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b,11; gnu moostoil <br /> UNIF'IT1$ M CQ DATED FORM <br /> U"ERGROUND STORAGE TANK <br /> TVG Pi.A1N-• !of <br /> TYPE OF ACTION Q I.NTsW FLAN CHANGE OF INFORWATION 1 <br /> PLAN TYPE ® T.MONnIMUNQ 15 IDENTICAL FOR ALL USTS AT THIS FACILtrY, <br /> Chwk wee itm ant ® 2.THIS PLAN COVES ONLY THE FOLLOWING UST S 81. <br /> I. IFA CiLrl Y TION <br /> PACtI.P!Y ro (Agency use e7►ity) <br /> BUSINESS NAME(Same as FACILITY mAMEZ)BUSMMS � N.�® I}j_' <br /> SITBA 3 l—TOP— <br /> IF.EQ IV'P TF.SMG AND PREVENTME MAUIITMA14CE <br /> by ,a�ealTuatiori mstoaeetorirtg (0-g., .Aeobea, b Ink ,eta)tnnst be pafonemcQ at the <br /> uetttaAy,whichtvar is qmt such work n�be pert nW by qug&ed �Y <br /> CCR X34 2641 <br /> G sQ is SERVIM 19J.ANNUALLY Q 99.OTHER(Specify): <br /> XII.MONITO G LOCATI 490-0-17 <br /> NEWS PI OT P>.AN/MAP SUBMITTED w[Tirs TILLS PIAN. C32,SITE FL-07 PLARMAP nM MOUS-LY SUB . (0-3 CCR§204 <br /> LCONTINIV.�' MO G PERF D U FO TTG METJ10D(8): <br /> I TANK MONITORIRiC OF AL)SP OR At2Y COiVTAlMI�NT <br /> VAULT(8) A TL AND VISUAL ALARMS. CCR ?632,2634) <br /> S RY CONIAENI NT t5: Q a.DRY h LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDM VACUUM awb <br /> PANEL MAN[TF !'?- MODF1. <br /> LEAK SENSOR MANUBACTURER: 49"' MODEL mq($}:01 F496reo <br /> 2.A TIG TANK rAUCANO(ATG)SYST$M USED TO VY �,P (t3 CCR I2643) <br /> PANEL MANUFAC`UnR: c� e <br /> MODEL#: 4�u <br /> Q&TANK PROBE MANUFACTURER: �0° MODEL ): 4�ts <br /> LEAK TEST FREQUIzTiCY: Q a.CONTINUOUS 0 b,DAILYINIOI•IT LY Q c.WEEKLY 49A16 <br /> d.MONTHLY 11 c.OTHm 490-17 <br /> PROGRAMMEDTESTS- o a.0.1 g.P bD b.a)z g p d. ❑ c.OTHER(SteeclCy): 490618 <br /> ® s. Y STA L I RY RECONCILKAUQN(2S CGst§ ), 49. <br /> ❑ 4,WR=LYMANUAL TANK GAUGING(@Aft)(23 CCR IyAS). TESTING PTIRIOD: 0 a,36 FLOURS Q b.�IK1tJFtS496411 <br /> 3-TANKUM (23 CCR J i): <br /> FREQUENCY: q a.ANNUALLY 0 b,BIENNIALLY ®a OTHER(Spm*): ' <br /> ❑99.0Tmm(SPS: 4oa�s <br /> `9046 <br /> 1. V.PmmMOrogm 78 PERFORMW UNW-G G ®pm( � 4"-V 60 <br /> UA[. Mu0 (23 CCR 'OF PIKNG SUI►'IP(5)AND SECONDARY C04T WiTIi AUDIBLE AND ) ®ax <br /> RY CONT IS: DRY M LIQUID FILLED Oc.PRESSUR +C.ED Od UNDER VACUUM <br /> PANffi.MANUFACTORBR: MODI}[. I tae i <br /> LEAK SENSOR MANUFAC1VRER: a MODEL 4: 4so�s <br /> PIPING I-PAZ ALARM AUTOMATIC PUMP(1.e.,TURBINE)SHUTDOWN. <br /> FA N OF THE MONITORING SYSTEM TRUG�tS AUTOMATIC PUMP SHUTDOWN. ❑a,YES b.NO 0-900-9 <br /> 2 CAL O R LEAK I2IITECIOR( )1UXT ROU'T'INELY P 3,�2,p.b.LEAK TWM AND R RIC7 S OR SHUTS OFF <br /> My MMA LEAK Iffi CCR <br /> MLLD S: 49437 0-9046 <br /> MODI?L tt(Sk <br /> O 3. MIC I.IaVI; R(ELLD)THAT RouriNEt.Y I'RRFOBM3 3.0 6#A LEAK (23 CCR 36) 49059 <br /> ELLD MANUFA S 0 MODE[,M(S: 490rJ <br /> MBD IN LINE LEAK TEST`. �j i.MIAnMUM MONTHLY t),1 g.p h, (j 2 MINIMUM ANNUAL 0,le g•p•h. �9o.0 <br /> ELLD N OF A PIPING LEAK TRIt3t3ERS AUTOMATIC PUMP SHUTDOWN. CIS.ym ©b-NO 4M43 <br /> BLED FAILURP.ID I;CI K1N TRIWERS AUTQIVIATIC PUMP SHUTDOWN. Q a.YBS D b.NO a� <br /> 4.PIPE IIYT G 49a.i4 <br /> TESrFREQUENCY a ANNUALLY b.EVERY 3 YLas c.OTH$R •C <br /> S, G. 494.649040 <br /> FRBQMA >M CY 13 a.DAILY E3 K W=LY Q c.WIN,MONTHLY A SACH TIME$YStL'trt OPERATED- <br /> rcac �a 49" <br /> ❑ 6.$trcrwm rm(; t3N p3 ccR (,X3N. <br /> T NO PIPING PER HI"TB AND THE TNK sYSTEMOn0- ONINCRAFER6.715CONNECTEDTO 490-50 <br /> (3 99. (Specify) <br /> 4WJFI <br /> 490.53 <br /> OPCF U57:D(I212�7)Ila <br /> Ed WdZb:Z0 8002 TZ 'aad V89V PEE 60Z 'ON Xdd idbW INIW 8Wd-Id WOHJ <br />