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Section 12: Release Detection Summary____

This section indicates the method or methods of release detection present. Proceed to the section identified in the last column. Emergency power generator UST systems and heating oil (on-site consumptive use) UST systems are exempt from release detection.

Tank Method: Complete for each

tank

Automatic Tank Gauging Vapor Monitoring Interstitial Monitoring Statistical Inventory Reconciliation Groundwater Monitoring Manual Tank Gauging None needed (Explain)

Tank #___

Indicate primary (PR) method and, if applicable, secondary (S) method for each tank

Tank #____

Tank #____

Tank #____

Tank #____

If using as primary method, proceed to section:

  • 12.

    a.

  • 12.

    b.

  • 12.

    c.

  • 12.

    d.

  • 12.

    e.

  • 12.

    f.

Skip section 12

Pipe #

Pipe #

Pipe #

Pipe #

Pipe #

____

____

___

_

____

____

Pipe Method: Complete for each pipe run

Pressurized piping only Automatic line leak detector (ALLD) will detect 3-gph release, double-wall pipe with containment sump and liquid sump sensor. ALLD will detect 3-gph release, double- wall pipe with containment sump and manual interstitial monitoring. Electronic ALLD will perform 3-gph continuous test plus 0.2-gph monthly test. Mechanical ALLD will detect 3-gph release in conjunction with annual line tightness test. Other combination: (Explain in comments) Suction i in onl

12.c. and 12.h.

12.c. and 12.h.

Indicate primary (PR) method and, if applicable, secondar (S) method for each i e run

If using as primary method, proceed to section:

12.h.

9 and 12.h.

Line tightness test every 2 years.

Double wall piping with containment sumps utilizing electronic or manual interstitial monitoring. Safe Suction.

None needed (Explain)

9

  • 12.

    c.

  • 12.

    g.

Skip Section 12

Comments: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Form Number: MDE/WAS/COM.055 Date: April 3, 2007 TTY Users: 800-735-2258

Facility I.D.

_________________

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