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02/07/2003 13:11 2094683433 FIFTH FLOOR PAGE 03 <br /> 0 U PR B: VROssl994 D PROGRAM CONSOLIDATED FORM . TANR: RO2319 <br /> FAC M: FA0001393 <br /> UNDERGROUND STORAGE TANKS -TANK PAGE 2 <br /> vl.P9PMNG CONSTRUCTION(O.Il,MMl,wlr) pI,13+r9 <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE M I.PRESSURE ❑`ZSUCTION 03.GRAVITY +31 (] I.PRESSURE ❑2.SUCTION []3.GRAVITY All <br /> O]NSIRUCTItRI _SMGLEWALL ��LMED TRFYICFi ❑9V.OTHEA ara Cl LSINGLEWALL ❑95.UNKNOWN M3 <br /> O?OSeD �(2=BLF.WALL 095.UNKNOWN02.DOUBLE WALL ❑99.OTMER <br /> MANUFACTURER LQ 3a L p61 MANUFACTURER <br /> ❑ I.BAKE STEEL ❑ 6.FRP COMPATIBA wl 1198 MFTIVML ❑ I.BAREETEEL ❑6.PRP COMPATIBLE w IN19 METHANOL <br /> ❑2.STAINLESS STEEL ❑L GALVANIZED STEEL ❑2.STAINLMSSIT:EL ❑T.GALVANIZED STEEL <br /> ❑PLASTIC COMPATIBLEW/CONTENTS ❑ 9t UNKNOWN ❑PLASTICCOMFATIBLEW/CONTENTS ❑95.UNKNOWN <br /> ®a.F[BERGLA55 ❑ 1.FLEXIBLE(HOPE) ❑ 99.07HER ❑L FIBERGLASS ❑1.FLEXIBLE(HOPE) ❑99.OTHER <br /> S.SIM W/COATING ❑9.CATHODIC PROTECTION MI ❑S.STEEL WICOATNG ❑9.CKTHODIC PROTi•C4ION Me <br /> VR.PIPING LEAK DETECTION(GM.La1 An,pdr)IA ua ' dI•Ilhe monM1p6awpmm.MOLa wbmmciro:*=Iomt�anayl <br /> UNDERGROUND PIPING ABOVEG0.Or Irl <br /> SINGLE WALL PIPING ,� BANGLE WALL PIPIF9G +9T <br /> PRESSURTuD PIPING(Chak.K.U. Pply); PRESSURIZED PIPING(CM.k MI 01319PpID: <br /> ❑ I,ELECTRONICLINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMPSHUT OPF ❑ I.ELECTRONIC LINE LEAK DETECTOR 30 UPM TEST WITH AUTO PUMP S)UTOPF <br /> FOR LFAK.SYSTEM FAILURE,AND SYSTEM DISCONNECTION-AUDIBLE AND FOR LEAK,SYSTEM FAILURE.AND SYSTEM DISCONNECTION'AUDIBLE AND <br /> VISUAL ALARMS. VISUAL ALARMS. <br /> ❑2.MONTHLY 0.1 GPM TEST ❑2.MONINLY02UPIITEST ❑3.ANNUAL INTEGRITY TEST(0.1 GPO) <br /> ❑ 3.ANNUAL INTRCATY TEST(9,10910 <br /> ❑a.DNLY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCITON SYSTEMS(Che&dl Ort-10)) <br /> r7 5.DALLY VISUAL MONITORNG OF PUMPING SYSTEM+TWE14NICAL PIPING ❑S.DAILY VISUAL MONTfORNOOF PIPING AND RIMPMG SYSTEM <br /> MTEGTLDY TEST(0.1 GPM) ❑(.TRIENNInL MTHGR]TYTEST(O.1 GPX) <br /> SAPE,W7 IONSYSIEM5(NOVALUPSINBEI,OWGROUNDPIPING): SAFE SUCTION SYSTEMS(,NO VALUES IN BELOW GROUNDOPING): <br /> ❑1.SELF MONITORING <br /> ❑T.SELF MONrtORLNG <br /> CRA VITY FLOW <br /> ❑9.SHINNIAL,INTEGRITY TRST(0.1)GPIf GR`VITV FLOW Kock NI tmT."Iy)'t <br /> ❑I.DA)LYVTSOALMONITORNG <br /> ❑9.13IENMALMTEGRITYTEST(0,1)OPH <br /> SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Ch aB IbJt apply); PRESSURT/,FD PTP ING(Ch9Ik W IMt Apply), <br /> 10.CONTINUOUS TURBINE SUMP SENSOR ETAS AUDIBLE AND VISUAL 10.CONTNUOUSTUR.BINE SUMP SENSOR WITH AUDIBLE AND VISUAL <br /> ALARMS AND(0.1,NA) ALARMS AAIND(Cluk.) <br /> AUTO PUMP SHUT OFF WHEN A LENCOCCURS Q 9.AUTOPUMP SHUT OFF WHEN A LEAK OCCURS <br /> b.AUTO PUMP SHUT On FOR LEAKS,SYSTEM FAILURE AND SYSTEM ❑b.AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM <br /> DISCONNECTION <br /> DISCONNECTION <br /> �S S,F NO AUTO PUMP SMUT OFF ❑ I.NOAUTOPUMPSHUTOFF <br /> II.AWOM.VTIC LME LEAKDETECTOR(3.OGPIITESTIWITH FLOW SMUTOFPO.R ❑ 11 AUTOMATICLEAKD13TECTOR <br /> RESTRICTION <br /> 14 12.ANNUAL INTEGAITYTEST(O.1 GP1I) ❑ 12.ANNUAL INTEGRITY TEST 10.1 GM <br /> SUCTIONICRAVTTV SYSTEM SUCTION(GRAVITY 9YSTEM <br /> ❑ U.CON'11NUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS ❑ 13.CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS UNIV(Cl EAI HH WlY) EMERGENCY GENERATORS ONLY Kk*M W.11,11) <br /> ❑ 19.CONTINUOUS SUMP SENSOR WTTAQ(D AUTO PUMP SHUT OFF• ❑M.CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP$NUT OFF• <br /> AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> 15.AUTOMATIC LME LFJAK GET ECTOR(3.0 OPH TEST)WH✓ITIROU PLOW IS.AUTOMATIC LNE LEAK DETECTOR(3.0 GPX 1'ES7)WITHOUT PLOW <br /> ❑ SMUT OPPORRESTRICTKM SMIff OFFORRFSTRICTION <br /> ❑ 16.ANNUAL INTEGRITY Tor(0.1 GPM) ❑ 14.ANNUAL INTEGRITY Tor(0.I GPIO <br /> ❑ TT.DAILYVISUAL CHECK ❑17.DAILY VISUAL C11EOK <br /> VELI.DISPENSER CONT'AENMP•NT <br /> UISPfiNSERCONTAMMPNT FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ❑6.DAILY VISUAL CHECK <br /> DATEINSTALLED -01 W2.COP•TMUOVS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS 5.TRENCH LINER I MONITORING <br /> '❑3.CONTIN000S DISPENSERPAN SENSOR WITH AUTO SHUT OFF FOR ❑6.NONE as <br /> DISPENSER AUDIBLE AND VISUAL ALARMR <br /> Ex.O WNEIVOPERAT'OR SIGNATURE <br /> I wIId�Aa.A=in w.nuuasrw' wie YNrve WI¢ivvwro Al OaN La•1=aC. <br /> $ICN T OF OW O MT _ DATE �. O 2 +1p b J <br /> NnMEOP0 . OPE (0.1 e 971 TrrLEOFOWNPNO"FtATOR pcVN rLn Ill <br /> iealh Npnurn(FONMmIIeepNy) TU Paminwn+d lP..Ipral ,.y) ,;I r.ah PlpirniHlOml(eerlwl.s:wlr) 9w <br /> PTD001390 EED000817 12/31/2003 <br /> UPCF(12199 revised) <br />