BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

f UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANKS -TANK PAGE.2 TANKS UNDERGROUNOPIPIHG VI.PIPING COIISTRUCTLONtChecka,7&Wappto _ _ - SYSTEAtTYPE ❑ 1. PRF,55URE ABOVEGROUNOP(PING. ' 2,SUCTION ❑ 3.GRAVITY 0 7. PRESSURc COtSTRUCTt�Nt © SINGL£WALL ❑],LINED FRENCH ❑ 2. SUCTION -. ❑3.GRAVITY AtA:IUFACTURER 2,DOUBLE WALL ❑99. OTHFR ❑ 1. SINGLE WALL MANUFACTURER P-W.UN 11 Z DOUBLE WALL go. umKOTHER❑89.OTHER 111.BARE STEEL ❑d FRP COMPATIBLE M t00%METHANDL MANUFACTURER - MATERIALS AND 0 2 STAINLESS STEEL ❑ 1. BARE STEEL CARROS:Cs ❑7,GAIVANf2ED STEEL © S.FRP COMPATIBLE WJ jWy.M PROTECTION ❑3-PLASi1C COMPATIBLE WITH CONTENTS [] 2- STAINLESS STEEL 127. GALVANIZED STEEL `TNANOL, 114,FIBERGLASS ©95. UNKNOWN ❑ S. PLASTIC COMPATIBLE V%"CONTENTS ❑S.STE © 0-FLEXIBLE(HOPE) ❑99. OTHER ❑ 4, FIBERGIAS-S 11a FLE)GBLE(HOPE) []99.OTHER eL'WCOATING 9,CATHODICPROTECTiON 02. CATHODIC PROTECTION ❑ 5.STEEL Wt COATING ©95. UNKNOWN Vfl,PIPING LEAK QETECTION(Check a0 Mat a SINGLE WALL PIPING - -PRESSURIZED PIPING 1CneUr a#Mat a?pry): ABOVEGROUND PIPING. © 1. £L-`CTRONtC LFFE LEAK DETECTOR 10 GPH TE PRESSURIZED PIPING SINGLE WALL PIPING LEA-SYSTEM FAFWR S ST WITH AUTO PUMP SHUT OFF'FOR lGlreck au that eppw. ALARMS E A4O SYSTEM DISCONNECTION+AU048LE AND Vt$l)AL © 1. ELECTRONIC LINE LEAK DETECTOR 3.0 SYSTEM FAILURE,AND SYSTEM DISCOGPM TEST WITH AUTO PUMP SHUT OFF FOR LEAK, © 2 MDNTNLY4.2 GPH LEST NNECTION AUDIBLE AND VISUAL ALARMS ' ❑ r 2. MONTNtY 0 2 GPH TEST ❑ J'ANNUAL INTEGRITY TEST(a.t DPH) © 3.ANNUAL INTE-.RITY TEST(0.1 GPM) ' ❑ 4. DAILY VISUAL CAIECK COtNEN:ICNAL SUC710N SYSTEMS, - ❑ 5 DULY Vf$ttAL MOtIITORIttG GFPUMpiNG SYCOPMEONAL SUCTION SYsrEMS(Check.n that apply): rFsr(a t GPH) STEM NTI TRIENNIAL PIPING INTEGRITY © S. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM SAFE SUC110N SYSTEMS MVALVES IN BELOW GR ❑ 8. TRIENNIAL INTEGRITY TEST(0.1 DPH) El 7.sw MONtT GROUND PIPING}: ORUIG SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): GRAVITY FLOwl ❑ 7.SELF MONITORImG ❑ 9.StE"IAL't rF_-GRITY TEST(0 1 GPM) GRAVITY FLOW i (Cheek as Mat aap7y7.