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11/01/2001 11: 27 20995193"' VILLAGE WEST MAPTNA PAGE 03 UNIFIED PROGRAM CONSOLIDATeo FORM TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 2 CApF{STIRUCTION(C!♦■1A■s yy( . uNOERCROVNO PIPING •" . �. `ry SYSTEM TYPE ABOVIOJtOUNDP1PtN0 39/`9 1. PRESSURE [� 2. SUI ❑ 3. GRAVITY 1. FRl88URE 1-_J 1 SINGLEWALL ❑ 3, 1-11490TRIENCH ❑ 7. SUCTION ❑ a. GRAVITY CONSrRUCiIOw ❑09. OTHER � t, SINGLE WALL MANUFACTURER R 2. DOUBLE WALL ❑06, UNKNOWN ❑03. UNKNOWN MANUPAOTUREA ❑ 1. DOUALE WALL 119111. OTHER MANUFACTUREA ❑ 1 BARE STEEL ❑ 9. FRP COMPATIBL&Vyr 100%METHANOL ❑ i. BARE STEEL CORAO$lO AND ❑ 2, STAINLESS STEEL 7. GALVANIZED STEEL ❑ fl. FAP COMPA7lBld YW 1p0%MlTISANOI MATERIA ON ❑ 2. STAINLESS GTLFL �r PROTECTION ❑ 3. PLASTIC COMPATIBLE WITH CONTENTS 13 7, O lUXJBL (HOPE)11 ❑➢8. UNKNOWN ❑ J PLASTIC COMPATIBLE WITH CONTENTS ❑ !. FLg7UBLE(HOP!) ❑D9 OTHER 4 FIBERGLASS Cl a. FLEXIBLE(HDPE) Q 9e OTHER (] a FIBERGLASS ❑ S. STEEL W(COATINQ ❑ 0. CATNOOIC PROTECTION © o_ CATHODIC PROTECTION ❑ S. STEELYvr CQAnNO i ll.PtPING LEAK D 06 UNKNOWN fCn}ck r Ix: .. UNDERGROUND PIPING �"r''M r. •�;..;..,;'1' SIN L WALL ]RING ASOVEGRQUNOPIPING PRESSURIZED PIPING(Ch cx ea rA■r■ppy�; WA C7 1. ELECTRONIC UNE LEAK DETECTOR 3,0 CPH TEST WITH AVrp PUMP SHUT OFF FOR pRE55VR1Zl0 PIPING(Cl1.ct��(Eppy). LEAK,SYSTEM FAILURE,AND SYSTEM DISCONNECTION•AUDIBLE AND VISUAL ❑ 1' ELECTRONIC UNE LEAK 0$TFCTOR 3.0 QAH TEST NATN AUTO PUMP SHUT OFF FOR 1-!N(, ALARMS SYSTEM FAILURE,AND SYSTEM DISCONNECTION•AUDIBLE AN VISUAL ALARMS ❑ :. MONTHLY 0.2 GPH TEST p❑F 2. MONTHLY 0.2 OPH TEST ❑ 3 ANNUAL INTEGRITY TEST(0.1 DPN) /y 3 ANNUAL INTEGRITY TEST(0.1 GPH) s. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS 1-1 (Cn.cw■am■7apply): Q S DAILY VISUAL MONITORING OF PUMPING SYSTEM.TRIENNIAL PIPING INTEGRITY 4A 3 DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST I0 I QPM) SAFE SUCTION SYSTEMS(NO VALV88IN BELOw(3ROVND PIPING); ❑ 8 TRIENNIAL INTEGRITY TEST(0.1 GPH) ❑ 7. SELF MONITORING SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING); GRAVITY FLOW 137. SELF MONITORING ' Cl G BIENNIAL INTEGRITY TEST(O.1 GPH) GRAVITY FLOW(Chd,,I ■M mal■pI ❑ 9. DAILY V(SUAL MONITORING Q 0 BIENKlAL INTEGRI7Y TEST(O.I GPH) SECONDARILY CONTAINED PIPING PRESSUR12Eo PIPING(GnKh as rnu appy): SECONDARILY CONTAINED PIPING 10. CONTINUOUS TURBINE SUMPPRESSURIZED PIPING(CA■cA as ma(app,1F1: 1 CheUl ay) SENSOR WITH AUDIBLE AND VISUAL ALARMS ANp I 10.CONTINUOUS TURBINE BUMP SENSOR WITH AUDIBLE AND VISUAL ALAAMS AND(Oona ma) ❑ ■ AUTO PUMP SHUT OFF WHEN A LEAK OCCURS © 0. AUTO PUMP SMUT OFF FOR LEAKS,SYSTEM FAILURE AND SYSTEM Ll a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS D15CONNECTION ❑ 0. AUTO PUMP SHUT OFF FOR LFJAKS,SYSTEM FAILURE AND SYSTEM DISCONNECTION C. NO AUTO PUMP SHUT CPP IeL 11 AUTOMATIC LINE L EST A 3.0 GPH TEST)wITN ILOw SHUT OFI OR Q C. NO AUTO PUMP SHUT OFF RESTRICT,OK ��q N 1 t ti u ❑ 11 AUTOMATIC LEAK DETECTOR 12, ANNUAL INTEGRITY TEST(O.1 GPHj Cl 0 12,ANNUAL INTEGRITY TEST(0.1 GPH) SUCTIONrGRAVITY SYSTEM: © 13. CONTINUOUS SUMP SENSOR•AUDIBLE AND VISUAL ALARMS SUCITON'GRAVITY SYSTEM: ❑ 13. CONTINUOUS SUMP SENSOR•AUDIBLE AND VISUAL ALARMS EMERGENCY OEN&RATORS ONLY(t~Aa�}■a mar appy) ❑ 14. CONTINUOVS SUMP SENSOR WI EMERGENCY GENERATORS ONLY(Cnaek a1'mar ap" VISUAL ALARMS 7HOUT AUTO PUMP SHUT OFF•AUDIBLE AND ❑ 14 CONTINUOUS BUMP SENSOR WTFIOUT AUTO PUMP SHUT OFF•AUDIBLE AND VISUAL ❑ 15. AUTOMATIC UNE LEAK DETECTOR(3,0 GPH TEST)WTHQUT FLOW SHUT OFF OR ALARMS RESTRICTION ❑ 16. AUTOMATIC UNE LFAX DETECTOA(3.0 OPH TEST) Cl 17,ANNUAL INTEGRITY TEST(0 1 GPH) ❑ 16. ANNUAL INTEGRITY TEST(0.1 GPH) © 17. DAILY VISUAL CRECK ' . Q 17. CA14Y VISUAL GH&CK =.' vaI � r; . .,Pwr l.<<,' 1A�LI.pI((IV�SER CON7Al►Wr :11�r"1'' .•��, :`'C � r;11 DISPENSER CONTAINMENT ❑ 1. FLOAT MECHANISM TNAT SHUT&OFF Smw VALVE K. OATE INSTALLED ❑ 6. DAILY VI$UAL CH&CK 02 CONTINUOUS 01SPIENSER PAN"hSOR•AUDt&L!AND VISUAL ALARMS Ll3. CONnNUOUS DISPENSER PAN SENSOR MATS AUTO SHUT OFF FOR DISPENS&R•AUDIBLE AND VISUAL ALARMS 6. NON!TRENCH LINER/MONITORING I c■r1IN plat y1e Worvn.Iwnro,rlu LT`OWNERlOPERATOR SIGNATURE a so h"An I■pw■4 a--W*10 un peal of my Frla�waps, SIG PE R NAME F QI P �l / J^✓ / r � TITLE OF OuvrlE PIrmo N-b.'(Fo'bcu us,0'*j P ■nrVl Appinr■d()I JOCaI u■a aN)7 P■nrw Eypr9Yor1 D�4(FNlocal vaa orgy/ CUPAFORM(4)99)