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FROM J.Sche-tter PHONE NO. : 5306667692 _ Mar. 21 2005 04:55PM P5 0. UNIFIED PROGRAM CONSOLIDATED FORM TANKS UN DEtRGROUND STORAGIE TANKS--TANK PAGE i (two pages/ k) Pagc (YpE OF ACTION D I NEW SITE PERMIT D 4 A!\4bT1DI5D PERMIT 0 5 CHANCE OF INFORMATION ❑C] TEMPORARY EN `Y CLC9ED ON SITE r,Cp4cicQmbvnonly) y 8 TANK.REMOVED 430 ❑ 3 RENEWAL PI>RIvDT (Spec lY reasoe-for local use osily) (Specify reason-for local 0se mly) ❑ t FACIT.rrY ID: BUSINESS NAME'(Same 4s FACILITY NAME ur 139A-Doing Busiom AB) ] r� � � � O ARCO F.ACTLITY 44932 431 LOCATION WITH(N SITE(OotiamU I.TANK UESC'RII'TION scaled plot plan with the Iocatiotl Of the U 5 System inCltlding;buildCOMPARTMLNTALIZI T?I]TANK ed t Yes Ipe No- I,% ency,) 434 TANK LL)1J 7 43: TANK MArIIIFACrURER i>,.1_:IZs tP"Yas',emnplelc One palee fDr each eOm}artrMM. NODGRADE `�D 4.115 NUMBER OI=COMPAR'rIvIEN-i'S 437 DATE INSTALLIkD(YF AR/M0' 435 TALK CAPACII Y IN(iALLONS 10,000 1 438 ADDITIONAL.DF_ P IPTION(star local age only) iI.TANK CONTENTS 440 TANK USE 437 Pt TRUtEUNI TYPE N I. MOTOR VEHICLE FUEL ❑la. REGULARUNLEADSD ❑2. LEADED ❑3• JET R0- (Irnmtked complste Petroleum Typc) ❑lb. PREMIUM UNLEADED [13- DIESEL El 6. AVIATION FUO, ❑2. NON-FUEL PETROLEUM [9 1c. MIDGRADE UNLEADED ❑4, GASOHOL [199.OTHLR 444 441 CAS#(from Ha,ardous hietiws fnv ntory page 1 ❑3. CHEMICAL PRODUCT COMMON-NAME (from H-4-Mu¢eriala drvemory NAC) i ❑4. HA7..ARDOUS WASTF. GASOILTNE 8006-61-9 (Includes Used Oil) [195.UNKNOWN Ill. TANK CONSTRUCTION TYPE OF TANK 1. STNGT.E WALL ❑3. stNGLE WALL WIT(I Q 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check mc,hcrn oefy) EXTERIOR MEMBRANE LINER ❑95. UNKNOWN Ill 2. DOUBLE WALL ❑4. SIONLE WALL IN VAULT ❑99. OTHER TANK MATERIAL....primary tmk Ell. BATLP,STFUL 0 3. FIBERGLASS r PLASTIC ❑5. CONCRETP 95. tTNKNOWN 444 (ChkA one item only) ❑2, STATNLPSS STEEL [14. STIM CLAD W/FTIaMZGLASS ❑8. FRP COMPTIRI.F.W/1(10%METHANOL ❑99.OTHER REINFORCED PLASTIC(FRP) TANK MATERIAL-eeoondarytanl: 1, BARE STEEL 10 3. FIBERGLASS I PLASTIC 0 5. CONCRETE El 95. UNKNOWN 445 (Clerk one ito only) ❑2. STAINLESS STEEL ❑4. STEM CLAD W/FMF_RCiLASS [19. FT2P COMPTIBLE W/100%MP.THANOI. ❑99.OTHER RFINKORCT-:U PLASTIC(FRP) ❑10.COATED STEEL 5, CONCRETE TANK INTERIOR LINING O 1,RORBK.R LINED 3.EPDXY LINING ❑5 GLASS UN1N(i 95 UNKNOWN 446 DATE INSTALLED 447 I OR COATING ❑2 ALKYD LINING ❑4 PHENOLTC LINING ®6 UNLINED ❑99 OTHER _.. (Chink one item only) (For local use only) OTHER CORROSION ❑1 MANUFACTURED CATRODTC ❑3 FIEflRC:LASS RFTNFORCED PLASTIC ❑95 UNKNOWN 448 44R PROTECTION IF APPLICABLE PROTECTION ❑4 IMPRESSED CURRENT ❑99 OTHER (Check one Rem only) ❑2 SACRIFICIAL,ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(10,'41 Use only) 451 OVFRPII.I.PROTF.CTTON P.QI.IIPMRNT:YFAR INSTALLED 452 (Cl-k all thntaPply) 0 1 SPILL C:ONTATNMFNI' 2005 OPW ®1 ALARM ❑3 Fn.I,TCJUR SHUT OFF VALVE ®2 DROP TUBE 2005 GPW ®2 BALL FLOAT ❑4 EXEMPT ❑3 STRIKER.PLATE IV.TANK LEAK DCTFCTION(A description of the monitoring mmut shall be wtiminut!to the lucal afteucy.) W SING[.F WAI.1,TANK(rho k�dl tl,,t eppiy) 453 1F DOUBLE WALL TANK OR TANK WITH BLADDER 45q (Check one item only) 0 1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) ❑l VISUAL(SINGLE WALL IN VAULT ONLY) ❑2 AI)TOMATKL TANK GAUGING(ATG) ❑6 VAT.)OSIl7ANT} 0 2 CONTINUOUS TNTF.RSTITIAI.MONTTORFN(•: ❑3 CONTINUOUS ATG D 7 GROUNDWATER Q 3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑9 TANK TESTING (SIR) BIENNIAL TANKTESTING ❑99 OTHER TV,TANK CLOSiRF INFORMATION/P1EkZh1ANFNT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) ass BST1MATi D QUANTITY OF SUBSTANCE RIAINING 456 TANK FILLt3D WITH INERT MATERIAL? '4.57 0 gallons ❑Yes ❑ No