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,11/01/2001 11: 27 209951937" VILLAGE WEST MAPT�IA PAGE 05 UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS -TANK PAGE 2 �. y... •:.,, •�y,.COMS7RUC N aNmAt „��^•, 'S'' EI'A.e!'�,;;(i}.v ?�ik7:Y�iV j.Y UNDERGROUND PIPING �r �� r " -� :•� .• ABOVEdROUNO PIPING SYSTEM TYPE 1 PRESSURE ❑ 2, SUCTION ❑ 7. GRAVITY 1, FRffwAc ❑ Z. SUCTION ❑ 7, GMVITY CON5TRUCTIOw ❑ I. SINGLE WALL ❑ 1, LINED TRENCH ❑09. OTHER 1, SINGLE WALL ❑Im UNKNOWN MANUFACTURER ® 2. DQVBLE WALL ❑W. UNKIIOWN ❑ 2. DOUBLE WALL ❑119, OTH[R MANUFACTURER MANUFACTURER �] 1.BARE STEEL ❑ 9. FRP COMPAYIBLE hop 100-METHANOL 0 1. PARE&TEFL ❑ 4. FRP COMPATIBLE VIN 100%METHANOL MATERIALS AND [] 7 STMNLE$$STEEL 7, GALVANIZED STEEL EL 7. GAWANIZED STEEL CORROSION ❑ 2. STAINLESS STEEL PROTECTION ❑ 3, MASTIC COMPATIBLE WITH CONTENTS ❑29 UNKNOYIN ❑ 0 PLASTIC COMPATIBLE WTM CONTENTS ❑ N. FLEXIBLE(NOPE) ❑p, OTHER 4. FIBERGLASS ❑ N. FLEXIBLE(HOPE) ❑99, OTHER ❑ 4 PIBFRGLASS ❑ V. CATHODIC PROTECTION C] S STEEL wr COATING ❑ 9, CATHODIC PROTECTION ❑ b. STEEL WI COATING ❑&S. UNKNOWN "Al.PIPING LEAK DFTEC110N(Chocr as maI�ppM 4 iY UNDERGROUNDQPIPINQ ABOVEGROUND PAGING INQ WALL IPINQ , PRESSURIZED PIPING(Crack aN Met eppfy): PRESSURIZED PIPING(Chalk aN M.r appy): WALL PIPINO ❑ I. ELECTRONIC LINE LEAK DETECTOR 0.0 GPH TEST VWTH AUTO PUMP SHUT OFF FOR ❑ t. ELECTRONIC LINE LEMIC DETECTOR].0 GPM TEST 1 WTH AUTO PUMP SHUT OFF FOR LEAK. LEAK SYSTEM FAILURE.AND SYSTEM 015CONNEC56N_•AUDI&LE AND VISUAL SYSTEM FAILURE,AND SYSTEM 01SOONNECTION•AUDIBLE AND VISUAL ALARMS ALARMS I ❑ TEST MONTHLY 02 GP ❑ M 2 MONTHLY 0 2 GPM TEST 2. . ❑ 1. ANNUAL INTEGRITY TEST(o.t DPH) p� 7. ANNUAL INTEGRITY TEST(0.1 GPM) i.l 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS' CONVENTIONAL SUCTION SYSTEMS{CA.ck or&W appy); W3J DAILY VISUAL MONITORING OF PUMPING SYSTFM•TRIENNIAL PIPING INTEGRITY ❑ S DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST(0 1 GPH) ❑ e. TRIENNIAL INTEGRITY TEST(0,1 GPH) SAFE SUCTION SY5TEMS(NO VALVES IN BELOW GROUND PIPING): SAPE SUCTION SYSTEMS(Nb VALVES IN BELOW GROUND PIPING): ❑ 7 SELF MONITORING 0 7. $ELF MONITORING GRAVITY FLOW: 9 BIENNIAL INTEGRITY TEST(0 1 GPH) • GRAVrTY FLOW(Chock aN Mat Appy); ' Q S. DAILY