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i e <br /> ,CONSTRUCTION - continued <br /> Secondary Containment: I. Double wall construction: single material (outer tank material same as inner tank material) <br /> R. Double wall construction: dual material (outer tank-concrete,approved synthetic material,or tank"jacket") <br /> J. Synthetic liner in tank excavation <br /> K. Concrete,synthetic material,and/or offsite clays beneath AST and in containment area <br /> S. Other DEP approved secondary containment system <br /> V. Pipeless UST with secondary containment <br /> Miscellaneous attributes: B. Internal lining U. Field erected tank <br /> L. Compartmented <br /> PIPING <br /> Primary Construction: B. Steel or galvanized metal Y. Unknown <br /> C. Fiberglass Z. Other DEP approved piping material <br /> N. Approved synthetic material <br /> Corrosion Protection: D. External protective coating <br /> E. Cathodically protected with sacrificial anode or impressed current <br /> Secondary Containment: F. Double wall construction: single material (outer pipe material same as inner pipe material) <br /> M. Double wall construction: dual material(outer pipe-approved synthetic material or pipe jacket°) <br /> G. Synthetic liner or box/trench liner in piping excavation or pipe containment area <br /> P. Internal Piping:contained within an internal sump riser,directly connected to tank&located beneath dispenser <br /> Miscellaneous attributes: A. Aboveground,no contact with soil K. Dispenser liners <br /> I. Suction piping system L. Bulk product system <br /> J. Pressurized piping system H. Airport/seaport hydrant system <br /> MONITORING <br /> External: A. Site Suitability Plan N. Groundwater monitoring wells <br /> B. Site Suitability Plan Exemption O. Vapor monitoring wells <br /> C. Groundwater Monitoring Plan P. Vapor monitoring with dilution procedures <br /> D. SPCC Plan Q. Visual inspection of AST systems <br /> E. Interstitial monitoring of UST synthetic liners W. Fiber-optic technologies <br /> Z. Other DEP approved monitoring method <br /> Internal: F. Interstitial space-double wall tank R. Interstitial monitoring of AST tank bottom <br /> L. Automatic tank gauging system(USTs) S. Statistical Inventory Reconciliation(SIR)(USTs) <br /> M. Manual tank gauging system(USTs) T. Annual tightness test with inventory(USTs) <br /> Piping monitoring: G. Electronic line leak detector with flow shutoff U. Bulk product piping pressure test <br /> H. Mechanical line leak detector V. Suction pump check valve <br /> J. Interstitial monitoring-piping liner 6. External monitoring <br /> K. Interstitial monitoring-double wall piping - <br /> Miscellaneous: I. Not required-see rule for exemptions 2. Visual inspections of piping sumps <br /> X None 3. Electronic monitoring of piping sumps <br /> V. Unknown 4. Visual inspections of dispenser liners <br /> I. Continuous electronic sensing equipment 5. Electronic monitoring of dispenser liners <br /> V. Certified Contractor&Certification <br /> Record the name and the Department of Business and Professional Regulation License Number for the Certified Contractor <br /> whenever an underground storage tank has been installed,removed,or closed in place. Do not rely on the contractor to file this form. <br /> Storage Tank Registration Forms are required to be submitted by the storage tank system owner or operator. <br /> Please Remember that the Registration Form cannot be processed without the name and signature of the storage tank system owner or <br /> operator, and the date of the form submittal. Please print the name legibly in case a representative of the storage tank program should <br /> need to contact you. <br /> If you have questions,please call a storage tank registration representative at(850)245-8839 for assistance. <br /> 5/1/00 4 <br /> Storage Tank Registration Instructions <br />