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U-'-' FIEO PROGRAM CONSOLIDATED 7RM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 1 <br /> Ito 00903 oaf tank) <br /> Page L of <br /> TYPE OF ACTION ❑1. NEW SITE PERMIT 0 4. AMENDED PERMIT Cl 5, CHANGE OF INFORMATION) Cl 6. TEMPORARY SITE CLOSURE <br /> ❑3. RENEWAL PERMIT IAs(Spray md".tw�o u�only) (Spay mom*-w use On,'/) ❑ <br /> 7. PERMANENTLY CLOS <br /> BUSINESS NAME(S�as FACILITY NAMEDBA w3 FACILrry 10 0 <br /> Oorg Su .As) S. TANK REMOVED ((,A <br /> &7Y <br /> LOCATION WITHIN SITE(Cpilanal) <br /> L.TANKMESCRIPT;ON::,.'.?.: <br /> ........... <br /> 412 TANK MANUFA�, PER 41 <br /> COMPARTMENTALIZED TANK L.1 Ym No ala <br /> N'Ym*.c="e 1w miiai as rfta+L <br /> TE I 416 NUMSER OF COMPARTMENTS 417 <br /> CM <br /> 43a <br /> ALT ......... <br /> A24 Kz . ..... <br /> TANK USE a29 i PETROLEUM Type <br /> 440 <br /> cl I. MOTOR VEHICLE FUEL 0 la. REGULAR UNLEADED [3 2 LEADED 0 5. JET FUEL <br /> P�,rmv) 0 lb. PREMIUM UNLEADED Cl 3. DIESEL El 8-AVIATION FUEL <br /> XZ. NON-FUEL:;7LEUM <br /> C 3. CHEMICALPRODUCT 13 lm UIOGRAOE UNLEADED 04. GASOHOL Cl 99. OTHER <br /> ❑ 4. HAZARDOUS WASTE(indudws COMMON NAME(ft.H� "I CASR`(I`"H��Ma�Pdgl) "2 <br /> Umo 01) <br /> 95 UNKNOWN <br /> ....... .. <br /> RL TANK CONSTRUCTIC <br /> N <br /> TYPE OF TANK <br /> I. SINGLE WALL ❑ 3. SINGLE WALL WTTH Ll 5. SINGL::WALLNITH;NT?.ti?-BLIZOERSYS cA <br /> my) 02. DOUBLE WALL EXTERIOR MEMBRANE LINER 0 95. UNKNOWN <br /> ❑ 4. SINGLE WALL IN A VAULT Cl 99. OTHER <br /> TANK MATERIAL-pwy=k <br /> 4 1. BARE STEEL 0 1 FIBERGLASS/PLASTIC Cl S. CONCRETE <br /> 095. UNKNOWNua <br /> I C] 2. STAINLESS STEEL 0 4. STEEL CLAD C3 S. FRP COMPATIBLE W/IW%METHANOL Cl 99. OTHER <br /> WIFIBERGLASS <br /> REINFORCED PLASTIC(FFlP7 <br /> TANK MATERIAL-sewn=y tank A I. BARE STEEL ❑ 3, FIBERGLASS/PLASTIC Cl S. FRP COMPATIBLE W/100%METHANOL Cl 9S, UNKNOWN "S <br /> (chd.0 d.omy) 02. STAINLESS STEEL C3 4. STEEL CLAD wiFiseRGLAss Cl 9. FRP NON-CORRODISLE JACKET ❑99. OTHER_ <br /> REINFORCED PLASTIC(FRP) 1310. COATED STEEL <br /> Cl 5. <br /> CONCRETE <br /> TANK INTERIOR LINING <br /> COATING 0 1. RUBBER LINED C3 3. EPDXY LINING 115. GLASS LINING Cl Sa. UNKNOWN "o DATEINSTALUED "7 <br /> -.4" 13 2. ALKYO LINING C3 4. PHENOLIC LINING AS. UNLINED 13 99. OTHER <br /> OTHER CORROSION 2 <br /> PROTECTION IF APPUWtE Cl I. MANUFAMIREO CATHODIC Cl 3. FIBERGLASS REINFORCED PLASTIC 0 95. UNKNOWN DATE INSTALLED 49 <br /> PROTECTION C3 4. IMPRESSED CURRENT El 99 OTHER <br /> 0 2. SACRIFICIAL ANOOF <br /> (Awbcafuseardy) <br /> SPILL MO OVERFILL k YEAR INSTALLED 450 TYPE(Pwbol use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 <br /> (Cheaa.Vmo.ppfy) Cl 1. SPILL CONTAINMENT 11 1. ALARM El 3. FILL TUBE SHUT OFF VALVE <br /> Cl 2 DROP TUBE Cl 2. BALL FLOAT Cl 4. EXEMPT <br /> 13 3. STRIKER PLATE <br /> rV. TANK LEAK DETECTION <br /> IF SINGLE WALL TANK`CAg a mar.vpfy): <br /> RO IF DOUBLE WALL TANK OR TANK WITH BLADDER(ChM wo it"orw. 454 <br /> C 1. VISUAL(EXPOSED PORTION ONLY) 13 s. MANUAL TANK GAUGING(MTG) 13 1. VISUAL(SINGLE WALL IN VAULT ONLY) <br /> 13 2, AUTOWTIC TANK GAUGING(ATG) C] S. VADOSE ZONE C3 2. CONTINUOUS INTERSTITIAL MONITORING <br /> C3 3. CONTINUOUSAT13 13 7. GROUNDWATER I Cl 3. MANUAL MONITORING <br /> El 4. STATISTICAL INVENTORY RECONCILIATION(SIR)• 0 S. TANK TESTING <br /> BIENNIAL TANK TESTING 1199. OTHER <br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YRIMOIDAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 4m TANK FILLED WITH INERT MATERIAL? 457 <br /> 9� ❑Y. El No <br /> JPCF(1/99) Fomerty SWRCS Form 8 <br />