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11/01/2001 11:27 VILLAGE WEST MAOTNA PAGE 03
<br /> 3 �
<br /> UNIFIED PROGRAM CONSOLIDATED FORM
<br /> TANKS
<br /> UNDERGROUND STORAGE TANKS-TANK PAGE 2
<br /> uNOERGROVNOPIPING I ,,HPINQ..Clp1(* UC71QN(CMEkd'ywl(µfp/j�, ..Jlvilc0•;,17 77
<br /> Ja;'.:,, V:';, ..F.fr�i �{,�;<�dr•.ic - ;I,,• •4%,
<br /> SYSTEM TYPE ABpV[GROUND PIPING
<br /> 1. PRESSOR! 11 7. SUCTION Ll 7. GMVRY � 1. PRlSSURi .
<br /> CONSTRUCnOW ❑ 1. SINOLEWALL 135. UNE`DTRENCH ❑ 2. SLOOMON ❑ S. GRAVITY
<br /> MANUFACTURER O fro. OTHER 7.SINGLE WALL El OS. UNKNOWN
<br /> 2. DOUBLE WALL ❑Oa. UNKNOWN ❑ 7. DOIIAL@ WALL
<br /> MANUFACTURER ❑11. OYMER
<br /> MANUFACTURiR
<br /> ❑ 1.BARE STEEL d 1. FRP COMPATIBLE W!100%METHANOL ❑ 1.BARE STEEL
<br /> MATERIALS AND ❑ T, STAINLESS STEEL 7,GALVANIZED STEEL Cl E. FRP COMPATIBLE WI'100%METHANOL
<br /> PROAQSION
<br /> CTION Q 3. PLASTIC COMPA i18L!WITH CONY ENT$ ❑ T. 9TAINLE58 STEELLVAN
<br /> ❑96. UNKNOWN �7.FLMBL9(HOED III
<br /> p © J. PLASTIC COMPA7IYLE WITH CONTENTS ❑ 1. fLIthIBl4(HOPED ❑D0, OTHER
<br /> i+r 4 FIAERQLASS Cl A. FLEXIBLE I"WE) Q pp. OTHER ❑ t. FIBERGLASS
<br /> ❑
<br /> $. STEEL,1'l COATING ❑ p, CATHODIC PROTECTION © 9_ CATHODIC PROTECTION
<br /> ❑ S. STEEL V.v COATING
<br /> w 0 05
<br /> PIPING LEAK OETCC7lON l ►ck r T; ,.„ VNVKNOVMf
<br /> UNdERGROUND PIPING^ -• ',N"��' •x:�91;
<br /> SIN L WAL WING ABOVEGROUND PIPING
<br /> PRESSURIZED PIPING(CMtk IY[n■!■pply/; OU
<br /> ❑ 1. ELECTRONIC UNE LEAK DETECTOR 9,0 QPH TEST VATH AUTO PUMP SMUT OFF FOR PAESBURIZEO PIPING(CAIrd AY roll Ipp,y�:
<br /> LEAK,SYSTEM FAILURE,ANb SYSTEM D18CONNECC'7'ION•AUDIBLE AND VISUAL ❑ 1' ELECTRONIC UNE LEAK DETECTOR 7.0 GAW SINGLE WA
<br /> TEST HATH AUTO PUMP BRUT Off FOR LEAK,
<br /> ALARMS SYSTEM FAILURE,AND SYSTEM 018CONNECTION•AUDIBLE AND VISUAL ALARMS
<br /> 2. MONTHLY 0.2 GAN TEST p❑ 2. MONTHLY 0,2 OPH TEST
<br /> ❑ ?. ANNUAL INTEGRITY TEST(0.1 QPHI /q 3 ANNUAL INTEGRITY TEST(0.1 GPH)
<br /> ( 4. DAILY VISUAL CHECK
<br /> CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS
<br /> ❑ SYSTEM.TRIENNIAL PIPING INTEGRITY ❑ 5. bAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM
<br /> 5 DAILY VISUAL MONITORINQ OF PUMPING
<br /> TEST 101 Opnl
<br /> .
<br /> SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): ED ETRIENNIAL INTEGRITY TEST(0.1 GPH)
<br /> ❑ 7 SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING);
<br /> GRAVITY FLOW.
