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PROGRAM CONSOLIDATED Fn- i
<br />X, NDERGROU'' 7D STORAGE TANKS - T.kNK FACE z
<br />SYSTElM TS?3 i. P1tE=Rfi Q L SUCTION ❑ 3. CJL,VITY 4.'3
<br />C07-MUCTMN O +, S',IN'GLE )NALL Q 3. L'NED TRENCrt Q 3. CTHER uu
<br />,`,LWLFA=Xglt t'l Z DOUBLE WALL Q 4S. (:mKNCWN
<br />MAMNJFACTUAgR
<br />0-1. BARE STEN. C 6, FRP COMPAT(SLE w; j0(,% mrTe l,..Wt,
<br />❑ 2, STA -N LESS STEEL ❑ 7. C k,I .A,NIZSD S:EEL 13 Urumown
<br />= 3. PLhSTIC COWA77IBLE Wt CONZEA'TS 0 99 Cher
<br />i--N,':.MU13LASS C 3. FInamLE(ELDM
<br />❑ 5.37LTI;, 'J?/^, OATLNC ❑ 9• CATHODIC PROTZCTION 4;a
<br />TANKS
<br />ASO VEGSOUND PIPI` C
<br />1. PRE5SURI; ❑ 2. SUCTION O'-. GRAVITY asc
<br />[] 1. SINGLE WALL C 95. fiF IUw^1 a
<br />L3 1. D(?lip3L]E WALL ❑ 99. GTm.
<br />4117 0W%luFAC URER
<br />[j 1. BABE STLSL
<br />❑2. ST,.InESSSTEEL
<br />❑ 3. PLA 7-C C 14PATi8LL W! :0N7VNIS
<br />a, FWROLASS
<br />❑ 5. STEEL W/CCAM0
<br />hhc4 unxvr (A s crime n of Qat mcmume lm9.reln .,mN ft 6
<br />4n�
<br />❑ 6. FRPC:OSAPATISLT•. V'/10C'X-aTFVN0L
<br />❑ 7. GALVANiarj STF,EL
<br />© S. FLB?UBLC f.lm?E; ❑ 79, 07iiER
<br />❑ 9. CATP.ODIC PROT:.CT:ON
<br />❑ S3.::ViCN `Q WN 46!
<br />Sii GLZ WALL PnTiG 4& SINGLE WALL PIPING 667
<br />PR933URI=• PIPL'NC (ow*ill iu apply):
<br />`
<br />f PRESSL'iiIZE.: PJPINC ;C'3%kaR Na; aaylyx
<br />❑ 1. ELkCPRONIC Lam LEAK DJirEGTOR 3.0 GPii u-, T,,ik= ALTO PLW SHUT
<br />❑ '., ELECTRUNTIC LIN9 LEAK Dtmjcro-P 3A GFH TEST '>)':L 3 :ti."TC) ?UW
<br />OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DiSCWXECT10N t
<br />SHUT 0"rP FOR LrAK, SYSTEM FAILURE, A)ID SYSFEW DTSCONv'E:TLON
<br />AUMLE AND YISU AL ALARMS.
<br />AUDIBLE .4-\M 'VISLAL ALARMS.
<br />O 2. MONTMLY 0.2 GfH TEST
<br />❑ 2. MCNT14LY 0.2 CPH TS3I'
<br />❑ 3. ANNUAL W11901UTY TJ ST (Q.ICPR)
<br />❑ _. ANNEAL INNTEGRITY TEST (0),IGPH)
<br />❑ 4, DAILY VISUAL CMZCK
<br />CONVENTIONAL, 5UCTICRN SYSMAS
<br />CC'NI&D ZONAL SLC71ON SY57CMS (Cl -k all Qcn aaviy)
<br />0 5, DAk= VISUAL MONITCRING OF PUMP.aG SYSTEM - -Wfir wI,1L PIP
<br />I C S. DAM v:ISv a.L MON,TOWNC, OP Pt?If:C AND PL'M I -N G 9YSTEm
<br />lNTECaF,I'LYTEST (0.1 GPA)
<br />SAFE 5UCT.'ON SVSTEHS (NO VJ LUBS LY BILO'V 4'ROLNOFIPTNC$
<br />❑ 6. TRIENNIAL D+T'E=YTES-1 (0.1 UPH)
<br />❑ 7, SELF monroRLNG
<br />I SAF-_ SUCTICN SYSTEMS (NO VA.L'JT,3 IV R7iT,OAr GRCUND, PIPING):
<br />GRAVITY F.OW
<br />❑ 7. SELF MONITOKL14C
<br />C 9. KaSMAL M. W;;UTY TEST (0.1 GPM
<br />GRAVITY FLOW (Csm% -11 00, tpptyl:
<br />i
<br />❑ & MULY VISL+AL MOlIM'ORZ4G
<br />Q 9. BLEMVIAL INTRORITY T SST (0.1 OFF)
<br />SECONDARILY CONTAII',T:D PIPING
<br />SECONDAIULY CONTAINED rIrtYG
<br />PRESSURTZP.D PIPING (Cheek aR Utapply>.
