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{ <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANK <br /> UNDERGROUND STORAGE TANKS -• TANK PAGE 2 <br /> VI.PIPING CONSTRUCTION(check all that apply) Page—of <br /> UNDERGROUND PIPING ABOVEGROUND PIPING <br /> S�GTEM1 Pc p4ESSJRE ❑'.SIJC'71Q"I r,RA'T` <56 " ❑1.°RFS I'RiE l 2 SUCTION t❑3 CRAVITY 459 <br /> —_--- --- --.Fcm',ANUfACTURE.',' <br /> NS'RUCi'JN L] I SNGLkc'iJALL ❑J.LINEDTRENCH a9 , HER 460 ❑1 SINGLE'AA_L ❑95 ii',KNOWN 46^2 DOUBLE WA:L ❑95 UNKNOWN C 2 DOUBLE WALT. ❑99.CT cR <br /> VANUFAC ORcR6 1 MAN, <br /> �N' c 463 <br /> FAC"ARE-( <br /> O+ FrkE FL (]F :GP CMPA1!BLF w1100% VETHANOL I ❑1.BAR STFFI F_6, RP COMPATIBLE W,1o0 DA�ElHA1wt <br /> ❑_' 3T JL J r -AL ..MiE�,STEEL 0 vJ jvv l t-32. STAINLESS STF-! I=! .A VANIZEC 5 EEi_ <br /> ❑3 =AS Ir, ,„qtr a 'B_'_ Sl 3. F'LASTU" -$LE L';,CONTEN'f� ❑3 FLE:{t3'_E ODPL-1 ❑99. OTHEi2 <br /> ®d FIBERC C d.FLFXISLE iHOPE) ❑ iBERCr+�S ❑g A :nU'C PROTECTION <br /> C3 STEEL Po CPT.^„". 09 CA-1100CPROTECTON aha ❑5 ;,TEFL ❑9 .GNKN.`r"N 465 <br /> VN.PIPING LEAK DETECTION tC y _kiI hat arpi l ul d ;cr p;,or of th „on,wir i p oq T sha4 be submitted to the local agen y <br /> UNDERGROUND PIPING <br /> _ <br /> _ ABOVEGROUNta PIPINGN(, <br /> �____ SINGLE WALL PIPING 1 y i SINGLE WALL PIPING 467 <br /> PRESSURIZED PIF!^. :c`re•:�a' �ztacpy; 1 PRESSURIZED PIPING ail that arPtYl- <br /> ❑1 ELE� _ -c." ' ,:,,)=H TF,T reP-H 1 T U',F r �';rF FOR ? E F- r ;I' I N LE;k g „7r p�Pu L N' H A 1TO P!LMF ST U+OFF FOR <br /> L_HK.o '�1 Frvt FA LdRE tC 5''_ �M LLAK YF_,T._ 1 E A.,ARE AVD S''S t�M fit;''i'-1 't:f.f�f�;-Adlll&_E ANO VISUAL <br /> 401RMS A;ARNIS- <br /> ❑2. VONTHL C_2 GP'-1`EST ❑2 MONTH-)',)?GFW TEE' <br /> f <br /> 03 ANNUAL;N'-GRI'r TEST,J'CFH n 3 ANNI,Al <br /> i ❑4 JAiI 1 Vl,%'AI lE <br /> CONVENT!0NA_Sl_r J;, )`rcNTJNA S.J TI�N,YST�MU(Ce;ka''natanptyi <br /> C3 IL iSil t ri'v.FN';C:EPI;IAFINh:3YSTEM+IR,ENNiAi.F'FING C�^.TY �P �,, . r c a <br /> `i .;)r..T'.FEJSJFfIPIJ;:A _ P'JdFIN:',,Y,TFM <br /> SAFE St IOr; (DU;1 VALUES IN C,i.L1N;GRCUNDFIaING). �]6. `RIENPJI�; R'TY ''c5T;9 1 GL'N'. <br /> (�7 SELF t1';r,'TOR'iNt; i=F^;UC,TI�N t %S tN0';ALVES IN BEL:JW GP)f1'Jp PIPING)' <br /> `r ';D F'XCNITOPoNG <br /> _ `JQAVIT' <br /> F [-j Q g r ?J'AI,_ Nr:_RF "-ST I GPH) 'DAVIT`( OW(C-Fn jl tha aoo'y) <br /> Cj 1i �1 N !i. _E :'; c (Q 1 G°H� I <br /> ! <br /> SECCNDAR!LY CGNTAINED PIPING SECONDARILY CONTAINED PIPING <br /> PRE SS'JRI v-r-pir is PRESSURYFFD I' INC, •scs all that acply; <br /> 1 7Q _--1;7 T!{ UDiC:ILE. t,�.I"_- .J; - i_irl. ri5'',t _,AP=-E'J F`J•,' _ .,.:�5Lc;nPl,.; ,'�L.�4LAM5AivC% <br /> Ff:Yb'PKL NL S { <br /> _ .._ ..• nY5 E%1 PAIU,RE c ; L r� F: K Fr� F °M 7A.IL.URE ANDSvc:TEM 1 <br /> i <br /> ❑ ' - r _ FFL1TcS' '.NUG" <br /> �11- Al, =r A E7- TCP <br /> t F: <br /> ❑11- t v ,I:.:', a 01•tT!NUO=. S PAF ocrJSOR AUDIBr_F_vfJ(�''Ji,',UAL ALARMS <br /> F CR AJ RM '3. <br /> ENIEIRGENCY GENERATORS ONLY(Check all lha appiy, EMERGENCY GENERATORS ONLY iC-e<.k a73 thatappiy) <br /> []14 ;TN-'!i 7;i,iS;t 'AP SENSOR'WI--!OUT AUTO PUMP SHIT-OFF ANI,) ❑'4_ CON`INUG_a 3I)Mr S=NSORtV7HOUT AUTO FVtA i;HUT OFF AUDIBLE AND <br /> "SUAI.',LrFlrr1 AIIJIJA: A(1P <br /> Q 15-�t I _.1. ( I[ =.�!DET=;'r,R 73 1 GP�Lt TEST LV!THC�rf I f'JW SHUT GFE ORT, �. <br /> EiTE rT!?,N ❑15 AUTCIIA, IMS t E'r'r.DETECTCR(3v L:f P <br /> 0 ',PH? ❑16. ANNUAL TJT :pl-v EST(C.1 GPH) <br /> t <br /> []'li r:. []17 I)A:LY V!SLI <br /> J111 DISPENSER CONTAINMENT <br /> DISPENSER - <br /> CONTAINMENT ❑ ' vAT MECHANISM TH•i":Nri 1,-r-;HEAR VALV ❑4.DAILY ,11,'(K <br /> i <br /> DATE INSTALLED 468 C1 2. CONTIiN:,'OUS DISPEN SLQ i�.A`ll SENSOR AUDIBLE ANI',VISUA_ALARVS ❑5. REN,,'-'! NFP!MrNITQR!Nv <br /> G] CONVNuOUS DISPENSER PAID SENSCR I,NITO.AU"0 SHUT OPc FOR DISP='4Sc6 <br /> ❑o.NONE <br /> 4U7BLEANDVISUALALARP S Qa9 <br /> IX.OWNER/01"ERATOR SIGNATURE <br /> v <br /> HE <br /> r� r� r +' {'{%..,,,�.i f (..tet ✓� , <br /> Y <br /> JaCK .'Ioa'4- Director of <br /> f77777777" <br />