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_WtMD PROGRAM CONSOLIDATED WA <br /> TANKJ <br /> UNDERGROUND STORAGE TANKS S-TANK PAGE 2 <br /> VL PIPING CONSTRUCTION Check all that 1y) Page_of <br /> UNDERGROUND PIPING I ABOVEGROUND PIPING <br /> SYSTEMTYPE 0 1.PRESSURE 2.SUCTION ❑3.GRAVITY 459 ❑1.PRESSURE 0 2. SUCTION 0 3.GRAVITY 459 <br /> CONSTRUCTION 0 1.SINGLE WALL ❑3.LINED TRENCH 0 99.OTm ER 46o 0 1.SINGLE WALL 0 95.UNKNOWN 462 <br /> MANUPACTURM 0 2.DOUBLE WALL [195.UNKNOWN 0 2.DOUBLE WALL 0 99.OTHER. <br /> MANUFACTURER Western EilgI SS 461 MANUFACTURER 463 <br /> [❑1.BARE STEEL 0 6.FRP COMPATIBLE w/l W. METHANOL ❑1.BARE STEEL. ®6.FRP COMPATIBLE W1100%METHANOL <br /> 0 2.STAINLESS STEEL 0 7.GALVANIZED STEEL 10 Unknown 0 2. STAINLESS STEEL 0 7.GALVANIZED STEEL <br /> 0 3.PLASTIC COMPATIBLE W/CONTENTS 0 99. Other 0 3.PLASTIC COMPATIBLE W/CONTENTS 0 S,FLEXIBLE(HDPE) 0 99. OTHER <br /> 0 4.FIBERGLASS ®S.FLEXIBLE(HOPE) 0 4.FIBERGLASS 0.9.CATHODIC PROTECTION <br /> 0 5.STEEL W/COATING 0 9.CATHODIC PROTECTION 464 S. STEEL W/COATING 0 95.UNKNOWN 465 <br /> VILPIPING LEAK DETECTION Checkallthat A ofthe AAbegubuatedtodnlocat cy. <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 /> 0 1.ELECTRONIC LINE LEAK DETECTOR 3.0(PH TEST AUTO PUMP SHUT 0 1.ELECTRONIC LINE LEAK DETECTOR 3.0 GPHTEST AUTO PUW <br /> OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISC ONNECTION+ SHUT OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION+ <br /> AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS. <br /> []2.MONTHLY 0.2 GPHTEST O 2.MONTHLY 0.2 GPHTEST <br /> [J 3.ANNUAL INTEGRITY TEST(O.1GPH) 0 3.ANNUAL INTEGRITY TEST(O.iGPH) <br /> 0 4,DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Check all that apply) <br /> 0 5.DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING <br /> INTEGRITYTEST(0.1 GPFI) 0 5.DAILY VLSUALMONiTORINGOFPIPINGANDPUMPINGSYSTEM <br /> SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUNDPIPING): 0 6. TILIENNIAL Dn7x R2'TY TEST(0.1 GPM <br /> 0 7.SELF MONITORING SAFE STICTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> GRAVTTYFLOW 07. SELF MONITORING <br /> 0 9.BIENNIAL.INTEGRITY TEST(0.1 GPM GRAVIL'Y FLOW(Check all that apply): <br /> 0 8. DAnx VLSUALMONITORING <br /> 0 9.BIENNIAL INI AM TTY TEST(0.1 GM <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Check all that apply): PRESSURIZED PIPING(Cheat all that apply): <br /> 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL <br /> ALARMS AND(Check one) ALARMS AND(Check orbs) <br /> 0 a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 0 a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> 0 b. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM 0 b AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION DISCONNECTION <br /> Oc. NO AUTO PUMP SHUT OFF Oc NO AUTO PUMP SHUT OFF <br /> 0 11.AUTOMATIC LINE LEAK DETECTOR(3.0 CPR TEST) fiFLOW SHUT ®11. AUTOMATIC LEAK DETECTOR <br /> OFF OR RESTRICTION <br /> ❑12.ANNUAL INTEGRITY TEST(0.1 GPM ❑12.ANNUAL INTEGRITY TEST(0.1 GPM <br /> SUCTION/GRAVITY SYSTEM SUCTION/GRAVITY SYSTEM <br /> 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS ❑13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(Check all that apply) EMERGENCY GENERATORS ONLY(Check all that apply) <br /> []14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF• 0 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF <br /> AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> 0 15 AUTOMATIC LINE LEAKDETECTOR(3.O GPHTEST)WITHOUT FLOW 0 15. AUTOMATIC LINE LEAKDETECTOR(3.0 GPHTEST) <br /> SHUT OFF OR RESTRICTION <br /> 016.ANNUAL INTEGRITY TEST(0.1 GFH) 0 16.ANNUAL INTEGRITY TEST(0.1 GPM <br /> 0 17.DAILY VISUAL CHECK 0 17.DAILY VISUAL CHECK <br /> VIII DISPENSER CONT NT <br /> DISPENSER CONTAINMENT 01.FLOAT MECHANISM THAT SHUTS OFFS VALVE ❑4 DAILY VISUAL CHECK <br /> DATE INSTALLED 469 0 2.CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS (]5.TRENCH LINER/MONITORING <br /> N/A 0 3.CONTINUOUS DISPENSER PAN SENSOR AUTO SHUT OFFFOR 0 6.NONE 469 <br /> DISPENSER+AUDIBLE AND VISUAL ALARMS <br /> M OWNER/OPERATOR SIGNATURE <br /> I certify th the information provided hen is true and accurate to thebest of my knowledge_ <br /> SZGNA OF OW ET R/OPERATOR DATE 470 <br /> 10/16/03 <br /> NAME OF OWMPOPRATOR TITLE OF OWNER/OPERATOR 472 <br /> Amy C.Icy Agent for Owner <br /> Pernit Number(For locaiuse only) 473 Permit Approved(For local use only) Pemlt Expiration adte(For local use only) 475 <br />