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12/29/2006 16:06 20946J&33 EHD Alk PAGE 08 UNIFIED PROGRAM ONSOLMATED FORM t �+-/OTA" : l� PRN: UNDERGROUND STO GE 'TANKS - TANK PAGE 2 VAC N: VI,PIPING CONSTRUCTION(clxd.E A., ,I,) eq.Ln UNDL•RGRU TNG AdOVEGKOUNDPIPIN' SYSTEMTYPE ❑ I, ssURE 0.SU-rION El 3.CRANKY iH ❑ I,'REESVRE• ❑2.STICTION ❑ I.GRAVITY 43v CONSTAUCT16N 8TSINGLEWALL 03.L(NEDTAENCH 099.OTHER upu 0I.SINGLEWALL 0P3,UNKNOWN Fal 02.DOUBLBWALL ❑95,UNKNOWN ❑ T 2.DOUBLEWALL ❑ 99.OGR MANUFACTURER uI MANUFACTURER w; 4❑�,/11 BARESTEEL ❑6 FRP COMPATIBLE 10%METHANOL E31ILLRE MEL ❑6,FRP COMPATTDLE..n40%METHANOL 15STAfNUSSSSTEEL ❑ 7.GALVANIZED STEEL C3 2.STAINLESS STEEL ❑7.GALVANIZED STEEL ❑PLASTIC C'OMPATHILF,Wr CONTENTS ED 95.UNKNOWN. ❑ PLASTIC COMPATIBLE W/CONTENTS 095.UNKNOWN ❑e FOMOLASS ❑I,FLEXIBLE(HDPE) ❑99.OTHER ❑A.FIBERGLASS ❑I.FLEXIBLE(HDPE) In 99.OTHER ❑ S.MEL W/COATING O 9 CATHODIC PROTECTION W ❑S.STEEL W/COATING ❑9.CATHODIC PROTECTION 4I VIL PRTNG LI:AI(DETECTION¢hahm O.r mN»Na .Ii.nofRtnwnk.AnC Pr.a.T.Ivll h.rvbmha/NON Iarb PIPING UNDERGROUND PIPING - ABOVEGROUND DIPNG """LL WALL PIPING P RESSURIZED PIYN'C(CMA.Y ehn.pPly): eM IN A N fa PRESSUR12CDPIFING(Check all IMI(poly): TRONIC EM FAILKDETECTOR3.0 GPH TESTLSIIIIAL TO PUMP SHUT OFP ❑ 1,ELECTRONIC LMB LEAK DETECTOR 0.0 GDM TEST WITH AUTO PUMP SHUT OFF AK,SYSTEM FAILURE,AND SYSTEM DIS ECTION.AUDIBLE AND POR LEAK,SYSTEM FAILURE.AND SYSTEM DISCONNECTION+AUDIBLE AND I VISUAL ALARMS VISUAL ALARMS. C12.MONTHLY 02 GPI TEST ❑ 1,ANNUAL INTEGRITYTEST(O.)GPM) ❑2.MONTHLY 02 GPM TEST ❑3.ANNUAL INTEGRITY TEST(0.I GPM) ❑&.DAILY VISUAL CHECK CONVLNTIONAL SUCTION SYSTEMS / 1/ CONV6\TONAL SUCTION SYSTEMS ICMd 4111MLpply) ❑ S,DAILY VISUAL MONITORING OF M S 1>oSN:•TRJEW19AL PIPING [3 S.DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTEGRITY TEST(0.1 GPII) SAFESUCTIONSYSTEMS(NOVALUFSINBE OWGROUNDPIPIN;N ❑6.TRIENNIAL NTEGRITY TEST H1 I CPM) ❑ 7,SELF MOMTORINO SAFE SUCTION SYSTEMS(NO VALUES IN BELOW LROUNDPIPING): GRAVITY FLOW ❑7.SELF MONITORING ❑9.BTEMMAI.INTEGRITY TEST(0.1)OPH GRAVITY FLOW(Cht*all(Mt Apply): ❑ e.DAILY VISUAL MONRORMO ❑9.DIENNIAL INTEGRITY TEST(0.1)GPM SECONDARILY CONTAINED PIPING SECONUAIULY CONTAINED PIPING PO CONTINUOLEDUS PILING(Ckrek ulleMr pply): PRESSURIZED PIPING(Ch.ek.11 eh.E.Pply): t9 CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE ANR�I VISUAL IO.CONTINUOUS TURBINE SUMP SENSOR W1rx AUDIBLE AND VISUAL ALARMS AND ch mo) ALARMS AND(CMee 4M) A AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑9.AUTO PUMP SPRIT OPP WHEN A LEAK OCCURS ❑b.AUTO PUMP SHUT On POR LEAKS,SYSTEM FAILURE AND SYSTEM ❑O.AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNELT)ON ❑c NO Aura PUMP SHUT OPD Q f. NOAU I'0 PUAO'SHUT OFF ❑ 11.AUTOMATIC LNE LEAK DETECTOR 0.0 GPM TEST)PCM FLOW SHUT OFF OR RESTRICTION ❑ IL AUTOMAHC LEAK DETECTOR ❑ IZ ANNUAL INTEGRITY TEST( .)GPM) ❑ 12.ANNUAL INTEGRITY TEST(0.1 GPM) $L'CTION/ORAVITY$Y9TEM SUCTION/GRAVRY SYSTEM ❑ 13.CONTN000S SUM/ SO +AUDIBLE AND VISUAL ALARMS ❑ IS,CONT(N000S SUMP SENSOR+AUDTBLB AND VISUAL ALARMS EMERGE CY E 0 NLY(Cwkw1v ,.pp1y) EMERGENCY GENERATORS ONLY(CMu.nI Ma,N,,) ❑ 14.AUDIBLE AND TSU EN AUTO PUMP SHUT OFF• 11 "CONTINUOUS SUMP SENSOR WITS AUTOPUMP SHUT OFF• AUDIBLE AND IS AUDIBLE AND VISUAL ALARMS CD IS.AUTOMATIC UNE L AY0 R(3.0 LPHTES7)WTHOUTFLGW ❑ IS.AUTOMATIC UNELGAA DETECTOR(3.00PH TL•ST)WITHOUT FLOW SHUT OFF OIL RESTRICTION SHUT OFF OR ROSTRICTION ❑ 16.ANNUAL NTEGRITY TEST(0.1 GPM) ❑ 16.ANNUAL INTEGRITY TEST(0.1 CPI I) ❑ 17,DAILY VISUAL CHECK Q 17.DAILY VISUAL CHECK NIL.DISPENSE CONTAINMENT D79PENSERCONTAINMEN'f .R0 MECHANISM THATSHUYS OFF SI IT VALVE DATE NIT, D •I.DAILY VISUAL CHECK e61 ❑ NTINUOUS DISPENSER PAN SENSOR+AV IDLE AND VISUAL ALARMS 5.TCM UNER/MONITORING )NTINUOUS DISPENSER PAN SENSOR AUT03HUT OPP FOR E 015 ENSER♦AVOIBLE AND VISUAL ALARM$ ruv LIf.OWNER/UYE '1'URSIGNATURE I..,.L v. :,r-.....r., s.lne' ...,,.,,,. •�..wrer...,..,N,Ie.. _ Sl 1' DATE � .m EOFOWNt' P TOR( nmlV ♦Q e11 T17LE OF OWNS OR G] RmrtNUMnl alar vi:m9'1 .f: Perch Appme90o WE V. bnk Cxpoum WR(lor lae0 ua mh') ua UPCF(12/99 revised)