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LOS IED PROGRAM CONSOLIDATED FOR <br /> TANK <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 2 <br /> VI. PIPING CONSTRUCTION(Checkalthat apply) - a1 <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE 1.PRESSURE 0 2.SUCTION 0 3.GRAVITY 450 D 1.PRESSURE 0 2. SUCTION 0 3.GRAVITY 459 <br /> CONSTRUCTION ���❑III,,,1.SINGLE WALL 0 3.LINED TRENCH D 99.OTHER 460 01.SINGLE WALL D 95.UNKNOWN 463 <br /> MANUFACTURER 2.DOUBLE WALL 0 95.UNKNOWN 0 2.DOUBLE WALL 0 99.OTHER <br /> MANUFA TURER 461 MANUFACTURER 463 <br /> D 1.BARE STEEL 0 6.FRP COMPATIBLE whom METHANOL 0 1.BARE STEEL D 6.FRP COMPATIBLE W11110%METHANOL <br /> 0 2.STAINLESS STEEL 0 7.GALVANIZED STEEL D UKNOWN D 2. STAINLESS STEEL D 7.GALVANIZED STEEL <br /> 03.PLASTIC COMPATIBLE WI1UNTENTS 099. OTHER 03. PLASTIC COMPATIBLE W/CONTENTS D 8.FLEXIBLE(HOPE) 099. OTHER <br /> 0 4.FIBERGLASS 8.FLEXIBLE(HDPE) 0 4. FIBERGLASS 0 9.CATHODIC PROTECTION <br /> 0 5.STEEL W/COATING 0 9.CATHODIC PROTECTION 464 0 5. STEEL W/COATING [195 UNKNOWN 465 <br /> VII,PIPING LEAK DETECTION(Check all that appy)(A desorption of the monitoring program shall be submitted to the local agency.) <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 <br /> PRESSURIZED PIPING(Checkall thatapply): PRESSURIZED PIPING(Cheek all Nat apply): <br /> D 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR D 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR <br /> LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION AUDIBLE AND VISUAL LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION-AUDIBLE AND VISUAL <br /> ALARMS. ALARMS. <br /> [12. MONTHLY 0.2 GPH TEST 0 2. MONTHLY 0.2 GPH TEST <br /> 03, ANNUAL INTEGRITY TEST(O.1GPH) 03. ANNUAL INTEGRITY TEST(O.IGPH) <br /> 04, DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Check all that apply) <br /> D5. DAILY VISUAL MONITORING OF PUMPING SYSTEM-TRIENNIAL PIPING INTEGRITY D5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> TEST(0.1 GPH) <br /> SAFE SUCTION SYSTEMS(NO VALUES IN BELOW GROUNDPIPING): 0 6. TRIENNIAL INTEGRITY TEST(0.1 GPH) <br /> [17. SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> GRAVITY FLOW 07. SELFMONITORING <br /> 09. BIENNIAL INTEGRITY TEST(0.1 GPH) GRAVITY FLOW(Check all that apply): <br /> D8. DAILY VISUAL MONITORING <br /> E19. BIENNIAL INTEGRITY TEST(0.1 GPH) <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Check all that apply): PRESSURIZED PIPING(Check all that apply): <br /> 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMSAND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND <br /> (Check ane) (Check one) <br /> ���0 a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 0 a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> Iib. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM Ob AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION DISCONNECTION <br /> Dc. NO AUTO PUMP SHUT OFF Oc NO AUTO PUMP SHUT OFF <br /> ly,1 t. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUTOFF OR D 11 AUTOMATIC LEAK DETECTOR <br /> /,,,,,....,,,,,{{{{T_ RESTRICTION <br /> 912. ANNUAL INTEGRITY TEST(0.1 GPH) D 12. ANNUAL INTEGRITY TEST[0.1 GPH) <br /> /SUCTION/GRAVITY SYSTEM SUCTIONIGRAVITY SYSTEM <br /> 013. CONTINUOUS SUMP SENSOR�AUDIBLE AND VISUAL ALARMS 013. CONTINUOUS SUMP SENSOR AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(Check all Nat apply) EMERGENCY GENERATORS ONLY(Check all that apply) <br /> 014. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF-AUDIBLE AND 014. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF AUDIBLE AND <br /> VISUALALARMS VISUALALARMS <br /> [115, AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITHOUT FLOW SHUT OFF OR 0 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) <br /> RESTRICTION <br /> 016, ANNUAL INTEGRITY TEST(0.1 GPH) [116 ANNUAL INTEGRITY TEST(0.1 GPH) <br /> 017, DAILY VISUAL CHECK D 17, DAILY VISUAL CHECK <br /> VIII.DISPENSER CONTAINMENT <br /> DISPENSER D1. FLOAT MECHANISM THAT SHUTS OFF$HEAR VALVE D 4.DAILY VISUAL CHECK <br /> CONTAINMENT <br /> DATEINSTALLED 460 T 2. CONTINUOUS DISPENSER PAN SENSOR.AUDIBLE AND VISUAL ALARMS D5.TRENCH LINER I MONITORING <br /> /�3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER- 0 6,NONE 469 <br /> AUDIBLE AND VISUAL ALARMS <br /> IX:OWNERIOPERATOR.SIGNATURE <br /> I certify that the informatmvide herein is two and accurate to the best of my knowledge. <br /> SIGNATURE OF OW OR DATE OL 470 <br /> NAME OF OWNER/ PRATOR(pnnt) TITLE OF OWNERIOPERATOR 472 <br /> Bob DeNinno Environmental Manager <br /> Permit Number(For local use only) 473 Permit Approved(For local use only) Permit Expiration Data(For local use only) <br /> 475 <br /> UPCF(1/99 revised) Formerly SWRCB Form B <br />