BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VL PIPING CONSTRUCTION (ChKk a7 i,`W 4FPW UNDERGR;NNO PIP' G ABOVEGROVNO PIPING SYSTEM TYPE 1 PRESSURE ❑ T SUCTION ❑ ]. GRAVITY ❑ 1. PRESSURE ❑ Z. SUCTION ❑ ]. GRAVITY CONSTRLICTIOW ❑ 1. SINGLE WALL ❑ 0. UNEOTRENCM ❑ /5 OTHER ❑ 1. SINGLE WALL ❑ /S. UNKNOW! MANUFADTGRERDOUBLE WALL ❑ /5. UNKNOWN ❑ Z. DOUBLE WALL ❑ H. OTHER UFACTURER MANUFACTURER ❑ 1. BASE STEEL AP COMPATIBLE Vp 100%MET,HANOL ❑ 1. BARE STEEL ❑!. FRP COMPATIBLE VpiWO METHANOL. MATERI.ALSAND ❑ E. STAINLESS STEEL ❑ 7. GALVANIZED STEEL ❑ Z. STAINLESS STEEL ❑ 7, GALVANIZED STEEL CORRO&Cn PROTECTION ❑ ]. PLASTIC COMPATIBLE WITH CONTENTS 0 13 ]. !. UNKNOWN PLASTIC COMPATIBLE WITH CONTENTS 131. FLEXIBLE(HOPE) ❑1S. OTHER ❑ A. FIBERGLASS ❑ S. FLEXIBLE HDPE) ❑ N, OTHER ❑ A. FIBERGLASS ❑ 1. CATHODIC PAOTECTION ❑ S. !TEE: YU COATING ❑ 1. CATHODOPROTECTION ❑ !. STEEL W COATING ❑ E5. UNKNOWN VII. PIPING LEAK DETECTION (Cltack AAlhaNiNY) - ONCEAGROUNO PIPING ABOVEGROUNO PIPING MN WALL PWINO INGLE WALL PIPING PRESSURIZEOPIPMG rU.Oadmnrppyk PRESSURIZED PIPING(CAr kapm•leppy): - ❑ 1. ELECTRONIC UNE LEAK DETECTOR 3 OWN TEST VATM AUTO PUMP SHUT OFF FOR ❑ 1. ELECTRONIC UN -P LEAK DETECTOR 3.0 GPM TEST WITH AUTO PUMP SHUT OFF FOR LEAK LEAK, SYSTEM FAILIME AND SYSTEM DISCONNECTION• AUDIBLE AND VISUTAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION AUDIBLE AND VISUAL ALARMS ALARMS C4TML ❑ Z. MOMTNLYCT AUTYPM EST TES ❑ E. MONTHLY 0.: GPM TEST GJ ❑ ]. MINVAL INTEGRITY TEST (0.1 GPM) ❑ S. ANNUAL INTEGRITY TEST /01 CPnj ❑ A, WILY VISUALCHECK CONVENTIONAL SUCT WN SISTEMS CONVENTIONAL SUCTION SYSTEMS (Check .2 Met appy): ❑ 1 DAILY WSUAL MONITORING OF PUMPING SYSTEM• TRIENIAAL PIPING INTEGRITY ❑ S. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST 101 GPM) ❑ 0 TRIENNIAL INTEGRIT. TEST (QA GPM) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING)' SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ❑ T SELFMONITORING ❑ 7. SELFMCNITORINO GRAVITY FLOW GRAVITY FLOW (CNC* AN Ihef FPPy): ❑ E. BIENNIAL INTEGRITY TEST 101 GPM) A ❑ S. DAILY VISUAL MONITORING ❑ 0. BIENNIALINTfGRITY TEST (OJ GPM) SECONDARILY CONTANEO PPING SECONDARILY C04TANED PIPING PAESSVRUEO PIPING lcN MmCapply) PRESSURIZED PIPING (Chock ra INf SAPIK: 10. CONTINUOUS TURBINE SUMP SENSOR MATH AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBI HE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS ANDiNM Phe) C a ❑ u • AUTO PVNP SMUT OFF WHEN LEAH OCCURS ❑ a. AUTO PUMP SMUT OFF WHEN ALEAK OCCURS ❑ P ALTO PUMP SHUT CFF FOR LEANS. SYSTEM FAILURE AND SYSTEM ❑ 5, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE ANO SYSTEM DISCONNECTION DSCOKNEOTION ❑ L NO AUTO PUMP SMUT OFF ❑ c. NO AUTO PUMP SHUT OFF ❑ 11. AUTOMATIC LINE LEAK DETECTOR (3.I GPM TESD W,1H FLOW SMUT OFF OR ❑ 11 AUTOMATIC LEAK DETECTOR RESTRICTION ❑ 12 ANMWLINifGRITY TE3(101 GPM7 ❑ IZ. ANNUAL INTEGRITY TEST (0. 1 GPM) SUCTIOEPGRAYITY SYSTEM: SUCTIONT.RAVITY SYSTEM: ' ❑ 15. CONTINUOUS SUMP SENSOR• AUDIBLE AND VISUAL ALARMS ❑ i]. CONTINUOUS SUMP SENSOR• AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATOR! ONLY (WK* FP mel Apply) EMERGENCY GENERATORS ONLY (Cheek artlial appy) ❑ le. CONTINUOUS SUMP SENSOR WTMOUT AUTO PUMP SMUT OFF -AUDIBLE AND ❑ 14, CONTINUOUS SUMP SENSOR WSTMOOTAUTO PUMP SMUT OFF • AUDBLEANOVLSUAL VISUAL ALARMS ALARMS ❑ 11. AUTOMATIC UNE LWtDETECTOR (SO GPM TEST) WTMOVT FL0W SHUT OFF OR ❑ 15. AUTCAMTIC UNE LEAK DETECTOR CID GPM TEST) RESTRIGDOTI ❑ 1S ANNUAL fNTEGATTY TEST 10 I GM- ❑ 15. ANNUAL INTEGRITY TEST (0.1 GPM 1317. OARYVISUALCMECK Cc,]17. DAILY VISUAL CHECK VKL DISPENSER CONTAINMENT - DISPENSfACONTAINMEM 071 FLOAT MECHANISM THAT SHUTS OFF SMEAR VALVE A. OAILYV13UALC4ECK DATE INSTALLED ❑ Z. CONTINUOUS DISPENSER PAN SENSOR• AUDIBLE AND VISUAL ALARMS ❑ S. TRENCMUNERIMONRORING ❑ 3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SMUT OFF FOR DISPENSER •AUDIBLE AND VISUAL ALARMS ❑ S. NONE IX. OW NEFVOPIRATOR SIGNATURE 1 eeNy het PA ilbrmAlen prPA0e0 Euain is We and aecVnb b Ta Gal PI my M%vb00a. SIGNATURE OF OWN EM DATE z/� NAMl OF DWN[MOIEMTOR mr/nO�Jf � l` TITLE OF OYMEP.OPEW R S F� Iomdt Humap(FMKCM wr rYy) Pemd1AFFTerod (perlaealwo PNy) P~1P10atr EApkA (Fenieeel wr pnry)