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'TNIFIED PROGRAM CONSOLIDATED T '..M %PW UNDERGROUND STORAGE TANK'"++' OPERATING PERMIT APPLICATION-TANK INFORMATION((hne fohn per UST) TYPE OF ACTION (Check one item only. Foran UST permanent closure or removal,complete only this section and Sections 1,II,III,IV,and IX below) 430 El I.NEW PERMIT El 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE IN S.UST REMOVAL. DATE UST PERMANENTLY CLOSED: 430« DATE EXISTING UST DISCOVERED: GE6ot 7-3"C 430b I. FACMITY INFORMATION FACILITY ID#(Agency Use Only) BUSINASSNAME( ame as FACILITY NAME orDBA-Doing Business As) 3 }-iNC CYC Lf-C. BUSINESS SITE ADDRESS 103CITVIN 2?II hi, 0.Sk_P_1! Cyt , - 110.5. TX '757-014 _ II.TANK DESCRIPTION TANK-I-D�# 432 TANK MANUFACTURER 433 TANK CONFIGURATION: THiSTANKIS 434 1 ff l�,�'1, W 1.A STAND-ALONE TANK L Iu ��517/ S WO-kull ❑2.ONE INOPART ENT DtUNIT, efoee DATE qST YSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 L)C C t III.TANK USE AND CONTENTS TANK USE ❑ la.MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ Ic.AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(].cNdcs Ue Oil) ❑ 5.EMERGENCY GENERATOR FUEL[HSC§252815(c)] ❑ 6.OTHER GENERATOR FUEL 9 95.UNKNOWN ❑ 99.OTHER (Specify): 439. CONTENTS PETROLEUM: ❑ Ia.REGULAR UNLEADED ❑ le.MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 440 ❑ 3.DIESEL ❑ 5..JET FUEL El6.AVIATION GAS ❑ S.PETROLEUM BLEND FUEL El9.OTHER PETROLEUM (Specify): UW i01,UI i 4406 NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL ❑ 11.OTHER NON-PETROLEUM(Specify): 44Db IV. TANK CONSTRUCTION TYPE OF TANK 14 I.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 95.UNKNOWN 443 PRIMARY CONTAINMENT IR L STEEL ❑ 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 444« SECONDARY CONTAINMENT ❑ (.STEEL El 3.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445 It 90.NONE ❑ 95.UNKNOWN El 99.OTHER(Specify): 445e OVERFILLPREVENTION ❑ I.AUDIBLE$VISUAL ALARMS ❑ 2.BALL FLOAT ❑ 3.FILL TUBE SHUT-OFF VALVE 452. ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION ®1.SINGLE-WALLED ❑2.DOUBLE-WALLED ❑99.OTHER 460 SYSTEM TYPE ❑ 1.PRESSURE ❑ 2.GRAVITY J4 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION[23 CCR§2636(.X3)1 458 PRIMARY CONTAINMENT JK 1.STEEL ❑ 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 4648 SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS. ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464b X 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 46 PIPING/FURBINE CONTAINMENT SUMP TYPE 1.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 90.NONE 464d VI.VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT [E ].STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 4646 46461 VENT SECONDARY CONTAINMENT ❑ LSTEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC E 90.NONE ❑ 99.OTHER(Specify) 464f 46411 VR PRIMARY CONTAINMENT ❑ ].STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ® 90.NONE ❑ 99.OTHER(Specify) 4648 _464jil VR SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 10..RIGID PLASTIC E 90.NONE ❑ 99.OTHER(Specify) 464h 464h1 VENT PIPING TRANSITION SUMP TYPE ❑ 1.SINGLE WALL ❑ 2.DOUBLE WALL N 90.NONE 4641. RISER PRIMARY CONTAINMENT El LSTEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC 40 90.NONE ❑ 99.OTHER(Specify) 466 4641 RISER SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC 0 90.NONE ❑ 99.OTHER(Specify) 4Mk 464kl FILL COMPONENTS INSTALLED ❑ 1.SPILL BUCKET ❑ 3.STRIKER PLATF/BOTTOM PROTECTOR ❑ 4.CONTAINMENT SUMP 451.-6 VII.UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE ❑ 1.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 3.NO DISPENSERS 91 90.NONE 469e CONSTRUCTION MATERIAL ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTHER(Specify) 469b-c VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION 448. IX. APPLICANT SIGNATURE CERTIFICATION: I certify that this UST system is compatible with the hazardous substance stored and that the information provided herein is true,accurate, and in full compliance with lescal requirements APPLICANT SIGNATURE DATE (� 470 � - ,G L) 7 APPLICANT NAME(print) �u1 �I X71 APPLICANTTITLE /1, 1 t ,_fiFR JL.� 47,_ UPCF UST-B-1/2 hlL Rev.(31/2007)