<br />PRESSURIZED PIPIXG (v,"k an may uwabo;
<br />10. C0T%7WU40US TUREs)rIE SUMP VANSOR'RITH AL'DlBf ra ANID VISUAL
<br />to. CJdTJNUDL)$ TURATNE SUMP SENSOR tVM AUDIBLE AND VISUAL
<br />ALAILMS AN D (Cluck ane)
<br />ALARSIS Ati D 1Clvck ow) I
<br />.t a Al?O LUMP SE1LT OFF NVIMi A LEAKOCCLRS
<br />❑ 6 AUTO PUMP SNLT OFF WHEN A LEAK OCCURS
<br />0 b. AUTO PUA1P 5$1_7T OFF FOR LEAKS, 9V,47tii FAILTM k"M SY3'PENI
<br />❑ h AUTO PUMP MUT OFF FOR LE. -.1:S, SYSTEM FA1LLA! AND SYSTEM
<br />DISCOTTIECTION
<br />bISCOigNECTICN
<br />pe. NO „UTO PUMP SHU'r OFF
<br />Ce NO A= PUMP SH rT OFF ?
<br />� 11. AU'COMMATIC L l*RF, LEAK DETECTOR (!.0 GP'.3 MST) W RH NLOP/ ,,HLT
<br />r7 ,1. AUTON 'CIC L1 .ix DE7 ECTOR
<br />OFF ORRESTRICTION
<br />IJ 2. ANNUAL JNTEL3R.ITY TEST (0.1 OPH)
<br />Q 12, ANNUAL INTEGRITY TEST (0.1 GPfl)
<br />CTIONIGRAVJTY SYSTEM
<br />GU47rOrr,CRAVITV S YSTENi l
<br />0 13. CONTINUOUS SUNF SLTISOR+AUDIBLE AND VISUAL ALAR -MS
<br />❑ 11. CONT7.,F,'0L:S SLW SENSOR +AVD_MLE AND VISU.41 A.LARNIS
<br />ENMRGENCY GENILRATORS ONLY Keck oa _hm apply)
<br />£MERGINCY 0ENrRATOR,5 ONLY fChsk ail Ly k ..C."'y)
<br />[J 14. CONTISLOUS SUMP SM43OR W>TFTO[rr AUTO FT7W :HUT OFF"
<br />❑ 14, CONTE rJOUS SUMP Sni SCR-WMLr�!Z[ AIM PLN -2 SHUT Off .
<br />AUo1111,71 AND VI.WAL ALARMS
<br />AUDI&E AYD VIWAL.ALAR.14
<br />15• AUTOMATIC LINE LEAK r) T8C77 p o.0 GPX TEST) EpR QZ FLOW
<br />[] 15 AUTOMATIC LIVE LEAK DETECTOR (�.0 GPN'8ST)
<br />SP:UT OFF OR RESTRICTION
<br />❑ L6. ANNUAL TNTEGRITY TEST (OJ 1 PH)
<br />i Q 16. ANWJAL LNTE RITY T15ST (0-10111)
<br />Q 11, DAILY VISUAL CHECK
<br />17. DAILY VISUAL CHECK
<br />VMTb DISPS V SER C017AIlY.'VIE f1T �
<br />DISPENSER CD.'NTAI mENT -01. FLOAT MECE7.Amsm THAT SITU, OFF SHEAR VA .vB [14. DALLY VJSUAL LN' ICK
<br />DAIS INSTALLED 46k ❑ 2. CONTL''IUOUSDLSPLTSER PAN SENSOR -AUDIBLE AND VISUAL AL.APUMS ❑ 5. TRJ]VCE LINER! WONITORING I
<br />O 3. COTi1N'JOUS DISPENSER PAN SENSOR Kllxlj AUTO SHLT OFF FOR ❑ 6 NUVE 4611
<br />DISPENSER - AUDIBLE AND',MAL ALAALMS
<br />IY.OWTNER/OFERATOR SIGNATURE
<br />1 a,ery khwwla$r. 1
<br />UPCF (I 2M revised)
<br />12
<br />uar
<br />)z -a -a3
<br />arc
<br />Formerly S\STN CE Form S
<br />
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