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_ Model Number: 7�5 <br /> _ Sensor Type: Vapor Liquid—Both. <br /> i?grrjOve 1F A-plACf eX Sia wq ,7 <br /> Sensor Br nd: Z Sensor Model: <br /> Location(s)for sensors[Indicate location of sensor(s)with check mark]: <br /> X Tank: Sensor Brand: Sensor Model:___ <br /> _Y Piping: Sensor Brand: Sensor Modei:_N___ <br /> _ X Dispenser:Sensor Brand:_ Sensor Model: <br /> __Other(specify): Sensor Brand:_ —Sensor <br /> Model: _ <br /> C. ® Monitoring and response plan submitted[Section 2632(d)(1)&(2)]. <br /> 15. 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. _.OL 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 /> containers)/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) .1T, IrIA tt 10 yi _ <br /> Equipped with a drain valve which allows drainage of spill into primary container. <br /> Manufacturer: Q _ <br /> _ B. Overfill prevention system does not allow for manual override and meets one of the following <br /> requirements: <br /> (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: 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)(B)]. <br /> Manufacturer:__ Model: _ <br /> (3) Provide positive shut off at no more than 95%capacity[Section 2635(b)(2)(C)]. <br /> Manufacturer: Model: LQ I SO_ C— L 1t!4 <br /> (4) 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 />