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11/01/2001 11:27 20995193'7 ) VILLAGE WEST MAPTNA PAGE 05 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS . TANK PAGE <br /> ' �..✓.:! :z.:. .:;.,;(,tVL PIPYI'/Q.COHS7RU N ;;;);,;, <br /> UNDERGROUND PIPING CTiQ1�1ylNCkaN rr,W appy) , ' <br /> ;., <br /> ASOVBGROUND PIPING <br /> SYSTEM TYPE 19 1 PRE$SVRE ❑ 2. SUCTON <br /> O 3 GRAVITY � 1. FRdSSURE ❑ 2. $Ucr1oN ❑ s, aRAVli1' <br /> CONSTRUCTIOw Cl I. SINGLE WALL ❑ >_ LINEDTRENCH ❑99. OTHER 1. SINGLE WALL ❑9a. UNKNOHM <br /> MANUFACTURER ® 2 DOUBLE WALL ❑a UNKNOWN <br /> © 2. OdleLe ADCC 171 sq,OTH[R <br /> AU1NVfAGTUR ER <br /> MANUFACTURER <br /> ❑ 1.BARE STEEL ❑ e. PRF COMPAYIBL,E VW 100%METHANOL ❑ 1. BAR[STEEL 0 S. PRP CCMIAATIBLE Ma'100%MItTHJ.NOL <br /> 7, GALVANIZED SRiEI <br /> MATERIALS AND CJ2. STAINLESS STEEL <br /> CORROSION ❑ 2, 3TAINI FSS STEEL E&7. GALVANIZED STEEL <br /> PROTECTION ❑ 3,FUSTIC COMPATISL.E WITH CONTENTS ❑96 UNKNOWN ❑ 3. PLASTIC COMPATISLF WITH CONTENTS ❑ 3. FLEXIBLE(HDPEI 0 N. OTHER <br /> a. FIBERGLASS ❑ 9. FLEXIBLE(HDPE) ❑99. OTHER [] e, FIBERGLASS ❑ V. CATHODIC PROTECTION <br /> C] S. STEEL W!COATING ❑ 9, CATHODIC PROTECTION ❑ 6. STEEL 1Ml COATING ❑Sb. UNKNOWN <br /> 1.." VII•PIPING LEAKOM (CMciI aelR+11�dpM ,M <br /> i ,1:�t'Y ..Itli,.,' hI n ..,:'!I'4 - :!(�ML'"�.iG.••��_'T'•`ti,. <br /> UNDERCROUFIp�NVINO <br /> !NO WALL PIPINGASOVEGROVNp PIPING <br /> PRESSURIZED PIPING(CMCk as let apply): WALL <br /> PRESSURIZED PIPING(CAack aN lh.r•ppry): <br /> Cl 1. ELECTRONIC UNE LEAK OETECTOR 3.0 GPH TEST VATH AUTO PUMP SHUT OPF FOR ❑ 1, ELECTRONIC LINE LEAK DETECTOR 3.0 GPM TEST 11TH AUTO PUMP SHUT OFF FOR LEAK. <br /> LEAK,SYSTEM FAILURE.AND EYSTFU,a DISCONNECt�°Sll.AUDIBLE AND VISUAL <br /> ALARMS DISSYSTEM FAILURE,AND SYSTEM CONNECTION•AUDIBLE AND VISUAL ALARMS <br /> ❑ 2 MONTHLY 0 2 GPM TEST 2. MONTHLY 0.2 GPM TEST <br /> ❑ 3, ANNUAL INTEGRITY TEST(a.I GPH) � 3. ANNUAL INTEGRITY TEST(0.1 GPH) <br /> i.l .. DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Ch ck no&W Appry); <br /> ❑ 3 DAILY VISUAL MONITORING OF PUMPING SYSTEM•TRIENNIAL PIPING INTEGRITY Q 5 DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> TEST(0 1 GPHf <br /> ❑ e. TRIENNIAL INTEGRITY TEST(0,1 GPH) <br /> SAFE SUCTION SY$TEM3 IND VALVES IN BELOW GROUND PIPING): <br /> Cl I. SELF MONITORING SUCTION3APE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING), <br /> ❑ 7. $ELF MONITOAINO <br /> GRAVITY FLAW; <br /> ❑ 9. BIENNIAL INTEGRITY TEST(0.1 GVH) GRAVITY FLOW(Ch ch aN ow