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UNIFIED PROGRAM CONSOLIDATED FORM TANKS <br /> FE:::::: UNDERGROUND STORAGE TANKS -TANK PAGE i(Da ID� (f opagespertank) <br /> P+qa _ of <br /> OeF <br /> ❑ 5. CHANGE OFINFORMATION) ❑ S.TEMPORARY SITE CLOSURE <br /> TYPEOFACTION PZ,.NEW SITE PERMIT C34.AMENDEDPERMIT ❑ T.PERMANENTLY CLOSED ON SITE <br /> (CMck.Mm onW -I- <br /> � 5 sd charge-brloral uaa oNl� - ❑ B.TANK REMOVED 430 <br /> ❑3.RENEWALPERMIT (Bpagly naaon-b/kzal uaa oNy) (P N 1 <br /> _ <br /> FACILITYIDIF <br /> BUSINESS NAME(Sema <br /> asf�T.ei7� inaa Aa) <br /> ZW 31 �/YjE2�iP/JFS <br /> 431 <br /> LOCATION IN SIT (opilIeNo <br /> 1.TANK DESCRIPTION ❑ No <br /> TANK MANUFACTURER COMPARTMENTALIZED, TANaone page b❑r eaT,eempa0menl <br /> IftYWaicompo 9 <br /> TANK IDY <br /> 41dT NUMBER OF COMPARTMENTS <br /> DAIc INSTALLE/D(YEARIMO) - TANK CAPAC� ��B - ^ 07� <br /> ADDITIONAL DESC0.IPDON(Fxbcal wa aNl� <br /> IL TANKCONTENTS <br /> TANK UBE 432 PETROLEUMTYPE Cl S.JET FUEL <br /> ❑ta. OED <br /> ❑ t.MOTOR VEHICLE FUEL REGULAR UNLEADED 1 �3. DIESEL ❑ B.AVIATION FUEL <br /> (pnarkae,aympNe Pafmisum Type) FpaL1E, PREMIUM UNLEADED ❑99,OTHER <br /> ❑ 2. NOWFUELPETROLEUM 0 11MOORAGE UNLEADED 4. GASOHOL <br /> CAS Y(Imm Hazardoua MaedLa lnwnforypege) <br /> ❑ 3. CHEMICAL PRODUCT COMMON NAME(nom HazaN us Maeriels InNNWpaga) <br /> ❑ 4, HAZARDOUS WASTE(IM ' <br /> UaaEp <br /> IlKNOVAA ' 111.TANK CONSTRUCTION <br /> ❑ 3. SINGLE WALL VATH ❑ S. SINGLE WALLVATH INTERNAL BLADDER SYSTEM <br /> TYPEOF TANK ❑ 1. SINGLEWALL E TERIOR MEMBRANE LINER ❑95. UNKNOVM <br /> fc r .oAam.,m A2. DOUBLE WALL 4 SINGLE WALL IN A VAULT 0 99 OTHER <br /> ��Aay// ❑95. UNKNOVN <br /> TANK MATERIAL-PNaary lam ❑ 1. BARE STEEL ly 3. STEEL CILADLASS IFI PLASTIC ❑ S CONCRETE <br /> (Cwkom Mm oNyl ❑ 2. STAINLESS STEEL •❑4. STEELCLAD WIFIBERGLASS ❑ B. FRP COMPATIBLE W/100%METHANOL ❑98.OTHER <br /> REINFORCED PLASTIC(FRP) <br /> aemMary eM FIBERGLASS I PLASTIC 8. FRP COMPATIBLE WIIW%METHANO <br /> TANK MATERIAL- ❑ 1.BARE STEEL L 089. OTHEH <br /> ❑ 3. F <br /> (CAeck tiro kem oNy7 ❑ 2.STAINLESS STEEL ❑ 4.STEEL CLAD WIFIBERGLASS ❑ 9. FRP NON-CORRODIBLE ACKET <br /> REINFORCED PLASTIC(FRP) 10 COATED STEEL <br /> ❑ 5. CONCRETE DATE INSTALLED <br /> ❑ 1. RUBBER LINED ❑ 3. EPDXYUNING ❑ S. GLASS LINING ❑85.UNKNOV4433 <br /> TANK INTERIOR LINING ❑ B. UNLINED ❑89.OTHER orbW uas <br /> ORCOATING 2.ALKYD LINING - ❑ 4. PHENOLIC LINING <br /> DATE INSTALLED <br /> (CMch ons". 1 4Y1 <br /> OTHER CORROSION ❑ 1.MANUFACTURED CATHODIC ❑ 3. FIBERGLASS REINFORCED PLASTIC ❑99 OTHERS (ForbW use oruyl <br /> PROTECTIONIFAPPUCABLE PROTECTION ❑ C IMpRESSEDCURRENT <br /> (CMpk om dem oMy7 02.SACRIFICIAL ANODE <br /> EAR INSTALLED TYPE(For Axlut ") OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED <br /> SPILLANDOVERFILL - <br /> T�` ❑ 1. AURA ❑ ]. FILL TUBE SHUT OFF VALVE <br /> (CMckdfhafappM 0 1. SPILLOGNTAINMENT <br /> - ❑ 2. BALL FLOAT 4. EXEMPT <br /> ❑ 2. DROPTUBE <br /> _ ❑ 3. STRIKER PLATE <br /> 3,�uf'';X.ryV,'TANK LEAK DETEO7ION - <br /> IF fJOUBLE WALL TANK OR TANK WITH BLADDER(Chock orre Item only): <br /> IF SINGLE WALL TANK(Chack all that aPPly) 115. MANUAL TANK GAUGING(MTG) ❑ 1. MSUAL(SINGLE WALL IN VAULT ONLY) . <br /> ❑ 1. MSUAL(E%POSED PORTION ONLY) 8 VADOSE ZONE ❑ 2. CONTINUOUS INTERSTITIAL MONITORING <br /> 2. AUTOMATIC TANK GAUGING(ATG) T GROUNDWATER ❑ 3. MANUALMONRORING I <br /> ❑ 3 CONNNUOUSATG a TANKTEETING <br /> ❑ 4. STATISTICALINVENTORY RECONCILIATION(SIR)- <br /> �99. OTHER <br /> SIENNIALTANKTESTING <br /> V.TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE <br /> 435 TANKFILLEDUNHINERTMATERIAL.) <br /> ESTIMATED OATS LAST USED(YRAAO/DAY) ESTIMATED OUANTRY OF SUBSTANCE REMAINING - <br /> gallons [ Yee ❑Na <br /> -� <br /> Formerly SV4RCB FO m <br /> CUPAFORM(4109) - <br />