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_ -- Model Number.-- _ /00/------------------• <br />-__- Sensor Type: ___- Vapor -X Liquid - Both. <br />____ Sensor Brand: - Z�eWM __ Sensor Model: <br />____ Loc2tion(s) for sensors [indicate location of sensor(s) with check mark]: <br />___✓✓ Tank: Sensor Brand:_��K___ Sensor Model:_ISE-=1S <br />Piping: Sensor Brand:__If��_ - Sensor Model: t?- - 0 t--3Dispenser: Sensor Brand:___jN"� _ Sensor Model:_-7'�;-e� = <br />----- Othe-r(specify): ---------- Sensor Brand:____________ Sensor <br />Model:-,,,- , .- <br />C. Monitoring and response plan submitted [Section 2632 (d) (1) & (2)]. <br />15. _1��� Any special accessories, fittings, coatings, or linings not inherent within the initial design of the 10 tank or double- <br />wall UST. [Section 2631 (b)] <br />A Approved by a nationally recognized independent testing organization. <br />B. Demonstration of integrity with the primary and/or secondary containment. <br />16. A q' Tanks subject to floatation. [Section 2635 (a) (7)] <br />A. Anchored by deadman or slab. <br />B. Anchors to be installed as specified by manufacturer. <br />C. Installation details provided on plans. <br />D. Calculations provided. <br />17. SPILL AND OVERFILL PREVENTION <br />Underground storage tank equipped with spill container and an overfill prevention system. (detail drawing of spill <br />container(s)/piping sump(s) required, including tank fill and all openings). <br />A Spill container [Section 2635 (b) (1)]. <br />If made of metal, exterior wall protected from galvanic corrosion. <br />____ Capacity: (minimum of five gallons)--_ 19 yocJI C -_A10 -0 C _0 8 V/R <br />- ---------- <br />__ Equipped with a drain valve which allows drainage of spill into primary container. <br />Manufacturer:_-t9pwPK3 '".Aldo c- VR <br />_ B. Overfill prevention system does not allow for manual override and meets one of the following <br />requirements: <br />- V (1) Alert transfer operator at 90% full by restricting the flow into the tank or triggering an audible and <br />visual alarm [Section 2635(b)(2)(A)] . <br />Manufacturer:__ -1--a ____________ Model:_ <br />(2) Restrict delivery flow to the tank 30 minutes before overfill when tank is filled at no more than <br />95% capacity and activates an audible alarm at least five minutes before overfill [Section <br />2635(b)(2)(13)]. <br />(4) <br />Manufacturer: <br />Model: <br />Provide positive shut off at no more than 95% capacity [Section 2635 (b) (2) (C)]. <br />Manufacturer:!.? � _ _ Modek6 l.SD - q'OQ c- - 6 VR <br />Provide positive shut-off of flow to the tank so that the fittings on top of the tank are not exposed to <br />7 <br />