<br /> ❑ 7.SELF MONITORING
<br /> LJ 0 BIENNIAL INTEGRITY TEST(0.1 GPH) . GRAVITY FLOW(0'.AKJI■M BIAe IRpy/:
<br /> ❑ 1. DAILY VISUAL MONITORING
<br /> Q
<br /> SECONDARILY CONTAINED PIPING 0.BIENNIAL INTEGRITY TEST(0.1 GPH)
<br /> PRESSUgIZEo PIPING/CAKE IM rn■r■pjyy/: SECONDARJLY CONTAINED PIPING
<br /> 10. CONTI NVOUS TURBINE SUMP SENSORT PRESSURIZED PIPING(CMck amw apprj:
<br /> (Cn■c9 SAI) v I N AUdSLE AND VISUAL ALARMS AND
<br /> ■ AUTO PUMP SHUT OFF WHEN A LEAK 10.CONTINUOUS TVRBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND(INDIA
<br /> 0AUTO PUMP SHUT OFF FOR LEAKS,SYSSTEMTEM FanI)
<br /> . FAILURE AND SYSTEM ❑ ■. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS
<br /> .
<br /> DISCONNECTION ❑ e. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND
<br /> y� �<, NO AUrp PUMP SHUT OFF SYSTEM DISCONNECTION
<br /> I11, AUTOMATIC UNE L rOR 1. FLOW SHUT OFF OR ❑ t. NO AUTO PUMP SHUT OFF
<br /> RESTRICTIONS N(�A0 GPH�TEST)WITH� ❑ 11. AUTOMATIC LEAK tMTlCTOR
<br /> 1$,ANNUAL INTEGRITY TEST 10.1 QPHS,'-_.. ❑ 12,ANNUAL INTFORITY TEST(0.1 GPH)
<br /> SUCTIOwoRAVITY SYSTEM:
<br /> © I9. CONTINUOUS SVMP SENSOR-AUDIBLE AND VI SUCTIOWGRAVITY SYSTEM:
<br /> BURL ALARM$ ❑ 12 CONTINUOUS SUMP SENSOR•A
<br /> UDIBLE AND VISUAL ALARMS
<br /> EMERGENCY OEN[RATORS ONLY/CHIDE wIm■r■ppyj .
<br /> ❑ u. CONTINUOUS SUMP SENSOR WITHOUT AU EM F-RO[NCY GENERATORS ONLY IOnKA d'OAIf ApQ/y)
<br /> VISUAL ALARMS -` PUMP SHUT OFF AUDIBLE AND © u. CONTINUOVS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF•AUDIBLE AND VISUAL
<br /> ❑ 15. AUTOMATIC UNE LEAK DETECTOR(310GPH TEST)WITHOUT FLOW BHVT OFF OR ALARMS
<br /> RESTRICTION ❑ 16. AUTOMATIC UNS LEAK DETECTOR(].O OPH TEST)
<br /> Cl 1e, ANNUAL INTEGRITY TEST(0 1 GPH)
<br /> ❑ 17. MILT VISUAL CHECK 1116. ANNUAL INTEGRITY TEST(0.1 GPH)
<br /> -. . Q 17 DAILY VISUAL CHECK
<br /> ❑�-� 1.FLOAT. . K
<br /> a�' N�R�"�YAINMI":T.�,a,;..'.V,^Ixr%,r�'',,°-'F, .,'t�� I r'•; ,
<br /> DISPENSER CONTAINMENT MECHANISM THAT SHUTS OFRJPWEARVALVC �,� `
<br /> OATE INSTALLED 0 2. CONTINUOUS 0+ 0 1. DAILY VISUAL CHECg
<br /> SP[NS[R PAN S[NSOII�IODISES AND VISUAL ALARMS
<br /> ❑ 3. CONTINUOUS DISPENSER P ❑ 5. TAENCH UNIR/MONITORING
<br /> AN SENSOR WIC AUTO SHUT OFF FOR DISPENSER AUDIBLE ANb VISUAL ALARMS CK 0, NONE
<br /> I t+IIN a■1 01I Infam,+ron �,e UL OWNEPJOPERATOIR SIONATUR!
<br /> p W h-0 I■UVI Ina--w IO 0.a$1 Ol my Ll.*W6a.
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<br /> NAME F OWN
<br /> I , TITLE OF O'mIE OR
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<br /> CUPAFORM(A)89)
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