VISUAL MONITORING ❑ 0. SI ENNCAL INTEGRITY TEST(O.1 GPM) S&CONDARII-Y CONTAINEDPIPING "RE54VRIZEO PIPING(cp,a#aNmar,ppy); SECONDARILY CONTAINED PIPING PRESSURIZED PIPING(Check aN fMl Appy): LGnaul on.) o CONTINUOUS TURK NE SUMP SENSOR WITH AU018LE AND VISUAL ALARMS AND 10.CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE ANY VISUAL ALARMS AND(Chock one) ❑❑ a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS Q a, AUTO PUMP SMUT OFF WHEN A LEAK OCCURS I] b AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM x of DISCONNECTION h. AUTO PUMP SHUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION q c NO AUTO PUMP SHUT OFF ❑ C. NO AUTO PUMP SHUT OFF �. I I. AUTOMATIC LINE LEAK DETECTOR 10.0 GPH TEST)WITH FLOW SHUT OFF OR I--� I� RESTRICTION 1*AZ�f I q�J ��A 4 I1:1 11 AUTOMATIC LEAK DETECTOR ANNUAL INTEGRI TFST 10,1 GFH) L ❑ 12, ANNUAL INTEGRITY TEST(0.1 GPM) SUCT ON/GRAVITY,5Y5Tf2M: SUCTIONt5RAVITY SYSTEM: ❑ 10 CONTINUOUS SUMP SENSOR•AUDIBLE AND VISUAII ALARMS ❑ 10. CONTINUOUS SUMP SENSOR•AUDIBLE ANO VISUAL ALARMS EMERGENCY GENIRATORS ONLY(ChAak Aa Ihol apply) EN"QCNCY QENEMTOK$ONLY(Chock Y bW apply) ❑ 14 CONTINUOUS SUMP SENSOR W7HOUT AUTO PUMP SHUT OFF•AUDIBLE AND 0 14.CONTINUOV$$UMP SENSOR WITHOUT AUTO PUMP SMUT OFF AUDIOLE AN 0 VISUAL VISUAL ALARMS ALARMS ❑ 15. AUTOMATIC LINE LEAK DETECTQR(3.0 GPM TEST)W1T�HOV FLOW SHUT OFF OR ❑ 1 S.AUTOMATIC UNE LEAK OCVLCTCR(1.0 GPH TEST) RESTRICTION 11 f 14 ANNUAL INTEGRITY TEST(0,1 GPH) ❑ 10. ANNUAL INTEGRITY TEST(o.t GPH) ❑ 17. DAILY VISUAL CHECK ❑ 17. DAILY VISUAL CHECK + 1PF�MSEq,COFlTA1►�/A�IT + 1 ,e K{' I,:P.•;: �" �. h. 9 ABV'., J.d. •• 1c• -,.� DISPENSER CONTAINMENT ❑ 1 FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE O 4, DAILY VISUAL CHECK DATE INSTALLED ❑ 2. CONTINUOUS DISPENSER PAN SENSOII•AUDIBLE AND VISUAL ALARMS ❑ S. TRENCH UNFR I MONITLNIINO ❑ ]. CONTINUOUS O18PCNSER PAN SFII>ypR WITAUTO SHUT OFF FOR 01$PENSFR•AUDIBLE ANO VISUAL A[JLRM9 0. NON! UL OWNIMOPEMTOR SIONATURLr I t"fY Ghat IhA IMOIM-u n P[ IQ►Q 71Arart IN I1W ane 6CCI-1-b tr4 Gaal III my k.."Af1QA, SIGNAT RE E ari GATE M P Y T)TLFOFOtANER/ TO% Partnit NumA►�(For local��►aVyJ PArmlt Approval(Iaal raw!uu erVy) PenrA EYDinOan Dalt(Far bow uw er>ty) CUPAPORM(4199) FOrm,arly SWRCB Fnrm 01