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03/17/2004 10:23 2099310560 CHEVRON 1580 VI. UNOFR.GROUND PIPING SYSTEM TYPE 0 1. PRESSURE ❑ 2. SUCTION ❑ 3. GRAVITY CONSTRUCTION ❑ 1. SINGLE WALL ❑ 3. LINED TRFNCII ❑ 99. OTHER MANUPACTUNLR 0 Z. DOUBLE WALL ❑ 95. UNKNOWN MANUFACTURER AO Smith ❑ I. BARE STEEL ❑ 6. FRP COMPATIBLE w/l00% Mt-THANOL 2. STAINLESS STEEL ❑ 7. GALVANIZED STEEL Q Unknown ❑ 3. PLASTIC COMPATIBLE W/ CONTENTS ❑ 99. Other ® 4. FIBERGLASS ❑ 8. FLEXIBLE (HDPE) [] 5. STEEL W/COA'IIN(i ❑ 9. CATHODIC PROTECTION 464 WMEKSWAA J Check all that apply) Page 2 of 4 ABOVEGROUND PIPING 438 ❑ I. PRESSURE ❑ 2, SUCTION [13. GRAVITY 499 460 ❑ i. SINGLE WALL - C) 95. UNKNOWN 4112 ❑ 2, DOUBLE WALL ❑ 99. OTHER 461 MANUFACTURER 463 M I, BARE STEEL ❑ 6, FRP COMPATIBLE Wh00%6 METHANOL ❑ 2. STAINLESS STEEL ❑ 7, GALVANIZED STEEL ❑ 3. PLASTIC COMPATIBLE W/ CONTENTS 0 8. FLEXIBL£ (HDPE) 0 99. OTI TPR [14. FIBERGLASS ❑ 9. CATHODIC PROTECTION ❑ I. STEEL W/COATING 1195, UNKNOWN 465 that appiv) (A deccriprinn of rka .(,,dorms orocram shall be submitted to the Iota! auenev.! SINGLE WALL PIPING 466 PRESSURIZED PIPING (Chuck all that apply): ❑ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITU AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, ANI) SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. ❑ 2, MONTHLY 0,2 GPH TEST [13, ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS Q 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM - TRIENNIAL PIPING INTEGRITY TEST (0.1 CTPH) SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUND PIPING): ❑ 7, SELF MONITORING CSRAVITY FLOW 0 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPIN17 PRESSURIZED PIPING (Check all that apply). 10. CONTINUOUS TURBINE SUMP SENSOR AL3 AUDIULt AND VISUAL ALARMS AND (Check mm) a- AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 0 b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE. AND SYSTEM DISCONNECTION ❑e, NO AUTO PUMP SHUT OFF 0 11 - AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION ❑ 12. ANNUAL INTEGRITY TEST (0.I GNI) SUCTIONGR.AVITY SYSTEM Q 13. CONTINUOUS SUMP SENSOR+ AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Heck All tha, Rppky) ❑ 14. CONTINUOUS SUMP SENSOR WFI-HOUT AUTO PUMP SHUT OFF " AUDIBLE AND VISUAL ALA.1kMS ❑ 15 AUTOMATIC LINT: LEAK DtTECTOR (3.0 OPH'IFST) WJT�iOU7 FLOW SMT OFF OR RESTRICTION ❑ 16. ANNUAL INTEGRITY TES ® 17. DAILY vISUAL CHECK mSPLNS'ER CONTAINMENT DATE INSTALLED 468 1998 I certify that the information provided SIGNATURE OF OW 0. X I;