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11/02/2005 11:14 MCI 4 17007775870 NO.415 P03 <br /> m _ <br /> UNIFIED PROGRAM CONSOL113ATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS •TANK PAGE 2 <br /> V(.PIPING CONSTRUCTION fCllsck a4 ulrl•pPf,) <br /> UNDERGROUND PIPING - <br /> SYSTEM TYPE ASOVEGROUNO PIPING <br /> Q 1, PRESSURE 1.SUCTION D 3, GRAVITY ❑ 1,PRESSURE! 0 x SU TICIN ' <br /> coNsrRucrrow <br /> ❑ L SINGLE-1- �] 2. UNEOTRENCH 0a OTHER ❑ 1. SINGLEWALL Ll S.GRAVITY <br /> Q <br /> MANIOACTUREA 2. OOU.ILE WALL ❑as,moNowaq ❑95.UNKNCivN <br /> 2.DOue4E VlALL <br /> AUNUFACTURER ❑SS.OTHER <br /> MANUPACTURFR <br /> Q 1.HARE STEEL ❑ 8. PRP COMPATIBLE W!I0Q%METHANOL Q 1. BAAE STEEL I <br /> RLLTERIALS ANO ❑2, STAINLESS STEEL ❑T.01ALYAH12Ep STEEL ❑0.PRP COMRk-n0LE WI I..0%McZMA.40L <br /> CORROSION ❑2.STAINLESS STEEL Q T,GALVAN12E0 S;i=et <br /> PROTECTION ❑ 3. PLASTIC COMPATl9lp VATH CONTENTS ©6S, UNKNdM.e ❑J. PLASTIC COMPATIBLE WITH CONTENTS ❑Im fl.PLEXIHLE(1f0P� ❑09.OTrfER <br /> FIBERGLASS Q 8.FLEXIgLEtMOPE) ❑0q. OTHER Cl a.FIBERGLASS <br /> ❑ J. STEEL A7 CDATING Q 5:CATWCb(:PROTECTION ® 0.UTH�lD pRaTECYIOH <br /> Q 5: STEEL Wt COATING ❑83,yNKNWmT1 ' <br /> VII•PIPING 6EAK DETECnoN(CAsaF a)tnmtappy) - .- , <br /> UNDERGROUND PIPING - <br /> SINGL VrA4LPIPINO ASOVE6ROUNopiplKG <br /> PRESSuAIYpO PIPINGIN WA PING <br /> (Cntcra4tnefappry): PRESSUR12EOPIPIN6ICneckoff fhAtA <br /> ❑ 1, ELECTRONIC UNE LEAK omcrOR S 0 GPN TEST W1TM AUTO PUMP SMUT OFF POR Cl PPh1 <br /> LLAX,SYSTEM FAILURE,AVO gYSTEM DISCONNECTION-AUOI04E AND VISUAL I'ELECTRONIC LINE LEAK DETECCT®R�NPH TE$T wig AUTO PUMP 5MUTUPF FOR <br /> ALARMS A4 SrbrEMFAILURE,ANDSY T CCTION•AUDiBL.EANDVISLIAI,A�4RM3 Lam' <br /> Q 2.MONTHLY 0.2 GPM TEST Q 2 MONTHLY 0 2 rPH TEST <br /> ❑ 9.ANHIbAL INTEGRITY TEST(0 1 GPH) ❑ 0 ANNUALINTEGRITY TEST(a.I GpM <br /> ® a. DAILY VISUAL CHUCK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTIOhI SYSTEMS(CAeek kq umt Apply: <br /> Q S DAILY VfgUAL MONITORING OP PUNTING SYSTEM h TA16NNIAL PIPING INTEGRITY Q S. DAILY VISUAL MONITORING Of PIPING A.NO ftMPL40 SYSTBIe <br /> TEST 1a 7 GPry) <br /> ❑ e, TRIENNIALINTEGRIrr%5T(0,1 GPN) <br /> SAGE SUCTION SYSTEMS(NO VALVES fN BELOW GROUND PIPINGI! <br /> ❑ 7. SELF MONITORING WE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPINGY <br /> GRAVITY FLOW <br /> 137, SELP MONITORING <br /> ❑ 0.gf`NNfALINTnGRI TY TEST(0 1 GRH1 GRAVITY PLOW(Cheo►antllalgppyr): <br /> J <br /> 0 0. DAILY VI5VAL MONITORING <br /> B BIENNUL INTEGRITY TEST(O.1 GPM) <br /> ' 9ECONDARI6Y CON TAWEO pIpINC <br /> PRESSUR12E0 PlPItIG lCAICI aP fpat mppryl• SECONDARILY CONTAINED pipvdG <br /> 10 <br /> PRESSURISED PIPING(Chaelf aptnat ap"J;GOhiT1NUDUSTURBINE SUMP SENSOR wITHAUDIB4EAN0YISUALALARMSAMD <br /> lCNed a`-) "'CONTINUOUS TUAalNE SUMP SENSOR%iTW AUDISLE AND VISUAL ALARMS AND(CNR:4 meal <br /> ®9 AUTO PUMP SMUT OFF WEEN A LEAK OCCURS ❑ a. <br /> ❑4 AUTO PUMP SMUT OFF FON LEAKS.SYSTEM FAILURE AND SYSTEM AUTO PUMP SMUT OFF V111EN A LEAK OCCURS <br /> D.SCONNECTION ❑ D.AUTO PUMP SHUT OFF FOA LEAKS,SYSTEM FAkUAE ANO SY$YF'•1 DISCONNECTION <br /> Q e NO AUTO PUMP SWUT OFP ❑e NO AUTO PUMP bHLR OFF <br /> ® e I AUTOMATIC LINE LEAK DETECTOR pA GPH TEST)W?TM FLOW SHUT OFF OR <br /> RESTRICTION ❑ 11.AUTOMATIC LEAK DETECTOR <br /> Q 12. ANlAjAL INYEGR,TY TEST(0 1 GPM) ❑ 12-ANNUAL INTEGRITY TEST(0.1 GPHI , <br /> SU lnON/DRAVtTV$Y5Tr9 <br /> N CONTINUOUS 6VM?SENSOR•AUO18LE AND VISUAL ALARMS 15 <br /> SYSTP.A1; <br /> ❑ 15 CONTINUOUS SUMP SENSOR-AUDIBLE AkOVTSUALALA" <br /> HnfBRGENCY OeNERATORS 4NLY(Cnmrk ea Mif app/yl <br /> C] ia. CONTINUOUSguMaSENSDRV417HOlPTA.u'YOPUMPSMI}T'OFFeAU0184EAN0 EMEA0%NCYGENERATOR, QNLYfe6ftkanmata� <br /> VISUAL ALARMS ❑ 1t.ALARMS <br /> UOU$$UMP S$NSOR WITHOUT AUTO <br /> PUMP SMT CWF•AUPIULE AND VISUAL <br /> AURA19 <br /> IS AUTOMATIC LINE LW DETECTOR po CPM TE$Y)WITHOUT PLOW SHUT OPP OR <br /> R'ESTRICfON Q 18,AUTOMATIC LINE LEAK DETECTOR p.0 GpM Tggn <br /> ❑ 14,ANNUAL INTEGRITY TEST(0.1 GPHI ❑ 19.ANNUAL INTEGRITY r'ESY(0.1 GPM) <br /> ❑17.GAILY VISUAL Ch6CK <br /> ❑ 17.DAILY VISUAL CHECK - <br /> VNh DISPENSERCONTPANMPNT <br /> DISPENSERGONTAINMENT O 1.f60ATMEGwLMSMTMATSNUTSOFPSIgEARVALVE t�--11 1 <br /> NSTALLED L-A A DAK.YVISUALCKUX <br /> OAT@I <br /> O 2.CONTINUOUS DISPENSER PAN SENSOR a AU016LE AND VISUAL ALARMS <br /> S.T>rFlaCnLINEA J MCWTOMW <br /> -----_�.®� C,J 7 CONTINUOUS O1 TENSER PAH SENSOR WTH AUTO bNUT OFF POR DSRENS:ER+AUDIBLE AND VISUAL ALARM$ %'ZM- <br /> - .NONE <br /> IX OWNEWOPERATOR SIGNATURE <br /> I Cwn1Y 012t Ws WOAhmLon pWviO W NalBill.a kus PrtQ®CQnata f9 P®6aa1 of my W1Cwf00gs. <br /> 51ONATURE OF Oy;%ZRWEAA70R DATE <br /> NAME OF OA14IRMPERATOR I I ILE OP DYMEA opERATOR <br /> PartPPi(NipryJgf F <br /> (OfkKtl va®gr7110 P•Rrlit ARRIww P"a.kr.+AvPnyJ <br /> P6rtIIgt EmaaCael Dass I�+s�f vas emly) <br /> i <br /> I <br /> CUPAFORM taros) <br />