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a UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANKS - TANK PAGE 2 ' - VL PIPING CONSTRUCTION (l0wk.26Ua,pW - ROVNOPIPI G - TYPE r, 1. PRESSURE ❑ 2. SUCTION ❑ ]. GRAVITY ❑ 1, PRESSURE ABOVEGROUND PIPING ZCTOW 1. SINGLE WALL ❑ ]. DNED TRENCH ❑ 93. OTHER ❑ I. SINGLE WALL ❑ 3. SUCTION ❑ ] ]TUR'cR U9LEWAU. 095. UNKNOWN095. DO ❑ UNKNOWN 2. DOUBLE WALL MANUFACTURER ❑ EL OTHER MANUFACTURER TANKS MATERIALS AND ❑ 1. BARE STEEL ❑ 2. STAINLESS STEEL .FRP COMPATIBLE NM1 100%METHANOL 7. GALVANIZED ❑ t. BARESTEEL ❑ B. FRP COMPATIBLE W/ICO%METHANOL. PROTEC IO PROTECTION ❑ ]. FUSTIC COMPATIBLE STEEL ❑ 2. STAINLESS STEEL ❑ 7; GALVANIZED STEEL 11 SCONTENTS ❑95. UNKNOWN ❑ 4. FIBERGLASS ❑ B. FLEMBLE OipPE) ❑ ❑ ], PLASTIC COMPATIBLE WITHCONTENTS ❑ 9. FLEXIBLE(HOP E) ❑ 59. OTXER ❑ S. STIFEL VO COATING 99. OTHER ❑ ❑.4. FIBERGLASS ❑ B. CATMODIC PROTECTION S. CATI1001C PROTECTION ❑'5. STEEL Wi VII. PIPING PRESSURIZED PIPING (Lack aANaf appAy); ❑ 1. ELECTRONIC UNE LEAK DETECTOR 3.0 GPM TEST WITH AUTO PUMP SNIFF OFF FOR LEAK, SYSTEM FAILURE, AVD SYSTEM DISCONNECTION -AUDIBLE ANO VISLIAL ALARMS ❑ ZNLGPTEST 11 ]. ANNUAL INTEGRITY TEST (0 1 GPM) ESi(O1GPX) / CONVENTIONAL SUCTION SYSTEMS ❑ S DAILY VISUAL MONITORING OF PUMPING SYSTEM• TRIENNIAL PIPING INTEGRITY TEST 10 LGPH) L SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ❑ 7. SELFMONITORING GRAVITY FLOW ❑ 9. BIENNIAL INTEGRITY TEST (0 I GPH) / •w..lml nnnM(cnaca a! ma!"*) 10. CONTINUOUS TUR91NE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 1G- yPna) ❑ a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑ D AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ❑ c NO AUTO PUMP SMUT OFF ❑ 11. AUTOMATIC LINE LEAK DETECTOR 0.0 GPM TEST) WITH FLOW SHUT OFF OR RESTR:CTION ❑ 12 MANUAL INTEGRITY TEST 101 GPM) SUCTIOWDRA•ATYSYSTEM ❑ 13. CONTINUOUS SUMP SENSOR AUOIBLEANO VISUAL ALARMS EMERGENCYGEMERATORSONLY(CMckaB,,M,sP*) ❑ 14 CONTINUOUS SUMP SENSORYATHOUT AUTO PUMP SHUTOFF -AUDIBLE AND VISUALALARMS ❑ 15. AUTOMATIC UNE LEAK DETECTOR (].0 GPM TEST) WITHOU FLOW SHUT OFF OR RESTRK:PON ❑ 10. ANNUAL INTEGRITY TEST (0.1 GPM) ❑ TTA OMLYVISUALCMECK PRESSURIZED PIPING (Gack an NaNPPNP _..A -W .ASW �nnu -. ❑ 1. ELECTRONIC UNE LEAK DETECTOR 3.0 GPM TEST VAIN AUTO PUMP SMUT OFF FOR LEAIL SYSTEM FAILURE, AAND SYSTEM DISCONNECTION;AUDIBLE AND VISUALALARMS ❑ 2. MONTHLY 02 GPM TEST ❑ ]. ANNUAL INTEGRITY TEST 10.1 GPH) 11 4. DARN NSUAUAL CHECK /v CONVENTIONAL SUCTION SYSTEMS (Gack aANat appy); ❑ 5. DAILY VISUAL MONITORING OF PIPING AND PUMPINGSYSTEM ❑ B. TRIENNIAL INTEGRITY TEST (0.1 GPM) SAFE SUCTION SYSTEMS (NO VALVES IN�BELOW GROUND PIPING): ❑ 7. SELF MONITORING GRAVITY FLOW (CAack •A ,al apylN: ❑ B. DAILY VISUALMONITORING ❑ 9. BIENNIAL INTEGRITY TEST (0.1 GPM) PRESSURIZED PIPINGTCha k an that SECONDARILY CONTAINED PIPING 10. CONTINUOUS TURBINE SUMP SENSOR VIITM AUDIBLE AND VISUAL ALARMS AND taisdk Pna) ❑ a. AUTO PUMP SHUT OFF VMEN A LEAK OCCURS ❑ 0. AUTO PUMP SMUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ❑ c NO AUTO PUMP SHUT OFF ❑ 11. AUTOMATIC LEAK DETECTOR ❑ 12. ANNUAL INTEGRITY TEST (0.1 GPI) SUCTIONIGRAVITy SYSTEM: ❑ 13. CONTINUOUS SUMP SENSOR -AUDIBLE AND VISUALALARMS EMERGENCY GENERATORS ONLY rC kaPMatappq ❑ 14. CONTINUOUS SUMP SENSOR VA�OUT AUTO PUMP SHUT OFF- AUDIBLE AND VISUAL ALARMS ❑ 15. AUTOMATIC LINE LEAK DETECTOR (]A GPH TEST) ❑ IS. ANNUAL INTEGRITY TEST (0.1 GPM) .' VBL DISPENSER CONTAINMENT OISPENSERCONTAINMENT .FLOATMECMANISMTI(AT SHUTS OFF SMEAR VALVE DATE INSTALLED 2. CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS ❑ 3. CONTINUOUS GISPENSER PAN SENSOR'WtTH AUTO SMUT OFF FOR DISPENSER -AUDIBLE AND VISUAL ALARMS J JPAFORM(4199) 7/x/0 ,-_ . DAILY VISOALCHECK ❑ 5. TRENCH LINER/MONITORING ❑ S. NONE