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IFIED PROGRAM CONSOLIDATED F <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> �!�� �Ck atl that appt p <br /> PIF�iI!IG <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE X 1. PRESSURE r 2. SUCTION r 3. GRAVITY r 1. PRESSURE r 2. SUCTION r 3. GRAVITY 459 <br /> CONSTRUCTION r 1. SINGLE WALL IF 3. LINED TRENCH r99. OTHER r 1. SINGLE WALL IF 95. UNKNOWN 462 <br /> / X 2. DOUBLE WALL r 95. UNKNOWN r 2. DOUBLE WALL r 99. OTHER <br /> MANUFACTURE MANUFACTURER 463 <br /> R MANUFACTURER 'T 461 <br /> F 1.BARE STEEL r 6. FRP COMPATIBLE W/100%METHANOL r 1. BARE STEEL IF 6. FRP COMPATIBLE W/100%METHANOL <br /> MATERIALS AND r 2. STAINLESS STEEL r 7. GALVANIZED STEEL r 2. STAINLESS STEEL r 7. GALVANIZED STEEL <br /> CORROSION r <br /> PROTECTION 3. PLASTIC COMPATIBLE WITH CONTENTS r95. UNKNOWN r 3. PLASTIC COMPATIBLE WITH CONTENTS r 8. FLEXIBLE(HDPE) r 99. OTHER <br /> X 4. FIBERGLASS r 8. FLEXIBLE(HDPE) F99. OTHER r 4. FIBERGLASS r 9. CATHODIC PROTECTION <br /> r 5. STEEL W/COATING r 9. CATHODIC PROTECTION 464 r 5. STEEL W/COATING r 95. UNKNOWN 465 <br /> �. ^c 'c ,a has s t 3� ' a 3 <br /> � ~ ': It RiPI G LEAK p 71QN/Chea/£ate t(rca s gtY lg Npton o#iity morritonny(rograr sTra �f rated tr the�c ,,� 1 . <br /> �, , <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 <br /> PRESSURIZED PIPING(Check all that apply): PRESSURIZED PIPING(Check all that apply): <br /> r 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR r 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, <br /> LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION+AUDIBLE AND VISUAL SYSTEM FAILURE,AND SYSTEM DISCONNECTION+AUDIBLE AND VISUAL ALARMS <br /> ALARMS r 2. MONTHLY 0.2 GPH TEST <br /> r 2. MONTHLY 0.2 GPH TEST <br /> F 3. ANNUAL INTEGRITY TEST(0.1 GPH) <br /> r 3. ANNUAL INTEGRITY TEST(0.1 GPH) r 4. DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS(Check all that apply): <br /> r 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING INTEGRITY IF 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> TEST(0.1 GPH) r 6. TRIENNIAL INTEGRITY TEST(0.1 GPH) <br /> SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> IF' 7. SELF MONITORING r 7. SELF MONITORING <br /> GRAVITY FLOW: GRAVITY FLOW(Check all that apply): <br /> r 9. BIENNIAL INTEGRITY TEST(0.1 GPH) r S. DAILY VISUAL MONITORING <br /> r 9. BIENNIAL INTEGRITY TEST(0.1 GPH) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Check all that apply): PRESSURIZED PIPING(Check all that apply): <br /> 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND(check one) <br /> (Check one) <br /> F a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS r a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> X b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM r b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION <br /> DISCONNECTION <br /> IF c. NO AUTO PUMP SHUT OFF r c. NO AUTO PUMP SHUT OFF <br /> X 11. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUT OFF OR r 11. AUTOMATIC LEAK DETECTOR <br /> RESTRICTION r 12. ANNUAL INTEGRITY TEST(0.1 GPH) <br /> r 12. ANNUAL INTEGRITY TEST(0.1 GPH) <br /> SUCTION/GRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM: <br /> r 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS IF 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(Check all that apply) EMERGENCY GENERATORS ONLY(Check al/that apply) <br /> r 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND r 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND VISUAL <br /> VISUAL ALARMS ALARMS <br /> F 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW SHUT OFF OR r 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) <br /> RESTRICTION <br /> r 16. ANNUAL INTEGRITY TEST(0.1 GPH) r 16. ANNUAL INTEGRITY TEST(0.1 GPH) <br /> r 17. DAILY VISUAL CHECK r 17. DAILY VISUAL CHECK <br /> \ k ... F WII1rI)[SPEPISER ( J41I�III�C�IT ' n . n, <br /> H <br /> y ., <br /> DISPENSER CONTAINMENT r 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE r 4. DAILY VISUAL CHECK <br /> DATE INSTALLED 468 r 2. CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS r 5. TRENCH LINER/MONITORING <br /> 2002 X 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER+AUDIBLE AND VISUAL ALARMS r 6. NONE 469 <br /> I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> SIGNATURE OF OWNER/ RAT O DATE 1/15/02 470 <br /> N ME OF OWNER/OPERATOR(pont) 471 TITLE OF OWNERIOPERATOR 472 <br /> Bruce T. Marubashi for Equilon Enterprises LLC PERMIT ANALYST 925-766-3498 <br /> Permit Number(For local use only) 473 I Permit Approved(For local use only) 474 I Permit Expiration Date(For local use only) 475 <br /> 6 <br />