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• 12d19/2002 16:27 205469343'- FIFTH FLOOR ?AGE U2 <br /> UNIFIED PROGRAM CONSOLIDATED FORXfo <br /> . 3 TA <br /> UNDERGROUND STORAGE TANKS -TANK PAGE 1 <br /> ewc n eT <br /> ITYPBOiACTION YZINEW SITE PEAtO^. ❑ 4 AMENDRDPRR+mr [] SCeANGEOrM101L41ATION Q 6TEMPORARY SITECLOSLR3 <br /> ❑ 7 PERMANENTLY CLOSED ON SITE Z <br /> 103 IIENEW'ALPERMIT (1.m!y et+.•-kh bm:9.e miN 199m!ytu.n-b.Inial um Wlr] 10 3TANXIAMOVED <br /> 8CSINES3NA11{pomufNCLRYNA1�mHM-OWa1 <br /> James King Trust 3 <br /> LOCATION WMML4 SETS Rbam+9 <br /> Rear of DroDerty <br /> L TANK DESCRIPTION (A 3e[Ied Pbt PLT,with the location oftbe U37 syP9umm mch.dius baiidin-I and Lu(dmalk,sball be submitted to!ha]ectal 9SeReT.) �`(>• <br /> TANK ID» ue TANKMANUFACTLREA • I COMPARrmrATALLZED TANK Y� No at9 <br /> �j [p / � 11�C it Yn'.:omelM Om WV heaceeo,o{w:mm: <br /> llA INSTALLSLI(YEVLMOI 7�.YKCAPACRI'IN GALLONS +K I YL?17iROF COrrtPARTSG1i:5 s1• <br /> ADDITIONAL DESCRD'I10N(Pmlcct m mhl U U "I <br /> -- - - ---- -- -- - --- IL.TANKCONTENTS <br /> �a TANK USE •m PFIROLEVM TYPE +•S <br /> I. 3110TUR VERRTi W:EL [ ja, RBCL'LARUNLEADED ❑L LEADED J. JET TUEL <br /> (Ir.mavtlme9:w.MWm7)Fel 101b. PRIDAILM IINLEAOEO 103.DIESEL C 6. AVIATION FUEL <br /> CO..NON.FURL PETROLEUM 10 In NIDGRADE UMEAOED Q A. GASOHOL C 99.OTHER <br /> 03. C1ff14CrU.PRODUCE COMMON NrLN{E (a.haamn!nu�Ot�SI+•'^•ms!>R) CASN(9mmNmmUer Naml...bvumy Ya+; +''+ <br /> 104. HAZAmDOUSWA.M <br /> (m.iwr.uda9 <br /> p 99.UNKNOWN <br /> III. TANKCONSTRUCTION <br /> TYPEOFTANR 1.SINOLEWALL Ll 3. SLOLE WALL=U QS. SINGLE W INTERNAL9LADOEi5Y5TE-Na xi <br /> EXIBAICK MMBR.ANE LMR 1095. U-004OWN <br /> CL DOUBLEWALL CA. SANLE WALLIN VAULT 1099. OTFffiL <br /> :A4 -,m qvA I.ILLRE3TE L L RBeROLA53l PL C I. CONTRITE 95. L1'IcNDW +++ <br /> IChnt nit brhe vniY, ❑L STAINLESS 311E9C Qs. Sun CLAD WIFD6RGLASS GR SRPCCL47TTBLEWIt00%UE7.9ANOL Cl 99.OTHER <br /> RL'NPOACED PLASTIC(FRP) <br /> 7ANKMATEIUAL-wraraaN':At Ci.s.AxISTEEL LJ3. FIBER LASSIPLA37ED 3. CONCRETE PS. UNK.N W +" <br /> (Cbm1.n!..m..'I ❑3. STALN1ess STEEL [:4. M%LCLAD WIMIRE CLASS 0S. FRPCOMPnELE W'110Q-hIEiHANOL ❑99,070E3 <br /> RELS70RCM PLASTIC(TRY) [3 It.COATED STM <br /> ❑5. CONCRETE <br /> TANK INTERIOR JNLVG 1.RLa3ER LLNEO 0 3.EPDXY LINING C33-=AsS�"NNC El 95.UNANOWN ."d A.TE INSTALLED =+• <br /> i ORCOATLYO 10SALKYC L-ING QIPHENOLIC'_LNINO IM6t.^ILMED ❑99081!9 - <br /> (aet mae q WA (r..wl w mni <br /> X� u9 GATE INSTALLED <br /> A7.N• ••S <br /> OTHER CORROSION ❑IMANLTACrLREOCATRODIC Q3 MIRCLASSRFORCEDPLASIC Ra 95 UNKNOWN <br /> PROTECILUNFAPPLLCAELR PROTECTION ❑4NPREWS;ICVRREN7 ❑990TBER <br /> (Oaatataas.N9) ❑Z SACRIFICIALAN00E {Te haarm:F1 <br /> RPILLANDONI MLL INSTALLED 45. OVERFILLpRCT*C-.ION EQ M ;YEAR O.S7ALLED +di <br /> t«xi+Ohis:.pbl C!SPiLLC-QWALN)AENT 0 ALARM Cl 3 FZLTlai SHU,OF?VALVE <br /> ❑2 DROP TU3E El' BALL FLOAT ❑A EXEMPT <br /> ❑3 ST JK--R FLATS <br /> N.TANK LEAK DE7E ON(&dtabt:caofva m.m.o.FP 1rPvemim ^+'�w:h.:eml.p..r•i <br /> IF SINGLE WALL TANK{cLw a.t..mMt ' IF DOUBLE WALL TANK OR TANK WITH BL.IDCER +Y I <br /> weYwav .Om <br /> Q 1 YISVAI(EXPOSED PORTON OILY) C 5 MANUAL TANK OAVONG(MTC) I VISUAL(SINGLE WALL IN VAULT ONLY) <br /> Q L AUTOMATIC TANK GAUOEVG IATC) ❑6 VADOSR ZONE O-CONM-UCUS INTERSTITIAL%IONITORLNO <br /> Q 3 CONTDPDUS ATO C70ROUND'WATER ❑3MANUALMCNTTCRING <br /> ]a STATISTICAL Wa%ITORYRECONCILIATION 8IANK TESTtNC <br /> (SBL) BEEMVIAL TANK TESTING 9"OTHER None <br /> N.TANX CLOSURE 0FORNEAT ION 1 PER.ILl.NiNT CLOSURE IN PLACE <br /> ES7INATED DA VSED(YRMODAY) aS BSTLNATEDQUA:NTTn•OPSUAITD" <br /> ANCEREMALNG •K TANK FILLED 961TH INERT NAT[P.1N.' <br /> p!looa ❑Yw ❑ No <br /> L?CF(1294 Te%riSed) Formerly SWRCB Form A <br />