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_.UNIFIED PROGRAM CONSOLIDATED F m - <br /> . TANKS <br /> UNDERGROUND STORAGE TANKS -TANK PAGE 2 <br /> CONSTRUCTION KA«A <br /> UNOERGROUND PIPING - y <br /> ABOVEGROUND PIPING <br /> SYSTEM TYPE -�(1 PRESSURE ❑ 2. SUCTION ❑ 3.GRAVITY ❑ 1.PRESSURE ❑ 2. SUCTION ❑ ] GRAVITY• <br /> CONSTRUCTIOW 11 1.SINGLE WALL ❑ 3.UNEDTRENCH ❑S9. OTHER ❑ 1.SINGLEWALL 1195. UNKNOWN <br /> MANUFACTURER A L DOUBLE WALL 1,11 .UN OWt� <�7 Q 2 DOUBLE WALL 1199.OTHER <br /> MANUFACTURER <br /> MANUFACTURER <br /> ❑ 1.BARE STEEL ❑ S. FRPCOMPATIBLEW/100%M=XANOL ❑ 1. ESTEEL ❑ !. FRPCOMPATIBLEWIW%METMANOL <br /> MATERALSANO ❑ 2.STAINLESSSTEEL ❑ T.GALVANIZED STEEL <br /> CORROSION ❑ GALVANIZED'c <br /> NLE555TEEL ❑ T.GALVANIZED STEEL <br /> PROTECTION ❑ 3.PLASTICCOMPATIBLEPATH CONTENTS ❑95. UNKNONN ❑ 3.PLASTICCOMPATIBLENSTHCONTENTS ❑ 4. FLEXIBLE(HOPE) ❑99.OTHER <br /> A. FIBERGLASS ❑ A.FLEKIBLE(MDPE) ❑N. OTHER Cl 4. FIBERGLASS ❑ 9.CATKOCICPROTECTION - <br /> ❑ S. STEELWICOATING ❑ 9.CATHOMCPROTECTION - ❑ S.STEELNACOATING 1:1 as.UNKNOVrN - <br /> • VII.PIPING LEAK DETECTON M6A ke C&.'f•ppy) F _ <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALLPIPING <br /> PRESSURIZED PIPING(CM .ffl N (Cn.cx.ANaf aDDNI: <br /> .t.PPW: - PRESSURIZED PIPING SINGLE WALLPIPING <br /> . . <br /> ELEC <br /> EAK <br /> CTOR <br /> PM <br /> ❑ 1.LIEAK SOWCUNELRE,AN SYSTEM <br /> .O SCONNTVnTH AUTO PUMP LE ANDSHUT OFF FOR ❑ 1.ELECTRONIC UN'c LEAK DETECTOR3.0 GPM TEST NTH AUTO PUMP SHUT OFF FOR LEAK <br /> LEAK SYSTEM FAILURE.A.NO SYSTEM DISCONNECTION•AUDIBLE AND VISUAL SYSTEMFAILURE AND SYSTEM DISCONNECTION-AUDIBLE ANOVISUALAURMS <br /> MONTHS ❑ 2.MONTHLY02GPHTEST <br /> ❑ 2.ANNUAL <br /> TESEST ❑ 3.ANNUAL INTEGRITY TEST(0.1 GPM) <br /> ❑ ].AMNUALIMEGRITY TEST(0.1 GPM) ❑ 4.WLY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS(CAscF aA that apply): <br /> ❑ S. DAILY VISUAL MONITORING OF PUMPING SYSTEM•TRIENNIAL PIPING INTEGRITY ❑ S.DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM - <br /> TEST(0.1GPM) ❑ &TRIENNIAL INTEGRITY TEST(0.1 GRN) <br /> SAFE SUCTION SYSTEM$(NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEALS(NO VALVES IN BELOW GROUND PIPING): <br /> - <br /> Q T.SELF MONITORING ❑ T.SELFMONITORING - <br /> GRAVITYFLOYf. - GRAVITY FLOVI(Cn.ck.AfMtappN): <br /> ❑ 9. BIENNIAL INTEGRITY TEST(0.1 GPM) Cl & OAILYWSUAL MONITORING <br /> ❑ S. BIENNIALWEGRITY TEST(0.1 GPM)SECONGARILYCONTA - <br /> PRESSURIZED PIPING I(CAaca PIPING <br /> ad Nat appNl: SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Uack.A that appy): _ <br /> ID. CONTINUOUS TURBINE SUMP SEN500.WITH AUDIBLE AND VISUAL ALARMS AND <br /> IUaG anq 10T.