COMPLIANCE INFO_1999-2007 - Laserfiche WebLink

Home Browse Search

-WPIED PROGRAM CONSOLEDATED 7 1W TANK UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI.-PIPING-C-6-NS'TRUCTION(Check all that apply) Page 4 of 4 UNDERGROUND PIPING VEGROUND PIPING _IY�STE TYPE 0 I.PRESSURE ❑0 2.SUCTION [3 3.GRAVITY 459 ❑0 1,PRESSURE 0 2. SUCTION ❑1.GRAVITY asv - - '0 CONSTRUCTION ❑1.SINGLF WALL ❑3.LINED TRENCH 0 99.OTHER 460 0 1.SINGLE WALL 0 95.UNKNOWN 461 MANUFACTURER 2.DOUBLE WALL 0 95.UNKNOWN [3 2.DOUBLE WALL 0 99-OTHER MANUFACTURER A.0. Smith 461 MANUFACTURER -,--463 rl 1.BARE STEEL []6-FRP COMPATIBLE w/loor./. METHANOL 0 1.BARE STEEL 0 6.FRP COMPATIBLE W/10(ft MET14ANOIL. [3 2.STAINLESS STEEL []7.GALVANIZED STEEL ❑Unknown ❑2. STAINLESS STEEL [3 7.GALVANIZED STEEL [3 3.PLASTIC COMPATIBLE W/CONTENTS ❑99. Other ❑3, PLASTIC COMPATIBLE W/CONTENTS (3 8.FLEXIBLE(HDPE) r]99. OTHER 4.FIBERGLASS D 9.CATHODIC PROTECTION 8.FLEXIBLE(HDPE) 0 4. FIBERGLASS ❑ 95,UNKNOWN A6�, ❑5.STEEL W/COATING 0 9.CATHODIC PROTECTION 464 [3 5, STEEL WiCOATING ❑ beck all that apply}(A I -- JL VII PIPING LEAK DETECTION(Check all thadescription of the monitoring program iball be scbmincd to the local agency) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING(Check all that apply) PRESSURIZED PIPING(Check all that apply, ❑1.ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT ❑1. ELECTRONIC LINE LEAK DETECTOR 3 0 GPH TEST WI AUTO PUMP OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION 4 SHUT OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION- AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS [3 2.MONTHLY 0.2 GPH TEST Ej 2. MONTHLY 0-2 GPH TEST 3-ANNUAL INTEGRITY TEST(O.IGPH) 0 3.ANNUAL INTEGRI TY TEST(0.I GPH) [:)4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Check all that apply) ❑5.DAILY VISUAL MONITORING OF PUMPING SYSTEM+ TRIENNIAL PIPING El 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTEGRITY TEST(O.1 GPH) SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUND PIPING): C]6. TRIENNIAL INTEGRITY ITST(0.1 GPH) ❑7.SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): GRAVITY FLOW E3 7. SELF MONITORING C]9.BIENNIAL INTEGRITY TEST(0.1 GPH) GRAVITY FLOW(Check all that apply): [3 8. DAILY VISUAL MONITORING [3 9. BIENNIAL INTEGRITY TEST(O.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING(Check all that apply): PRESSURIZED PIPING(Check all that app;-Y) 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND(Check on,) ALARMS AND(Check..) (:]a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS C]a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM ❑b AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION [3c. NO AUTO PUMP SHUT OFF []c NO AUTO PLW SHIFT OFF 0 11. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUT ❑OFF OR RESTRICTION 11. AUTOMATIC LEAK DETECTOR 0 12. ANNUAL INTEGRITY TEST(0.1 GPH) ❑12. ANNUAL INTEGRITY TEST(0.1 GPH) SUCTION/GRAVITY SYSTEM SUCTION/GRAVITY SYSTEM ❑13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS C] 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY(check all that apply) EMERGENCY GENERATORS ONLY(Check all that apply) 0 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS ❑ 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)IE TROUT FLOW 015. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) SHUT OFF OR RESTRICTION ❑ 16.ANNUAL INTEGRITY TEST(0.1 GPH) 016 ANNUAL INTEGRITY TEST(0.1 GPH) ❑ 17. DAILY VISUAL CHECK ®17: DAILY VISUAL CHECK VIII.DISPENSER CONTAINMENT DISPENSER CONTAINMENT ❑ I.FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 0 4.DAILY VISUAL CHECK DATE INSTALLED 468 2.CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS 0 5.TRENCH LINER/MONITORING 01/01/94 3.CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR 6.NONE 469 DISPENSER,AUDIBLE AND VISUAL ALARMS IX.OWNERIOPERATOR SIGNATURE I celiffy that the information providy herein is true and accurate to the best of my knowledge SIGMA F '?R DATE 470 9/20/99 NAME OF OWNERIOPERAT OR(pent) TITLE OF OWNER/OPERATOR 476 D.R. LERI Chevron Products Company Permit Number(For local use only) 4T3- Permit Approved(For local use only) Permit Expiration Date(For local use only) 475 J UPCF(1/99 revised) 176 Formerly SWRCB Form B