apply); <br /> ❑ i. DAILY V19UAL MONITORING <br /> ❑ 9. BIENNIAL INTEGRITY TEST(0.1 GPH) <br /> SECONDPRESSURRILYIZED <br /> CONTAINED PIPING SECONDARILT CONTAINED PIPING <br /> PRESSUR12E0 CONTINUOUS <br /> (Cluck.a Ih.l aPFYrh PRESSURIZED PIPING(Chaca IN fel apply): <br /> ta. c hoo oe0U5 TURBINE SUMP SENSOR WITH AUDIO"AND VISUAL ALARMS AND <br /> 8C a� UT) 10 CONTINUOUS TURBINE SUMP SEN30R WITH AUOIBLE ANDVIS�IAL ALARMS AND(u.l�-qN <br /> •. AUTO PUMP SHUT OFF WHEN A KA,S OCCURS ❑ a,AUTO PUMP$HUT OFF WHEN A LEAK OCCURS <br /> C� 6 AUTO PUMP SMUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM Y <br /> DISCONNECTION ❑ 0. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM=CONNECTION <br /> e, NO AUTO PUMP SHUT OFF Lle. NO AUTO PUMP SHUT OFF <br /> (� II RE STOMAT OVIC LINE LEAK DETECTOR(S.a GPH TEST)WITH FLOW SHUT Off OR ❑ 1 t. AUTOMATIC LEAK DETECTOR <br /> o. 1Z. ANNUAL INTkQR��EST(G QpHI ` <br /> ❑ 12: ANNUAL INTEGRITY TEST(O.I GAM) <br /> SUCTION/GRAVITY SYSTYM: <br /> SUCTIONrGAAvITY SYSTEM: <br /> ❑ 13. CONTINUOUS SUMP SENSOR•AUDIBLE AND VISIWt ALARMS ❑ 18.CONTINUOUS SUMP SENSOR.AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GENBRATOR9 ONLY(Chmk.1 fel apply) EMpRGENCY GENEIMTORS ONLY(0660 al Nal appy] <br /> ❑ t, CONTIVISUAL ALAR SUMP SENSOR WaTHOU7 AUTO PUMP SHUT Off•AUDIBLE AND q ia.CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SMUT OFF.AUDIBLE AND VISUAL <br /> VISUAL ALARMS ALARMS <br /> Cl It. AUTOMATIC LINE LEAK DETECTOR(3.0 GPM TCST)WITHOUT FLOW SHUT ofF OR <br /> RESTRICTION Cl 15.AUTOMATIC UNE LEAK OCTECTOR(3.O GPH TESTI <br /> ❑ III ANNUAL INTEGRITY TEST(0,1 GPH) .r <br /> U 16. ANNUAL INTEGRITY TEST(o.t QPHJ <br /> C.� 17. DAILY VISUAL CHECK © 17. DALLY VISUAL CHECK <br /> 1f <br /> . : , .. ..� .,.;, r IG r`_�•.. �!�.''RI�PENSER:,r�.,ffTALNM�NT E'1 q.lY ,� '�9:. <br /> DISPENSER CONTAINMENT ❑ 1 FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE <br /> ❑ 1. DAILY VISUAL CHECK <br /> DATE INSTALLED ❑ 2. CONTINUOUS DISPENSER FAN M" AUDIBLE AND VISUAL ALARMS <br /> ❑ s. 7REAiCH LINER I MONITORING <br /> ❑ 3. CONTINUOUS DISPFJiSER FAN SEN"I+AT AVTG wiLrr OFF FOR DISPENSER•AUDIBLH AND VISUAL ALARMS 0. NONE <br /> IX.OWNIMOPERATOR SIGNATURE <br /> I aNllh C1a1 UI.4VOhrl.lion orovaw/Ur.in a InI.aM acaxal.b Va btgt G my krowl", <br /> SIGNAr RE E 6 DATE <br /> M P r TITLE OF OWNEiLU"RATDR <br /> r J <br /> PamVl NumAar(for loc.l�>'a purl P.1"AW*;W(fw locw/u.r^M9 <br /> ParmN Ex*~Dw1.Otw low/uw 6'yw <br /> CUPAFORM(0/99) <br /> Folmedv S"cll Fnrm A <br />