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PRF: PR1117314157 UNDERGROUND STORAGE TANKS- TANK PAGE z HACK, t•'DUQ3720 VI.PIPING CONSTRUCTION¢hrL all na aob) UNDLiRGROUND PIPING ABOVEGROUNb PIPING SYSTEM TI'PE ❑ I.PRESSURE El.Sl/Cf10N ❑3.GRAVITV Jia ❑ I.PRESSURE ❑z sucnoN ❑3.GRAVITY +.w CONSTRWTION ❑1.SINGLE WALL ❑3.LINEDTRENCH ❑99 OTHER JMI ❑ 1.SINGLE WALL ❑95,UNKNOWN 41.2I ❑2D 11LCWALL ❑95.UNKNOWN MANUFACTURER C3 'I DOUBLE WALL ❑W.OTHER MANUFACTURER J!v ❑ I.BARE STEEL ❑6.FRP COMPATIBLE w/ ,,.MMIANOL ❑ 1 BARE STEEL ❑6.FRPCOAIPATIDLENIIVL,;HANOI ❑2.STAINLESS STEEL ❑ T.GALVANVEDSTEEL ❑2.STAINLESS STEEL ❑ I.GALVANIZED STEEL ❑PLASTIC COMPATIBLE W/CONTENTS ❑ 95.UNKNOWN ❑ M.ASTICCOMPATIBLE W1 CONTENTS El 9S,UNKNOWN J.FIBERGLASS ❑R.FLEXIBLE(HDPE) ❑99.OTHER ❑J.FTBERGLA,SS ❑R,FLESIBLC(HDPE) ❑99.OTHER ❑S.STEEL hV/COATING 1:19 CATHODIC PROTECTION XA ❑ 5.STEEL W/COATING ❑9.CATHODIC PROTECTION AS VIL PIPING LEAK DIETECTIONI a aNu _iUa.+a yl an(mea ..aaw++ sloll"ahanlduwcl ayo , UNDERGROUND PIPING ApOVF.CROUN'D PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING PRESSURIZED PIPING EL EA vil IEa apply); PRESSURIZED PIPING tCbeakall Maty WT ❑ I.ELECTRONIC LINE LEAK DETECTOR 3.0 GPil TEST PP19p FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION AUDIBLE ANDOFE ❑ 1 ELECTRONIC LINE LEAK DETECTOR3.0 GPII TPSTWI'TIIAUTO PUMPSHUT OFF VISUAL ALARMS. - FOR LEAK.SYSTEM FAILURE,AND SYSTEM DISCONNECTION+AUDIBLE AND ❑].hIONT1ILY 0_'GPII'TEST VISUAL ALARMS ❑3.ANNUAL INTEGRITYTFST(0.1 GPII) El 2,MONIIiLV02( II TEST ❑3.ANNUAL INTEGRITY TEST(0 I GPH) ❑J.DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Check all I",apple) ❑5 DAILY VISUAL MONITORINGOF PUNIPINGSYSTEM+TRIENNIEAL 14PING ❑5 DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTEGRITY TEST(o.I GPII) SAFE SUCTION SYSTLl15(NO VALUES 11111.01 GRGUNDPIPING): 06.TRIP NNIAL INTEGRITY TEST(0,I GPH) p7SELF MONITORING SAFE SUCTION SYSTEMS(NO VALtlF I.YBEUOIV(;ROUIDPIPING): GRAVITY ROW [17 SELF MONITORING ❑9 HIENNIAI,INTEGRITV TEST(O.1)GPH G11AV11'Y FLOW(Cheek n11 that apply); ❑B DAILY VISUAL MONITORING ❑9,BIENNIAL INTEGRITY TEST(0.1)GPII PRESSURIZED PIPING(Check M SEGD11 Rt.Y CONTAINED PIPING SECOND,\RILY CONTAINED PIPING IUCONTINUOUSTURBNE SUMP SENSOR SE apply); PRESSURZ..ED PI PING(Chack all that apply): NS00.WITH AUDIBLIi,WUVISUAL I O CONTINUOUS TURBINE SUMN P SENSOR WITI I AU DIBLE AND VISUAL ALARMS ANU(Dk+a m) ALARMS AND(C6mk me) ❑a.AUTO PUMPSHITT OFF WHEN A LEAK OCCURS ❑a.AUTO PUNIP SHUT 017 WIZEN A LEAK OCCURS 0.AUTO PUMP SIIUTOFF FOR LEAKS.SYSTEM FAILURE AN.SYSTEM ❑ bAUTO PUMPSHUT OFF FOR LEAK&SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION ❑c. NO AUTO PUMP SHUTOFF ❑ c. NO AUTO PUMPSHUT OFF ❑ 11,AUTOMATIC LINE LEAK DETECTOR 13.0 GPH TUT)WITH FLOW SHUT OFF OR RESTRICTION ❑ 11.AUTOMATIC LEAK DETECTOR ❑ 12.ANNUAL INTEGBITYTEST(O.I GPII) ❑ IO,ANNUAL IN ITG1UTV TEST(O.I GPII) SIICTION/GRAVDTSYSTEM SUCl/ON/GR\VITYSYSTESI ❑ 13.CONTINUOUS SUMP SENSOR AUDIBLE AND VISUAL ALARMS ❑ IS CONTINUOUS SUMP SENSOR I AUDIBLE AND VISUAL ALARAIS EMERGENCY GENERATORS ONLY(@ ,,a ma;p9) EAIERGENCI'GENERATORS DNLV IChed It m.ap0,, ❑ 11CONTIN000S SUMP SENSOR WITHOUT AUTOPUhIPSHUTOPF• C1 14.CONTINUOUS SUMP SENSOR WITFIIXIT AUTO PUMP SHUT OFF• AUDIBLE AND VISUAL ALAIIMS AUDIBLE AND VISUAL ALARMS ❑ 15.AUTOMATIC LINE LEAK DETECT'OR(30GPNTEST)WRIIOtIT FLOW ❑ 15 AUTOMATIC LINE LEAK DETECTOR(10 GPH TEST)WITHOUT FLOW SHUT OFF OR RESTRICTION SUET OFF OR RESTRICTION ❑ 16.ANNUAL INTEGRITY TEST(O I GPII) ❑ 16.ANNUAL INTEGRITY TEST(O I GPII) ❑ 17 DAILY VISUAL CHECK 017,DAILY VISUALCIIEC'K Vlll.DISPENSER CON'1'AINNIF.NT DISPENSER CONTAINMENT ❑ I FLOAT MECHANISM THAT SHUTS OFF SIIE.IRVALVF. DATE INSTALLED ❑J.DAILY VISUAL CHECK JIA 11 CONTINUOUS DISPENSER PAN SENSOR I AUDIBLE AND VISUAL ALAKMS ❑5.TRENCH LINER/MONITORNG ❑ 1CONTN000S DISPENSERPAN SENSOR!VM AUTO SHUT OJT FOR 0.NONE DISPENSER+AUDIBLE AND VISUAL ALARMS uu I,,OWNERgPERArL R SIGNATURE Imlmma Ha f pe�IJai 5Ta ,6n, SIGN .rUV OF OWNS ERV It tom"r DATE. am NfAtIE 0 WOPEI ORIpnIU TITLE OF OI ROPE TOR NmiNinSnlFa bul.seyryll Jli Pomjl AppwdlFn l¢J�mhJ JTJ J>i PT0014309 Pmol E�piam n.,ie lFv la.l.v nh1 UPCF(12/9'9rcvi d) T •d air 10- Tip G-GOZ. UaUmb clLT TO 90 SZ 400