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avcc ay. c. ca 4o00Y0O rLr in r-u R rnv� vc <br /> UNIFIED PROGRAM CONSOLIDATED FORM /3 <br /> TANKS <br /> UNDERGROUND STORAGE TANKS—TANK PAGE I <br /> two n m a' t��� <br /> Par�.ar_ <br /> TYPEOFACTION Q I NTW$TTSPEL'41T 174 AMENDED PXLWT 0 S CHANCE OF INPORIAATION ❑ 6 TEMPORARY SITE CLOsURE 3 <br /> (41rek 7 PELM ENRLY CLOSED ON SITE I� <br /> Q 3 RENEWALPEoMrr tllmlbrcaa.;arbesa..enly) [so.mry muen-Ibr bml sec edrl E TANK RP.MOVED +l0 211 • <br /> BUSINESS NAME Isnot uRAClLDY NAF0mDb9-PwgRasAeaM 3 <br /> FA ILl J <br /> 01 <br /> LOCATION WITHIN SITE(RIon <br /> + "50 <br /> L TANK DESCRIPTION (A sl Flo:plum with the local of the UST it p m4ladi s buiidvgs U4IA.x4Ruk5 sl be so- fitted to dw lo4a{Ml 16I o3 <br /> TANK IDpI 122 TANKMANUFACTUREA •3 COMPARTMENTALIZED TANK Ya No 44 <br /> yyrr <br /> V rL UJ M rtb W ifYw".zapku er,a SAV hr eunesmpm:neA b� <br /> DATEINSTALLED(Y&A&'MO) 7ANKCAPACITI'3N GALLONS 436 NUMBEROFCOMPARTMIENTS U' <br /> �lh khDIV/L kO <br /> ADDCrIONALOE5CR=ON(ParlocIv v.1,) 435 <br /> H.TANK CONTENTS <br /> TANK USE In PETROLEUM TYPE 440 <br /> I. MOTOR VEHICLE FUEL RE In. RECULARUNLEADED 01 LEADED ❑S. JET FiF1. <br /> (Irl. wmnp:nr PaalrmTYMI Q lb. PREMIUM UNLEADED ❑J.DIESEL ['6. AVIATION FUEL <br /> ❑2.NON•TUEL PETROLEUM ❑It. 30DGRADE uNiLIl10Ep ❑4.GASOHOL C99.OTHER <br /> OJ. CHEMICAL PRODUCT COMMON NAME (rnm xmKeut Ml lnrmmr lM) CABp flmmHmmJew lAvuAU Uwuxy peer; 4+2 <br /> 04. KAZARDMSWASTE <br /> (m.lwe.umaan i r <br /> Q 99.UNKNOWN <br /> III.TANK CONSTRUCTION <br /> TYPE OFTANK E3 t.SNOLE WALL Q J. SINGLE WALL%TMH Q S. S!NGL1 WALLWITH IVTERNALRLADDER SYSTEM4 <br /> (c, er...yt EXTERIOR Mff.Yi ii LfnBR 3�9s. VMWOWN <br /> ❑Z DOUBLEWALI [l4 SANLE WALL Pt VAULT Q99. OTHER <br /> -miiuy urA I. FARE ST L 3. RBEROLA35/PLRSTiC 5. CONCRETE95. UNKNOWN w <br /> (Clint ane lum en�p 02. STAINLESS ST99L Q4. STEEL CLAD WlFTSEROLASS QR PAFC034PTIBLEW/100MMECNANOI 099.OTHER <br /> RE'NPORCED PLASTIC(FRP) <br /> TA.VKMATERLAL-.ocanaul a 1. e.'1RE STEEL ❑3. PtSER LASSl PLASTIC 03, CONCRETE 93. VNLN 4:! <br /> (dr.elen iumen:y) ❑3. ETADD.EBS STEEL ❑4, STEEL CLAD WJFIBERGLASS OP. FRPCQMM5LEW/I0Q%METNANOL [3".OTlfER <br /> RELNFORCEDPLASTIC(F)P) ❑10.COAT ED STEN. <br /> QS. CONCRETE <br /> TANK INTERIOR LINING 0 1.RUBBER LVED 0 3.EPDXY LINING 3.OLASS 93.UN MOWN as DATE INSTALLED <br /> ORCOATING 02 ALLYC LINING OL1o)13NOLICLININ3 ❑6UNLMEO 0990THER <br /> tinct ma RnaanlA (yerlxal.0.aly) <br /> OTHER CORROSION ❑IMANLRACrUR[DCATBODIC 03B-'M= ASSKMFORCEDPLASnC *957INKNOWN 4. OATH L\STALLED eeF <br /> PROTECTIONIFAPPLICABLE PROTECTION ❑41MPREMED CURRENT 09 OTHER <br /> (Cbwtmesm eNy) ❑i SACRIFICIAL ANODE (re,ha wren'yl <br /> SPILL AND OVMLL YEAR INSTALLS Iso TYPE(w6 u.o^Ip 451 OVERFILL PROTECTi QM :SEARMSTALLED 4P <br /> Khw1-fl 1Lx wv) Q 1 SPILL CONTAINMEM ❑1 ALARM ❑3 FILL TUBE SHUT OFF VALVE <br /> ❑2 DROP N3E ❑2 BALL FLOAT ❑4 EXEMPT <br /> ❑3 STRIKER PLATE - <br /> IV.TA:N7C LEAK DETECTION(A GmlNajo.r xnnnn9r.g FeSm"area trwlmaW atin Ie.v1.fP.on1 <br /> IF SINGLE WALL TANK(eda.r n.lawlrt ' IFDOUBLEWALL TANK OR IANK WITH BL.ADOER 4H <br /> tlaI ear Nem(SI <br /> QIVISUAL{ExPOSPD WRTON ONLY) ❑dMArJA1 rANLOAUCING(MTC) � VISUAL(SINGLE WALL IN VAULT ONLY) <br /> Q 2 AUTOMATIC TANK GAUGING(ATC) 06 VADOSE ZONE I]2 CONTMmICUS LNTERSTMALMONITORDNO <br /> (3 3 MNTWJOUSATG In T OROUNOWATER ❑3 MANVALMONITCAWO <br /> Q 4STATISTICAL INVLVTORY RECONCILIATION ❑STANK TSSTINC <br /> (SM) BIENNIAL TANK TESTING ❑99 OTHER <br /> rV.TANK CLOSURE DYFORMA3TON i PERMANENT CLOSURE IN PLACE. <br /> WIN DoAte b U -QFSA049MTHINARTMA.TaIl 452 <br /> - A ; kt TLLDTAKL <br /> LED <br /> 0 Sol U W Ya ❑ No <br /> G?CF(12/99 revised) Formerly SWRCE Fo m 0 <br />