Laserfiche WebLink
66,/07/2004 08:53 2094683433 FIFTH FLOOR PAGE 05 <br /> UNDUD PROGRAM CONSOLIDATED FOX�l rii <br /> TANKS �,a� <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 1 u 0 <br /> (Two PaB tank <br /> Page of_ <br /> TYPE OF ACTION ❑ 1.NEW PERMIT ❑ a.AMENDED PERMfT ❑ 5.CHANGE OF INFORMATION <br /> ❑ fi.TEMPORARY TANK CLOSURE 4sn <br /> Khwk one item only) ❑ 3.RENEWAL PERMIT <br /> ❑ 7.PERMANENTLY CLOSED ON SITE <br /> (5peoify eemon) (Specifyrmeo) S.TANK REMOVED <br /> B S SN E�s KyFACIDTy wn _pcBmhrt ne> a. FACILITYID:lratAV <br /> IAC ON WITHIN SITE(t)t4lonaq 'I:i:9. <br /> 431. <br /> :::.:' (A scalM:plitt.plan with:tbe lotxhon bfrthe US7s einme(udm b6iIdtrlg5 xtid,Aatldttretics shiili'IicSubimtncd tli:thb Ridaf agei 1 <br /> TANK IDR °I TANK MANUF CTUrRER 43a COMPARTMENTALLED TANK (]Ycs No <br /> W If"Yea;'cnno'beorcpsept. eachoomoo met. <br /> MARID EIMCii LED 43s TANK CAFAcrry INGALLONS 434• NUMBER OF COMPARTMENTS <br /> ADDITIONAL DESCRIPTJUN(For beat me only) <br /> 4}6, <br /> F1 TAMC CON FEINTS <br /> TANK USE ei9. ;,• ' <br /> PETROLEUM TYPE <br /> m4. <br /> ]. MOTOR VEHICLE FUEL ❑la. REGULARUNLEADED El 2. LEADED S. JET FUEL <br /> (1l choked complee veWlwm Type) ❑1b. PREMIUM UNLEADED <br /> 113. DOESEL Q 6. AVIATION GA <br /> ❑ 2. NON-FUELPETROLEUM ❑)F MWGRADE UNLEADED ❑4. GASOHOL .OIHEFU <br /> ❑ 3. C17 CAL PRODUCT COMMONNAME (hem FGzardeer hlntcnaalnveotmypoge) 441. CAS7<(6om}]aaar mMaWNelmcmvry Page) 442. <br /> ❑ 9. ]4A7,ARDOUS WASTE <br /> (tMluao ua.doin <br /> 95.UN7WOWN <br /> (Check ox imm onl •❑1 SINGLE WALL ❑ <br /> .� , , TLC 3':iNiCCOla}S'F.I2'tTGT�O ,.� <br /> PE OF TANK � 3 SINGLE WALL Nel7n EXTERIOR ❑5. S]NGLE WAIL WITH INTERNAL BLADDER SYSTEM ���; 445. <br /> y) MEMBRANO LINER $95. UNKNOWN <br /> ❑2. DOUBLE WALL ❑4 5}NGLE WALL W A VAULT ❑99. OT?IER <br /> (A oackTnooly) rima.y wnF ❑ I. HARE STEEL ❑3. P18SROLA55/PLASTIC ❑5. CONCRETE S.UNKNOWN 414, <br /> (oat orc kemanly) ❑2. STAINLESS STEEL ❑4, STEEL CLAD W/FIBERGLASS ❑6. PRP COMPA71H1-E ❑99.OTHER: <br /> RE}NFORCEn PLASTIC RP) W/10094 METFfANOL <br /> SANK MATERIAL-sewndTry mdc 1. BARE STEEL 3. FIBERGLASS/PC.AST[C ❑8. FRP COMPT®LE W/10694 METHANOL 95.IJPMNOWN a5. <br /> (Check oa4 ircm Doty) ❑2. STAINLESS STEEL(]A STEEL CLAD W/FIBatGI.nSS ❑9. PRP NON-CORRODABLE JACKET ❑99.0T7EElt <br /> REINFORCED PLASTIC(FRP) ❑Io. COATED STEEL <br /> El 5. CONCRETE <br /> TANK INTERIOR LINING I.RUBBER LINED 0 3.EPDXY LINING E15,65 SS LINING 95,UNKNOWN 446. DATE INSTALLED 447. <br /> OR COATING ❑2.ALKYD LINING ❑4.PHENOLIC LINING O 6.UNLINED 99.OTHER <br /> (Check one item on] <br /> OTHER CORROSION I.MANUPACTIIR-"IHODIC ❑J.FIBERGLASS REINFORCED PLASTIC S.UNKNOWN me. OATEINSTALLED aap. <br /> PROTECTION PROTECTION [14.IMPRESSED CURRENT 1199.OT}IER <br /> f liable ❑2.SACRIFICIAL ANODE <br /> SPILL AND OVERFILL YEARFNSTALLED 450. TYPE 451. OVERFILL PROTECTION EQUIPMENT: YEARINSTALLED ass. <br /> (Check all that apply) ❑ L SPILL CONTAINMENT ❑1.ALARM ❑3.FILL TUBS SHUT OFF VALVE <br /> ❑2.DROP TUBE ❑2.BALL FLOAT_ ❑4.EXEMPT <br /> 3.STRIKER PLATE <br /> "S1.vFANK LEAS DETECTION <br /> ' (A deSmplac ofOwm bitormg-P Imsha1l:'bc aubm,ttcdaothe local,6gency) :, <br /> 1F ANGI"E WALL TANK 4ss. <br /> (Check aE that apply) IF DOUBLE WALL TANK OR TANK W1TH BLADDER 45°. <br /> (Check one ilnm only) <br /> ❑ <br /> I. VISUAL(EXPOSED PORTION ONLY) ❑5.MANUAL TANK GAUGING(MTG) ❑1.VISUA L(SINGLE WALL M VAULT ONLY) <br /> ❑2. AUTOMATIC TANK GAUGING(ATG) ❑6.VADOSE ZONE ❑2.CONTINUOUS INTERSTITIAL MONITORING <br /> ❑3. CONTINUOUS A76 ❑7.GROUNDWATER ❑S.MANUALMOMTORING <br /> [14. STATISTICAL INVENTORY RECONCILIATION ❑g,TANK TESTING <br /> (SIR)+BIENNIAL TANK TFSTwr 1399. OTHER <br /> TA,?M.CLOSMM MFORMAnON:I P. gI :4hiEW CtiOSURE WXLACE <br /> ESTIMAT'D DATE LAST USM('YR MO/DAYU/K ) 653 ESTIMATED QUANTITY OF SUBSTANCE REMAINING "x` TANK FILED WITH INERT MAT0UAL4 4V <br /> Sallons ❑Yes ❑ No <br /> UPCF hwFwre-6(1/99)-1/4 httP://www_unidoes.nrg Rev.07/16/00 <br />