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U EDP ROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS-TANK PAGE 1 <br /> (tw pages per tank) <br /> ��,,....JJ Page <br /> TYPEOFACTION ❑1.NEW SITE PERMIT 04.AMENDED PERMIT TG145-CHANGE OF INFORMATION) 08. TEMPORARY SITE CLOSURE <br /> ck <br /> (Cpao»gam only) VV __ Cl ]. PERMANENTLY CLOSED ON SITE <br /> 03.RENEWAL PERMIT (Spwilymson-www u»only) (Spacly c5asga-w wal u»only) 0 8. TANK REMOVED 4K0 <br /> BUSINESS IUME(Same u FACILITY FUME u DeA-Odrp Buxi»n Aa) ^ FACILITY ID a 1 <br /> LOG IONMAT4RN-0RFs Klpgaa-V QC�R((rS�jl �• <br /> I.TANK DESCRIPTION <br /> TANK IDP TANK MANUFACTURER COMPARTMENTALIZED TANK 0 Yea 0 No <br /> II War,W.Pim ane Page br eacK mmpaeme't. <br /> GTE INSTALLED(YEARRkO) TANK CAPACITY IN GALLONS NUMBER OF COMPARTMENTS <br /> ADDITIONAL DESCRIPTION(FwbcM a»aHyl <br /> II.TANK CONTENTS <br /> �:--// TANK USE N2 PETROLEUM TYPE <br /> Ml t. MOTOR VEHICLE FUEL ❑ta. REGULAR UNLEADED TO2, <br /> EADED 5. JET FUEL <br /> nmaM1an,c°nlP°M Pelrob°m Tyyy ❑ID. P0.EMIUM UNLEADED IESELB. AVIAPON FUEL <br /> ❑ 2. NON-FUELPETROLEUM ❑1c MIOGRADE UNLEADED GASOHOL ❑99. OTHER <br /> 0 3, CHEMICALPRODUCT DOMMONNAME(Inm Hazatl Ma4n xln"Alogp ) CASa(bom HaxaldaaAMafe»IxMwW"Paga) <br /> 0 4. N,,AROCUS WASTE 0rcudas <br /> U"I <br /> n 95 Ulm 422 <br /> IILTANK NSTRU <br /> TYPE OF TANK 0 1 SINGLE WALL 0 3. SINGLE WALL WIT 0 5. SINGLE WALL W TH INTERNAL BLADDER SYSTEM <br /> EXTERIOR MEMBRANE LINER 095. UNKNOWN <br /> (CMck.nem ony) 7�2. DOUBLE WALL <br /> ❑ 4. SINGLE WALL INAVAULT Ogg, OTHER <br /> TANK MATERIAL-Kkasq tank 0 1 DARE STEEL 0 3. FIBERGLASS I PLASTIC D 5. CONCRETE 095. UNKNOWN <br /> (CMck a»Ibm ony) 0 2. STAINLESS STEEL 0 4, STEEL CLAD WIFIBERGLASS 0 8. FRP COMPATIBLE W/100%METHANOL 099. OTHER <br /> REINFORCED PLASTIC(FRP) <br /> TANK MATERIAL-aemnpary MMt 0 i. BARE STEEL 0 3. FIBERGLASS I PLASTIC 0 8. FRP COMPATIBLE WIIW%METHANOL 095. UNKNOWN <br /> (CAxko»dam only) ❑ 2. STAINLESS STEEL 0 4. STEEL CLAD WITIBERGLASS D 9. FRP NON-CORRODIBLE JACKET _ ❑99. OTHER <br /> REINFORCED PLASTIC(FRP) 010. COATED STEEL <br /> ❑ 5. CONCRETE <br /> TANK INTERIOR LININGGTE INSTALLED <br /> OR COATING ❑ 1. RUBBER LINED ❑ 3. EPDXY LINING ❑ 5. GLASS LINING 1195. UNKNpMJO3 <br /> ❑ 2. ALKYD LINING ❑ 4. PHENOLIC LINING 0 8 UNLINED D99. OTHER (Fa/local uss ) <br /> (CMck o»nam DATE INSTALLED <br /> OTHER CORROSION ❑ 1MANUFACTURED CATHODIC ❑ 3. RBERGLASS REINFORCED PLASTIC 095. UNKNOWIJ 434 <br /> . <br /> PROTECTION IF APPLICABLE PROTECTION <br /> ❑ 4. IMPRESSED CURRENT ❑99. OTHER (Farbcai uxs aruy) <br /> fClNak a»nem prNy) ❑ 2. BACRIFICIALANODE <br /> SPILL AND OVERFILL YEAR INSTALLED TYPE(FxbW u»oNy) OVERFILL PROTECTION EOUIPMENT:YEAR INSTALLED <br /> K1Aack a a Mat appy) ❑ 1. SPILL CONTAINMENT 0 1.ALARM 0 3. RUTUBE SHUTOFF VALVE <br /> ❑ 2. DROP TUBE 0 2. BALL FLOAT_ 0 4. EXEMPT <br /> 0 3. STRIKER PLATE <br /> Ni TANK LEAK DETECTION <br /> IF SINGLE WALL TANK C en Mala IF DOUBLE WALL TANK OR TANK VAIN B WER(C k.Ihm an ): <br /> ❑ 1, VISUAL(E(POSEDPORTIONONLY) 05. MANUAL TANK GAUGING(MTG) 01. VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ 2. AUTOMATIC TANK GAUGING(ATG) 0 6. VAGOSE ZONE D 2. CONTINUOUS INTERSTITIAL MONITORING <br /> 0 3. CONnNUWSATG 0 T. GROUNDWATER 0 3. MANUALMONITORING <br /> 0 4. STATISTICAL INVENTORY RECONCILIATION(SIR), 0 e. TANKTESTING <br /> BIENNIAL TANK TESTING Ogg, OTHER <br /> V.TANK CLOSURE INFORMATION 1 PERMANENT CLOSURE IN PIACE <br /> ESTIMATED GTE LAST USED(YRIMO/ Y) ESTIMATED QUANTITY OF SUBSTANCE REMAINING 435 1 TANK FILLED WITH INERT MATERIALT <br /> galbne 0 Yea ON. <br /> CUPAFORM(4199) Formedy SWRCB Form 9 <br />