�C1ONTINUOUS TURBINE SUMP SENSOR WiTIi AUDIBLE AND VISUAL ALARMS AND(Wd enel <br /> a. AUTO PUMP SHUT OFF"HEN A LEAK OCCURS "'Y a.AUTO PUMP SHUT OFF"HEN A LEAK OCCURS <br /> p.AUTO PUMP SMUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION Cl p.AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM DISCONNECTION <br /> ❑ a-NO AUTO PUMP SHUT OFF ❑ c NO AUTO PUMP SHUT OFF <br /> ❑ 11.AUTOMATIC UNE LEAK OVECTOR(3.o GPM TEST)WITH FLOW SHUT OFF OR ❑ 11,AUTOMATICLEAKOETECTOR <br /> RESTRICTION <br /> ❑ 12.ANNUAL INTEGRITY TEST(0.1 GPM) ❑ 1 L ANNUAL INTEGRITY TEST(0.1 GPM) <br /> SUCTION GRAVITY SYSTEM: SUCTIONIGMVITY SYSTEM: <br /> ❑ 10.CONTINUOUS SUMP SENSOR•AUOISLEANOVISUALAURMS ❑ 13.CONTINUOUS SUMP SENSOR.AUDISLEANO VISUALALARMS <br /> EMERGENCY GENERATORS ONLY(CMCA.AIAat.p*) EMERGENCY GENERATORS ONLY(Cta 0Nat appM <br /> ❑ 14.CONTINUOUS SUMP SENSOR"1THOUTAUTO PUMP SHUT OFF.AUOIBLEANO ❑ 14.CONTINUOUS SUMP SENSOR NITHOUTAUTO PUMP SHUT OFF-AUDIBLE AND VISUAL <br /> LA <br /> VISUAL ARMS ALARMS - - <br /> Q 1S.AUTOMATIC UNE LEAK DETECTOR(3.0 GPM TEST)NITHOUT FLOW SMUT OFF OR ❑ 15.AUTOMATIC UNE LEAK DETECTOR(].OGPH TEST) <br /> RESTRICTION - <br /> ❑ 19.ANNUAL INTEGRITY TEST(0.1 GPM ❑ 14.ANNUALINTEGRITYTEST(mIGPH) <br /> ❑ 17.OMLYVISUAL CHECK ❑ 11. DAILYVISUALCHECK <br /> VH).DISAEN_SERCONTA)NMENT:+ <br /> dSPEXSER CONTAINMENT ❑ 1.FLOAT MECHANISM THAT.SHUTS OFF SHEARVALVE I ❑ 4. DAILYVISUALCRECK <br /> DATE MST O ❑ 2 CONTINUOUS DISPENSER PAN SENSOR-AU019LE AND VISUAL ALARMS ❑ S.TRENCHUNER/MONITORING <br /> (eq xz. CONTINUOUS DISPENSER PAN SENSOR NTH AUTO SMUT OFF FOR DISPENSER.AUDIBLE AND VISUAL ALARMS ❑ S. NONE <br /> DLOVINERfOPERATORSIGNATURE- - <br /> I wuty Tal Na Nlormapan pmA444 N.nin u pua.n4 aminta b pv pa�l.f TY Mwx1.4Ga. <br /> SIGNATUREOFONNERIOPERATOR _ DATE <br /> NAME OF OWNEP/OPEMTOft(CMnO TITLE OF OWNMOPEIIATOR <br /> P.mvl NumpN(FPTAsalu.a P^/y1 Pam YADP^r'a4(FPnleul uw WyJ , Pam14 E�ratlan D.b(Fw(ovl Val mYf <br /> CUPAFORM(4/99) <br /> FormertySNlRCB Fom 6 <br />