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023 13:11 2094663433 FIFTH FLOOR PAGE 05 EA PROGRAM CONSOLIDATED FORMTANK: TATHPBd0i PRA: PROL11986 UNDERGROUND STORAGE TANKS-TANK PAGE 2 FAC N: FA0001393 VI.PIPING CONSTRIICTTON IC1Ae4 alMsapoyl nP,sx9 UNDERGROUND PIPING ABOVEGROUND PIPNG SYSTEMTYPE ® !_PRESSURE ❑2.SUCTION ❑3.GRAVITY .53 ❑ I.PRESSURE ❑1SUCTION ❑ 1-GRAVITY •5, C0h1VBtUCT10M ❑j)SINGLE WALL 1I.MED TRENCH ❑ 99.OTHER "I El 1.SINGLE WALL 095.UNKNOWN 0: 2.DOUBLE WALL ❑ S.INKNOwN I ❑].DOUBLE Wntl ❑99.OTHER MANUFACTURER O (_ C J�1R1 MV.UFACNFER 46) ❑ I.BARESTEEL ❑6.FRr COMPATIBL6vll MCIHnNOL [31 MARESTEFI ❑6.FRP COMPATIBLE 010014MITHANOL ❑2.STAINLESS STEEL ❑7.GALVANIZED STEEL ❑Z.SIDNLESSSTELL ❑ T.O.ALVAN¢ED STEEL ❑PI-NSTICCOMPATIBLE WICONTENTS ❑95,UNKNOWN ❑PLASTIC COMPATIBLE W/CONTENTS ❑103.UNKNOWN ®4.FIBOULASS ❑A.FLEXIBLE(M)PC) ❑99.OTHER ❑4,nBERGLASS ❑I.FLEXIBLE(HDPE) 1]Pp.OTHER ❑S.STEEL W/COATNG ❑9.CATHODIC PROTCUON .6a ❑S.STEEL WICOATING ❑P.CATHODIC PROTECTION 665 VII.PIPING LEAK DETECTION 0na.n9wa l)IA dRwiolin o0ne[wimoMPmp-+meAan be mbmincamiM kalPRnsyd IND[RGROUNDPIPNC ABOVEBROUND PIPING SINGLE WALL PIPING .M SINGLE WALL PIPING Nps PRESSURIZED PIPING(Cheek All(bIT appDP PRESSURIZED PIPING([beck At shat apply)+ ❑ (.ELECTRONIC LINE LEAK DETECTOR 1.0 C.PH TEST WITH AUTO MIMP SHUT OFF ❑ I.ELSCTRON)C LINE LEAK DETECTOR 30 GPM TEST WITH AUTO PUMP SHUT OFF FOR LEAK.SYSTEM FAILURE,AND SYSTEM DISCOVTEMON+AUDIBLE AND FOR LEAK.SYSTEM FAILURE:AND SYSTEM DISCONNECTION-AUDIBLE AND VISUALALARMS. VISUAL ALARMS. rl 2.MONTHLY 01 GPM TRST ❑ ❑2.MONTHLY0.2 GPM TEST 3-ANNUAL INTEGRITY TEST(0.1 GP 3.ANNUAL INTEGRITY TEST BLI GPI() GPM ❑6.DAILY VISUAL CHECK CONVENTIONALSLIC11ON SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Cluckall thce appy) S.DAILY VISUAL MONITORING OF PUMPNGSVSTEM.TETENNIFAL PIPING ❑5.DAILYVLSUAL MONITORING OF PIFNG AND PUMPING SYSTEM NTEGRITY MST(0.l GPH) ❑6.TRIENNIAL INTEGRITY TEST(0.1 GPH) BATE STICTION SYMMS(NO VALUES IN BELOW CROUNOPIPINq+ SAFE SVC'DON SYSTEMS(NO VALUES IN BELOW CROUNDPIPING): ❑T SELF MONnDMG ?.SELF MONITORING GRAVITY FLOW ❑9.BIIENNIALMTEGRNYTEST(0.1)GPM GRAVITY FLOW(CheekalIMIT pply): ❑S.OAILYVISUAL MONITORING ❑9.BIENNIAL INTEGRITY TEST(D.1)GPH SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPNC(Cheek fl That apply)' PRI:SSURIUDMING(Cl c AIN(appY); 50,CONTINUOUS TURBINE SUMP SENSOR W I7.1{AUDIBLE AND VISUAL. 10.CONTINUOUS TURD INE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND(C4wkme) ALARMS AND(Chwa o-) a.AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ❑a-AUFO PUMP SUI.ff OFF WIHTiN A LEAKOCCU3 b.AUTO PUMP SANT OFF FOR LEAKS.SYMM FALURE AND SYSTEM ❑b.AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM PAILOREAND SYSTEM DISCONNECTION DISCONNECTION *F.NO AUTO PUMP SHUT OFF ❑ F.NOAUTOPUMPSFMT OFF �11.AUTOMATIC LINE LEAK DETECTOR(3.0 arm'TEST)WITH FLOW SHUT OFFOR YYY RESTRICTION ❑ILAUIOMATIC LEAK DETECTOR 11.ANNUAL NTRGRTF V 77STTO.t GPH) Q 11.ANNUAL N'TEGRITY TEST(0,1 OFM SUCTION/CRA VITY MMM SUCTIONICRAVIYY SYSTEM ❑ U.CONTINUOUS SUMP SENSOR.AUDIBLE AND VISUAL ALARMS ❑ 13.CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUALALARMS EMERGENCY GENEMTDRSONLY(CS¢4 all uwmrbl EMERGENCY GENERATORS ONLY KIWI all tla:ePP1y) ❑ 14.CONM000SSUMPSENSORWIDIOU AUTOPUMPSINTOFP• C1 :4 CONTENTIOUS SUMP SENSOR WITH01 AUTOPUMPSHUTOFF• AUD11FLBAND VISUAL ALARMS AUDIBLE ANO VISUAL ALARMS 15.AUTOMATICLMELBAKDETELTOR(30GPHTUT)WaRDI FWW ❑ 15.AUTOMATICLNELEAKDETECTOR(IOGMi TEST)WITIIOOT FLOW SHUTOFF OR RESTRICIION SHUT OFF OR RESTRICTION ❑ I6.ANNUALNTEGRIIYTIMB).1 CPI[) ❑ 16.ANNUALINTBGRRYMSTB.IGPM ❑ IT_DAILY VISUAL CHECK ❑ 17.MMYV(SUALCHECK VEIL DISPENSERCONTAINMENT NSPENSER CONTANMENT ❑ LCA'T MTSCHANISM THAT SHUTS OFF SHEAR VALVE ❑A.DAILY VLSUAI.CHECK DATE NS'I'ALLEO .dk 2.CONTINUOUS DISPENSER PAN SENSOR.AUDIBLE AND VISUAL ALVIMS .TRENCH LINER I MONITORING ).CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR ❑6.NONE DISPENSER AUDIBLE AND VISUAL.ALARMS Nn EX.O WNENOPERATOR SIGNATURE 1«nifY U..Ae:n(.mw«p.wNW ikme mdxSPnnaPNkbo�M-y SIGNATUO 0 TOR J DATE O ? Q,-(� J NAMEOFOWNERIOPEMTOR '1) renmk nwww Wwl«el many) �YnNn� -nnEOFOWEIOPETORsr.,n c.rnw.O.arn5^A/ V/ w 11 .a m PT0001390 EE0000817 12/31/2003 UPCF(17/99 revised)