- © 8. DAILY VISUAL MONITORING ❑ S. BIENNIAL INTEGRITY TEST(O.7 GPH) 5ECOtIDARItY CON7AIN£0 PIPING PRESSUPRED PIPING(Chock a+T Ina.4.,W 10.CONhNUOUSTURBINE SUMP WIPRESSURiZEDPIPING A SECONOARILYCONTAINED PIPING (C'sex ane) SENSOR TNAUDIBLE AHD VISUAL ALARMS AND aAMat aap7y). ❑a AUTO PUI1P SHUT OFF WAIT" 10,CONTINUOUS TURBINE SUMP SENSOR2tlTH AUDI ❑b AUTO PUMP SHUTOFF FOR LEAKLS LEAK FAILURE AND SYSTEM BLE AND VISUAL ALARMS AND[F-t+etse ane} i D•SCONNECttON ❑ a.AUTO PURI?SHUT OFP WHEN A LE-AX OCCURS G NOAUTO PUMP SHUT OFF 0 b.AUTO PUMP SMUT OFF FOR LEAKS'SYSTEM FAfLURE AND SYSTEM DISCONNECTION ❑ 1 .RESTTRR.'CTI OMATIC LINE tP4x DETECTOR(].D GPH 7ESij pg71y FLOVY SHUT OFF OR ❑ a NOAUTO PU:♦1P SHUT OFF ❑ 12 ANNEAL INTEGRITY TEST 2 t ❑ 11-AUTOMATIC LEAK DETECTOR aGRAVIry SYSTEM. ❑ 12.ANNUAL INTEGRITY TEST(0.1 GPH) - 13 CONTINUOUS SUMP SENSOR s AUDIBLE ANO VISUAL ALARMS SUC7IONA3RAVFTY SYSTEM; _ © 1]. CONTINUOUS EMERGENCY14. ❑ E.IIERGENCY GENERATORS ONLY(OReaW es Mot appy) +AUDIBLE AND VISUA . N�SUAt ALARMS uP SF.RSORAUT1]PUMP SHUT OFF+AUDIBLE AND EMERGENCY GENERATORS ONLY(Chock a4lhat aFPt� 19 ❑ 14. CONTINUOUS SUMP SENSOR IA'ILlTAU70 PUMP SHUT OFF AUDIBLE AND VISUAL ❑ ST r,ottATIC LINE LEAK DETECTOR(3,0 GPH TE Wf ALARMS RE I,A.V70tf 5T) THOUT FLOW SHUT OFF OR ❑ 15.AUTOMATIC LINE LEAK DETECTOR(3.0 OPH TEST) . © tB.ANNUAL INTEGRITY TEST(0.1 DPH} - ❑ 47.DAfLY VISUAL CHECK ❑ 16.ANNUAL INTEGIUTY TESTMA GPM) • ,. 17. DAILY VISUAL CHECK _ V1R.DISPENSER CGN;Aigm )SPkHSFRRCON TAINMENT 131.FLOAT MECHANISM THAT .., DATEINSTAUX0 SHUT50FFSHEAR VALVE T= ❑2•CONTINUOUS DISPENSER PAN SENSOR+AUMBLEANO VISUAL ALARMS '4 DAILY VISUALCHECK ------- , 113.CONTINUOUS DISPENSERPAN58NSORWITI'IAUTtlSHUrOFFFOROISPENSER+AUDIBCEAAIDVISUALA (3 S• TRENCHLWERIMON}TORm. UUms 0 B. NONE '. I�treat Ire vlk�naxn pIp„Id�I�mm� -OL.OYItPiER/OPERATOR SIGNATURE - aVa Dna sazerate m C+a best of I^Y krrnMedge. AGNA7URE OF OWNER�OpERATOR DATE "ME OF CNc11FR(OPERATOR&frf) ,Ag: � , �✓�Q f pN r3 p_y/y- r OF DWWNEIL OPERATOR ^/ 'ee.rit NlaltufFatkXaf Dae Doty) CI/��J/4/� / /V"'i 4 I Pertldt APpipxea[Fotkea!azo qtly) PeheK Expee-B pyla(Fwtaeat I.as Q+Vy1