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EC V D <br /> r/tNIFIED PROGRAM CONSOLIDATEDFOI✓Y JUN 1 1 20IxtNKs <br /> UNDERGROUND STORAGE TANKS - TANK PAGE &ft rl <br /> VI.PIPING CONSTRUCTION(Check allthat apply) <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SYSTEM TYPE X 1. PRESSURE C 2. SUCTION C 3. GRAVITY C I. PRESSURE C 2. SUCTION T 3. GRAVITY 459 <br /> CONSTRUCTION C 1. SINGLE WALL C 3. LINED TRENCH C 99. OTHER C I. SINGLE WALL C 95 UNM40VM 462 <br /> / X 2. DOUBLE WALL C 95. UNKNOWN T 2, DOUBLE WALL C 99. OTHER <br /> MANUFACTURE <br /> R MANUFACTURER 461 MANUFACTURER 463 <br /> C 1 BARE STEEL C 6 FRP COMPATIBLE Wa 1009E METHANOL T 1. BARE STEEL T 6. FRP COMPATIBLE W/100%METHANOL <br /> MATERIALS AND C 2. STAINLESS STEEL C 7. GALVANIZED STEEL T 2 STAINLESS STEEL C 7. GALVANIZED STEEL <br /> CORROSION <br /> PROTECTION T 3. PLASTIC COMPATIBLEWATHCONTENTS C95. UNKNOWN C 3. PLASTIC COMPATIBLE WITH CONTENTS C 8. FLEXIBLE(HOPE) C99 OTHER <br /> X 4. FIBERGLASS T 0. FLEXIBLE(HOPE) C99. OTHER C 4. FIBERGLASS C 9. CATHODIC PROTECTION <br /> C 5 STEEL W/COATING C 9 CATHOOIC PROTECTION 4641175 STEEL"COATING 195 UNKNOWN 465 <br /> VIL PIPING LEAK DETECTION(check aq matappy)(A dacr"on tithe n ,cnip Pm9mm Shan he subowwto me kcal agency.) <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> SINGLE WALL APING 466 SINGLE WALL PIPING 467 <br /> PRESSURIZED PIPING(Check ae thet apply): PRESSURIZED PIPING(Check as that appy). <br /> C 1 ELECTRONIC LINE LEAK DETECTOR 30 GPH TEST WITH AUTO PUMP SHUT OFF FOR C L ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK. <br /> LEAK,SYSTEM FAILURE.AND SYSTEM DISCONNECTION+AUDIBLE AND VISUAL SYSTEM FAILURE,AND SYSTEM DISCONNECTION--AUDIBLE AND VISUAL ALARMS <br /> ALARMS C 2. MONTHLY 02 GPH TEST <br /> C 2. MONTHLY 0.2 GPH TEST C 3 ANNUAL INTEGRITY TEST(01 GPH) <br /> C 3 ANNUAL INTEGRITY TEST(01 GPH) C L DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS. CONVENTIONAL SUCTION SYSTEMS(Check a9 that appy): <br /> C 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM+TRIENNIAL PIPING INTEGRITY C 5 DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> TEST(0.1 GPH) C 6. TRNENNIAL INTEGRITY TEST(0.1 GPH) <br /> SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING)-. SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING). <br /> C 7 SELFMONITORING C 7 SELFMONITORING <br /> GRAVITY FLOW GRAVITY FLOW(Check 0 that appy): <br /> C 9 BIENNIAL INTEGRITY TEST(01 GPH) C S. DAILY VISUAL MONITORING <br /> C 9. BIENNIAL INTEGRITY TEST(01 GPH) <br /> SECONDARILY CONTAINED APING SECONDARILY CONTAINED PIPING <br /> PRESSURIZED PIPING(Check an that appy) PRESSURIZED PIPING(Check an that appy): <br /> 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND <br /> (Checkena) 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND(UlerA aarl <br /> C a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS C AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> X b. AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM C b- AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AND SYSTEM DISCONNECTION <br /> DISCONNECTION <br /> ]'c NO AUTO PUMP SHUT OFF C e NO AUTO PUMP SHUT OFF <br /> X 11 AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUT OFF OR C ii. AUTOMATIC LEAK DETECTOR <br /> RESTRICTION <br /> C 12 ANNUAL INTEGRITY TEST(01 GPH) T 12. ANNUAL INTEGRITY TEST(0.1 GPM) <br /> SUCTION/GRAVITY SYSTEM'. SUCTKXLGRAVITY SYSTEM <br /> C 13 CONTINUOUS SUMP SENSOR+AUDIBLE ANO VISUAL ALARMS C13 CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENERATORS ONLY(Check all that appy) EMERGENCY GENERATORS ONLY(Check aN that appy) <br /> T 14 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND C 14 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND VISUAL <br /> VISUAL ALARMS ALARMS <br /> C 15 AUTOMATIC LINE LEAK DETECTOR(3 0 GPH TEST)WITHOUT FLOW SHUT OFF OR C 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) <br /> RESTRICTION <br /> C 16. ANNUAL INTEGRITY TEST(01 GPH) C 16. ANNUAL INTEGRITY TEST(01 GPH) <br /> C 17 DAILY VISUAL CHECK C 17 DAILY VISUAL CHECK <br /> VII.DISPENSER CONTAINMENT <br /> DISPENSER CONTAINMENT C I. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE C 4 DAILY VISUAL CHECK <br /> DATE INSTALLED 468 r'? CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS C 5 TRENCH LINER I MONITORING <br /> 998 X 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER-AUDIBLE AND VISUAL HARMS C 6. NONE 469 <br /> I cwMy BW B nftm,,Am provided herein is true and amxate to Lha beat of my <br /> SIG OF OWNERIOPE R DATE 470 <br /> 09 &7102 <br /> OWNER/OPERATOR(pIW) 471 TITLE OF OWINERK)PERATOR 472 <br /> Bruce T.Marubashi for Shell Oil Products HSE Analyst 925-766-3498 <br /> Permit Number(Fabcal uw on/y1 473 I Perm4 Approved(Fork>ral use arty) 474 I Pe It Eupaatm Data(For kcal use a*) 475 <br /> 6 <br />