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UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 2 VI.PIPING CONSTRUCTION(Cn+ck air MOO NPP" UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEMTYPE I. PRESSURE ❑ 2. SUCTION ❑3. GRAVITY ❑ 1 PRESSURE ❑2. SUCTION ❑ 3 GRAVITY CONSTRUC710MI ❑ 1 SINGLE WALL ❑ 3. LINED-TRENCH ❑99.OTHER ❑ 1 SINGLE WALL ❑85. UNKNOWN MANUFACTURER 2 DOUBLE WALL ❑95 UNKNOWN ❑ 2 DOUBLE WALL ❑99.OTHER MANUFACTURER MANUFACTURER ❑ 1 BARE STEEL ❑ 4. FRP COMPATIBLE WI 100%METHANOL ❑ I BARE STEEL ❑ S. FRP COMPATIBLE Wf 1DD%METHANOL MATERIALS AND ❑ 2.STAINLESS STEEL ❑ 7. GALVANIZED STEEL ❑ 2.STAINLESS STEEL ❑ 7. GALVANIZED STEEL CORROSIOk PROTECTION ❑ 3. PLASTIC COMPATIBLE WITH CONTENTS ❑95.UNKNOWN ❑ 3 PLASTIC COMPATIBLE WITH CONTENTS ❑ B. FLExIBLE[HOPE] ❑99. OTHER a. FIBERGLASS ❑ 6. FLEXIBLE(Hopm ❑99. OTHER ❑ *. FIBERGLASS El CATHODIC PROTECTION ❑ 5 STEEL W1 COATING ❑ 9. CATHODIC PROTECTION ❑ 5. STEEL VW COATING ❑95 UNKNOWN VIL PIPING LEAK DETECTION(Chock OR VW ePPIY) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL F4P I SINGLE WALL PIPING PRESSURIZED PI PI NO(Check SO Mat DP-*) PRESSURIZED PIPING(Check an Mot appy}- ❑ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR ❑ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OPF FOR LEAK, LEAK SYSTEM FAILURE,AND SYSTEM DISCONNECTION-AUDIBLE AND VISUAL SYSTEM FAILURE,AH0SYSTEM DISCONNECTION•AUDIBLE AND VISUAL ALARMS ALARMS ❑ 2 MONTHLY 0.2 GPR TEST ❑ 2.MONTHLY G 2 GPH TEST ❑ 3 ANNUAL INTEGRITY TEST(0.1.GPH) ❑ 3.ANNUAL INTEGRITYTEST(01GPH) ❑ K DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS(Check AN Ihet aAPM: CONVENTIONAL SUCTION SYSTEMS. ❑ 5 DAILY VISUAL MONITORING of PUMPING SYSTEM.TRIENNIAL PIPING INTEGRITY ❑ 5. DAILY VISUAL MONITORING OF PIPING AHD PUMPING SYSTEM TEST(0 1 GPH) ❑ 6 TRIENNIAL INTEGRITY TEST(0.1 GPHy SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPINGI SAFE SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPINGS ❑ 7 SELF MONITORING ❑ 7.SELF MONITORING GRAVITY FLOW GRAVITY FLOW(Chm*ON thal OPPM: ❑ 9 BIENNIAL INTEGRITY TEST(0 1 GPH) ❑ 6. DAILY VISUAL MONITORING ❑ 9 BIENNIAL INTEGRITY TEST(0 1 GPH) SECONDARII.Y CONTAINED PIPING SECCINGARILY CONTAINED PIPING PR FS$URIZEO PIPING(Check eN the aPP61 PRESSURIZED PIPING(Cnock ON 021&RW: 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10.CONTINI.MS TURSWE SUMP SENSOR NTH AUDIBLE AND VISUAL ALARMS ANO(check ana) ^?erA onq ►a. AUTO PUMP SHUT OFF WHEN A LEAK OCCUR5 ❑ r AUTO PUMP SHUT CFF WHEN A LEAK OCCURS AUTO PUMP SHUT OFF FOR LEAKS.SYSTEM FAILURE AN SYSTEM ❑E AUTO PUMP SMUT OFF FOR LEAKS,SYSTEM FAILURE ANO SYSTEM OISCONNECTION DISCONNECTION ❑c. NO AUTO PUMP SHUT OFF ❑ c NO AUTO PUMP SHUT OFF 11.AUTOMATIC LINE LEAK DETECTOR(3 0 GPH TEST)WTH FLOW SriUT OFF Ca ❑ 11 AUTOMATIC LEAK DETECTOR RESTRICTION ❑ u ANNUAL INTEGRITY TEST{0 I GPM; ❑ 12 ANNUAL INTEGRITY TEST{0.1 GPH) SUCTiONOGRAVITY SYSTEM SUCTIOWGRAVtTY SYSTEM. C] I9. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS ❑ 11 CONTINUOUS SUMP SENSOR•AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY(Chick ep chat eP*) EMERGENCY GENERATORS ONLY(Check AN Mal aPPY) ❑ 1e.CONTiHUDUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND ❑ u CONTINUOUS SUMP SENSOR VMTHOUT AUTO PUMP SHUT OFF+AUDIBLE AND VISUAL VISUAL ALARMS ALARMS ❑ 1S. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST)WTHOUT FLOW SHUT OFF OR ❑ 15 AUTOMATIC LINE LEAK DETECTOR(3 0 GPH TEST) RESTRICTION ❑ IS.ANNUAL 1NTEGRtTv TEST(0.1 GPH) ❑ 16. ANNUAL INTEGRITY TEST(0 1 GPIA) ❑ 17. DAILY VISUAL CHECK ❑ 17. DAILY VISUAL CHECK VNL DISPENSER CONTAINMOIT DISPENSER CONTAINMENT ❑ 1 FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ❑ a DAILY VISUAL CHECK DATE IN TALLEO ❑ 2. CONTINUOUS DISPENSER PAR SENSOR+AUDIBLE AND VISUAL ALARMS ❑ S TRENCH LINER I MONITORING 3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER-AUDIBLE AND VISUAL ALARMS ❑ 6 NONE M OWNEFUOP£RATOR SIGNATURE _ uroy VWI 91a inf"M&tIon pMq ded rsrern m true and&=vale W CN best of my knowletlps SIGNATURE OF OWNERIDPERATOR DATE NAME OF OWNEWOPE RATOR!print] TITLE OF CVVNEFUOPERATOR f P\rreryl NumlMlr(Fvr lOtet t✓if only] Penns Appm.ed(Fw Ic+cel use anry) Permit Espiradm Oity{Fork zy via OrW Formerly SWRCe Form B CUPAFORM{al94]