL <br />STSTFM FAILURE. �IU'+D SYSTEM DLSNI-CONNECTKAUEDIBLANO VISUALALARM5 <br />ALARMS <br />❑ Z. MONTHLY 0.2 GPM EST <br />13 2. MONTHLY 0.2 GPM TEST <br />13 ANNUAL {NTEGAI TEST (D.1 GPM) <br />❑ 3. ANNUALtwergav TEST 10.1 GPMJ <br />❑ s DAILY VISUAL CHECK <br />CONYENTgNAL SUCTION SYSTEMS: <br />CONVENTIONAL SUCTION SYSTEMS (Cmu as tW apAYYJ: <br />Cl $. OMLY VLSU►L. MCN6FtING OF PIPING AND PUMPING SYSTEM <br />❑ S. DULY VISUAL MONITORING CF PUMPING SYSTEM • TRIENNIAL PIPING rNYEGRITY <br />TEST 10.1 GPM) <br />E3a. TRIENNIAL INTEGAiTY TEST (0.1 GPM) <br />SALE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING;: <br />SAFE SUCTION $YSTEVS ( VALVES IN BELOW GROUND PIPINGC <br />® 7. SELP MONAOmNQ <br />QX T. SELF MONITORING <br />GRAVITY FLOW <br />GRAVITY FLOW jrAPtr Mx rapPM: <br />❑ P. BIENNAL INTEGRITY TEST (01 GP- <br />❑ a. DAILY VISUALMON ORWG <br />jj) <br />❑ 9 BIENNIAL INTECM TWT(O.1 GPM) t <br />SECONDARILY CONTAINED PIPING , <br />SECONDARILY CONTAINED PIPING <br />PRF-SSUP!.t= PIPING (C++PI+• W mat sg;;M <br />PRESSURIZED PIPING k qr mar appryj; <br />10. CONTINUOUS TURla1E SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND <br />10 CONTINUOUS TURBT E SUMP SENSORWTM AUDIBLE ANO VISUAL ALARMS AND (Vwct Bna) <br />(Cluck aM) <br />❑ a. AUTO PUMP SNU7OCF 1NHEN A LFAK OCCURS <br />❑ A. AUTO PUMP 1T CFF WHEN A LEAK OCCURS <br />❑ 0 AUTO PUMP SMUT OFF FOA LEAKS. SYOTEM FAILUREANO SYSTEM <br />[30. AUYO nv UT OFF FOR LEAKS, SYSTEM FAILURE AND STSTF.M Ql=ONNECTION <br />04SCONNECTIOn <br />❑ G NO AUTO PUMP SMUT OFF <br />❑ e NO AUTO SMUT OFF <br />❑ 11. AAETTO C UNE LEAK DETECTOR 13.0 GPM TEST) WITH FLOW SMUT OFF OR <br />❑ 11. AuTOMAYIC LEAK ETECTQR <br />RESTRICTION <br />❑ t;. ANNUAL INTeGRITY TEST IC.1 GPM) <br />O 12. ANNUAL INTEGRITY TEST M.1 GPM) <br />SUCTIOroGRAV17Y SYSTEM: <br />SUCTIOWGRAvITY SY97: <br />13 13. CONTINUOUS SUMP SENSOR . AUOWLE AND VISUAL ALARMS <br />UM II SENSOR - AUDI8L4 AND VISUAL ALARMS <br />❑ 13 CO?MNvQUS SUMP <br />EMEAQENCY CENEAATOAS ONLY (0IWk as MW apPY/ <br />EMERGENCY GENERATORS ONLY (Cho" as Gat appy) <br />❑ 1A, CONTINUOUS SUMP SENSOR YATHOVT AYTQ PUMP SMUT OFF - AUDIBLE AND <br />❑ tA. CCNr:rKlpUSS SENSOR wmmour AUTO PUMP SMUTOFF- AUDIBLEAND VISUAL <br />VISUAL ALARMS <br />ALARMS <br />i <br />O 1 s. AVrQMAT)0 LINE LEAK C£TEC I Ft (3,0 DPM TEST} WITHOUT FLOW SMUT OFF OR <br />❑ 15 AUTOMATIC UNE LEAK DETECTOR (3,0 OPH TEST) <br />RESTRICTION <br />❑ It ANN-^ INTEGRITY TEST (p,1 GPHJ <br />❑ 1a. ANNUAL INTEGRI. T"T(O.1 GPM) <br />J 17. DAILY VISUAL CNWK <br />tT DA LY vLsvAL CHECK <br />VNL DISPENSER CONTASNMENT <br />DISPENSER COrtrALweNT ❑ 1. FLOAT MEC)NLNISM THAT 9ML(TS OFF SMEAR VALVE❑ <br />4• DAILY VISUAL CHECK <br />DATE m$TALL.EO ❑ 7 CONTINVM DISPENSER PAN SENSOR -AUDIBLE AND VISUAL ALARMG <br />E3$. TRENCH uNL%R /MONITORING <br />❑ 3. CDNTINUOUS O(SPENSER PAN SENSOR WITH AUTO SHUT OFF FOR 016PEN3ER - AUDIBLE <br />O VISUAL AU MAS ❑ B. NONE <br />1 IX OWNERJOPERATOR SIGNATURE <br />! 1nlarj Clat Cu ixtpnMlpppn 0 W4 a vw Mir. <br />SIGNATURE OFOWNG `TOR/' - <br />J/ <br />L+A <br />�" <br />NAME OF OMEWO"RATOR (01WO <br />Bob Cawelti <br />TITLE CF OWWNERIOPEAMOR <br />I Dist. Maint. & Const. Supt. <br />PVmRNUmWjF,Vj" ,,l,N, t <br />P""I Apa'"" fwtpwt use allyl <br />Pamrt EaPkxkrn OaL�(fp'!l7W Waay'� <br />cuPaFowH NSB) <br />Formetty 5WRCS Form S <br />