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U IVIrICU r nVUnA In U VIND VLIUA I Cur UM1V) <br /> TANKS <br /> UNDERGROUND STORAGE TANKS -TANK PAGE 1 <br /> Lwo pages per tank) <br /> Page _ of _ <br /> TYPE O FACTION r 1. NEW SITE PERMIT r 4. AMENDED PERMIT 145. CHANGE OF INFORMATION) r S. TEMPORARY SITE CLOSURE <br /> (Check one item only) r 7. PERMANENTLY CLOSED ON SITE <br /> r3. RENEI4ALPERMIT (Spedyreason-for/ocaluseony) (Specify change-fcr/ocal use only)N rB. TAW REMOVED 430 <br /> RUSIN ES NAME(Same as FACILITY NAME w OBA-Doing Business As) 3 A! L)"I <br /> ARM IBM-PaVa <br /> LOCATION WITHIN SITE(OPO-W) 437 <br /> tT, u ,(P'�? ,,_ €-=I'TANK PESCRIPTIOtj �� IepMofSi ..- Id $Ea ung`kfw�dG»s`dHl2'nCltr"a R' 7ta8.ke3fib£mt'7 i1' �caR`a�trn3" �._Ei, <br /> TANK 101 -� 1 432--T--""" � � a 433 COMPARTMENTALIZED TANK rYes �No 434 <br /> N AYescomplete am page for each component. <br /> DATE INSTALLED(YE'AWMO) 435 TANKCAPACMA GA LOWS - 436 NUMBER OF.COMPARTM TS q3T <br /> ADDITIONAL DESCRIPTION(Forkcal use coy) 438 <br /> =e�y - .-• _ S4 ;t` st.+ '.'8f= :�5�€ir s...� I +I'�'a C°� nN£ . _ 1a"ta.v�.. <br /> ��_�����J//// TANK USE 439 PETROLEUM TYPE 1460:LL 11. MOTOR VEHICLE FUEL �la REGULAR UNLEADED r 2. LEADED r S JET FUEL <br /> f�'Lj/�m_arked,romWele Pehakum TYPO) rib. PREMIUM UNLEADED r 3. DIESEL r e. AVIATION FUEL <br /> r 2. NON-FUEL PETROLEUM r 1c. MIDGRADE UNLEADED r 4. GASOHOL 1-99. OTHER <br /> r 3. CHEMICAL PRODUCT <br /> COMMON NAME(Imm HazallousMahvieslmentoypage) 441 CAB#Ones Hazardous Matafa9 lminlaypage) <br /> 1-4. HAZARDOUS WASTE Qnc w ac <br /> Used Oil) <br /> 1-95. UNKNOWN <br /> a : �.: : a -.. a ,�. - .. •_ _t :-s -d -�u4�f -tis= a, n .t`se +. o-� <br /> TYPE OF TANK 1- 7. SINGLE WALL r3. SINGLE N/OLL WITH 1- S. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> 'Check one item only) K2 DOUBLE MALL EXTERIOR MEMBRANE LINER r95. UNKNOWN <br /> 1-4. SINGLE MALL IN A VAULT <br /> r99_ OTHER <br /> fANKMATERLAL-Pmm"Nek r I. BARE STEEL 'YAW FIBERGLASS/PLASTIC r S. CONCRETE 1-95. UNKNOWN 444 <br /> Cheek one Hem only) r 2. STAINLESS STEEL r 4. STEEL CLAD WFlBERGLASS r a. FRP COMPATIBLE W7oO%METHANOL 1-99. OTHER <br /> AW <br /> PLASTIC <br /> �FyR'P <br /> AMATERIAL-seconaaB, r 1. BARE STEEL Ory. FIBERGLASS/PLASTIC r B FRP COMPATIBLE W700%METHANOL 1-95. UNKNOWN 445 <br /> Ink <br /> :heck one fhm only) r2 STAINLESS STEEL r4. STEEL CUD r9. FRP NON-CORRODIBLE JACKET r9S OTHER <br /> WFIBERGLASS 1-1Q COATED STEEL <br /> REINFORCED PLASTIC <br /> (FRP) <br /> r 5. CONCRETE <br /> WK INTERIOR LINING r 1. RUBBER LINED r I EPDXY LINING r S. GLASS LINING 1-95. UNKNOWN446 DATE INSTALLED 447 <br /> R COATING <br /> r 2 ALLINING r A PHENOLIC LINING xS. UNLINED r99. OTHER <br /> :heck am item on KYD Fwkma/use onl <br /> THER CORROSION r I. MANUFACTURED r 3. FIBERGLASS REINFORCED PLASTIC r95. UNKNOWN 449 DATE INSTALLED <br /> ROTECTION IFAPPLICABLE /49 <br /> CATHODIC <br /> 'heck one item only) <br /> PROTECTION r 4. IMPRESSED CURRENT r99. OTHER <br /> r2 SACRIMIALANODE (Forfoca/oseent) <br /> 'ILL AND OVERFILL YEAR INSTALLED TYPE(Fwbcslusaony)451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 <br /> 450 <br /> heck all that apply) � SPILL CONTAINMENT�V LJ r1. ALARM IV`Br FILL TUBE SHUT OFF VALVE <br /> -;: DROP TUSE r 2 BALL FLOAT r 4. EXEMPT <br /> ,f"'& STRIKER PLATE _? / <br /> V. TANK LEAK DETECT16Ni(A.....mtoirofiP ramie y <br /> .. <br /> IF SINGLE WALL TANK(Check all fhef apply): 453 1 IF DOUBLE WALL TANK OR TANK WITH BLADDER(Check one item only): 454 <br /> 1, VISUAL(EXPOSED PORTION ONLY) 1-5. MANUAL TANK GAUGING(MTG) r 1. VISUAL(SINGLE WALL IN VAULT ONLY) <br /> 2. AUTOMATIC TANK GAUGING(ATG) r6. VADOSE ZONE 2 CONTINUOUS INTERSTITIAL MONITORING <br /> 3. CONTINUOUS ATG r T. GROUNDWATER r a MANUAL MONITORING <br /> � 4. STATISTICAL INVENTORY RECONCILIATION(SIR)+ r8. TAWTESTING <br /> int.�eulr Teener. <br /> V TANK CLOSURE INON fP.. SNA xl C .,KP A'4t �"'" "�"� ;r <br /> ESTIMATED DATE LAST USED(YR/MO/OAY) .]:, ESTII QUANTITY OF SUBSTANCE REMAINING 456 FILLED WITH LS qA <br /> TH INERT MATERIA <br /> nations rYes rN <br />