BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

,4IFIED PROGRAM CONSOLIDATED FO!vI UNDERGROUND STORAGE TANKS - TANK PAGE 2 ;;TANK VI.PIPING CONSTRUCTION Check.0 out. I UNDERGROUND PIPING Page .f SYS'T'EM TYPE ®1 PRESSURE ABOVEGROUND PIPING ❑2.SUCTION ❑3.GRAVITY 4w ❑I.PRESSURE ❑2. SUCTION CONSIRUCIION ❑1.SINGLE WALL ❑3,LINED TRENCH ❑3 GRAVITY .try ❑99.OTHER 4a0 ❑1.SINGLE WALL MANUFACNRF:R ®2.DOUBLE WALL ❑95.UNKNOWN 95 UNKNOWN 'k'= MANUFACTURER El 2.DOUBLE WALL ❑99.OTI IER 4al MANUFACTURER ❑I.BARE STEEL �6.FBI'COMPATIBLL' wAoov. METHANOL '1°] M ❑ 1.HARE STEEI. ❑2.STAINLESS STEEL ❑7 GALVANIZED STEELUnknown02 6_FRP C.OMPATmLE W/1 Og9i MET(NNOL ClCln STAINL ❑3.PLASTIC COMPATIBLE W/CONTENTS I ESS STT:EL ❑7 GALVANIZED STEEL ❑99. other [13, PLASTIC COMPATIBLE W/CONTENTS ❑g.FLEXIBLE(HDPE) ❑99, OTHER ®4.FIBERGLASS ❑S.FLEXIBLE(HDPE) ❑4. FIBERGLASS 115 STEEL W/COATING [19.CATHODIC PROTECTION 4640 9-CATHODIC PROTECTION 1:15. STEEL W/COATING ❑95.UNKNOWN VII.PIPING LEAK DETECTION(Chock all that °65 UNDERGROUND PIPMG N'INY)(A Aewtiption PfNe monit progr.ni shell be subniOed to Uu local agmry J SINGLE WALL PIPING PRESSURIZED ABOVEGROUND PIPMG 466 SINGLE WALL PIPIPRESSURIZEDPIPING(Check all Ou{epply)� 4a7 ❑I.ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST W PRESSURIZED PIPING(Chock all tlutapply): OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION SHU I (]I. 1: ED LMC LEAK DETECTOR 3.0 GPH TEST W SHUT OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM DISCOITH NNECTION PUMP AIIDIdLF.AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS. ❑2 MONTHLY 0.2 GPH TEST ❑2. MONTHLY 0.2 GPH TEST ❑3.ANNUAL INTEGRITY TEST(O.IGPH) ❑3.ANNUAL INTEGRITY TEST(0.101'11) CONVENTIONAL SUCTION SYSTEMS ❑4. DAILY VISUAL CHECK ❑5.DAILY VISUAL MONITORING OF PUMPING SYS CONVENTIONAL SUCTION SYSTEMS(Check a0 Out apply) INTEGRITY TEST(0.1 GP TEM+TRIENNIAL PIPING ( � ❑5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM SAFE SUCTION SYSTEMS(No VALUES M BELOW GROUNDPWING): ❑6. TRIENNIAL INTEGRITY TEST(0.1 GPH) ❑7.SELF MONITORING GRAVITY FLOW SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): ❑9.BIENNIAL INTEGRITY TEST(0.I GPI() 07. SELF MONITORING GRAVITY FLOW(Check W Net eppty): ❑S. DAILY VISUAL MONITORING ❑9. BIENNIAL INTEGRITY TEST(0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING(Chock all that a SECONDARILY CONTAINED PIPING VPRESSURIZED PIPING(Check all OutVply) IU. CONTINUOUS TURBINE SUMP SENSOR B'�' AUDIBLE AND VISUAL wcty) ALARMS AND(Chock one) 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND(Check we) ❑a. AUTO PUMPSHUT OFF WHEN A LEAK OCCURS Ob AUTO POMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM O a AUTO PUMP SNIT OFF W A LEAK TEM FS DISCONNECTION ❑b AUTO PUMP SHUT OFF FORR LEAKS,SYSTEM FAILURE AND SYSTEM 19, NO AUTO PUMP SHUT OFF DISCONNECTION ®1 I. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WITH FLOW SHUT 0. NO AUTO PUMP SHUT OFF OFF OR RESTRICTION ❑H, AUTOMATIC LEAK DETECTOR O T2. ANNUAL INTEGRITY TEST(0.1 GPH) [112 ANNUAL INTEGRITY TEST E)1 GPH) STICTION/GRAVITY SYSTEM SUCTION/GRAVITY SYSTEM ❑ 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS ❑13. CONTINUOUS SUMP SENSOR AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY(Chink WI S apply) EMERGENCY GENERATORS ONLY(Checkall Net apply) ❑14. CONTINUOUS SUMP SENSOR W TI HOIIT AUTO PUMP SIRIf COIF• AUDIBLE AND VISUAL ALARMS 11 14 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF❑I5. AUTOMATIC LINE LEAK DETEC'T'OR(3.0 GPH TEST)WI'n4OUT FLOW AUDIBLE AND VISUAL ALARMS SHUT OFF OR RESTRICTION 015 AUTOMATIC LINE LEAK DETECTOR(3.O GPH TEST) [116.ANNUAL INTEGRITY TEST(0.1 GFH) ❑ 16.ANNUAL INTEGRITY TEST(0.1 GPH) 0 17. DAILY VISUAL CHECK ❑ 17. DAILY VISUAL CHECK VIII.DISPENSER CONTAINMENT DISPENSER CONTAINMENT ®1.FLOAT MECHANISM THAT SIR JTS OFF SHEAR VALVfi DATE INSTALLED 46k ❑4.DAILY VISUAL CHECK ❑2.CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS ❑s.TRENCH LINER/MONITORING 1999 [13.CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER+AUDIBLE AND VISUAL ALARMS ❑6.NONE �y IX.O WNER/OPERATOR SIGNATURE I certify th.t the infomu6on prosadad herein u hue erM aeceuu to the by ofmy BmMedgc. S TURF OW OF BATOR DATE_ 470 NAME OF OWNE OPRATOR(prim{) .� 4-03 SAND EDWARDS EOF OWNER OPERATOR ` 42 Permit NwnIt. (Par locales o y) 47 47] PcrrnitA QU "" ' �" PProvW(Pur local uvronlY) Permit IixPbeami Gate(Fur l l i c"^IY) 475 UPCF(1/99 revised) Formerly S WRCB Fonn B