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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK 6 <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION cone f°" us <br /> TYPE OF ACTION ok one rMn erlty. Fora USTdoteve rrrtloPRL c ppm am'y wa�^and Smffom 1.11.111.N,and lX below) <br /> ❑ 3.RETiEWAL PERMIT D S.CHANGE OF tNPORMATION <br /> .NEW PERMIT S.UST REMOVAL <br /> -61-T EMPORARY UST CLOSURE 7.VST PERMANENT CI.O6URE ON SITE. ,y)p, <br /> DATE 11NTPERMANENTL CASED: 4m' DA"fE L7QSIING UST DISCOVER®: <br /> L FACILITY INFORMATION <br /> FACILrfY 1D#(aster U-0040 <br /> BUSIN&SS NAME(Sov�as FaciliryNanlP a/DBA-ObirB Bwlnr-+sAaJ <br /> U v 101. <br /> Im. CITY <br /> BUSINESS ITE ADDRESS i� )11+�e.,hCL. <br /> IL TANK DESCRIPTION <br /> TANK E3# , jil S '^43Z TANK MANUFACTURER *'D 7ANKCONFIGM,TION:THIS TANK IS <br /> ,,,y • ASTAND-ALONETANIc cwwi��Pw�r„�a <br /> ONE INA COMPAATIv1EN7FD UNIT cmv°'��in0"m4Tl. <br /> DATE UST-bSY5-7�tdN3T�A11ET1 435. 'TANK CAPr�S' W GALLONS au. MRaER OF COMPARTMEN75 IN THE UNIT <br /> "L C9CJ <br /> III. TANK USE AND CONTENTS 4N <br /> ❑ le',AMMTIONFUF3•ING <br /> TANK U$E ❑ 3-CHE ICALFROOL STORAGE ❑ 4.HAZARDOUS <br /> AZRIAZ RDO SWWASTEOm BN011)ELING ❑ S.EMIXGEI'1CY GENERATOR FUEL II IST§tt161.5(4)1 <br /> 0 3.OTHER GEN RODUCr (1TImt(s <br /> ❑ S.GITBR GR--[3 ORFI/FU __ ❑ 95.UNKNOWN 1. _ -_�K_==__"� 110. <br /> CONTENTS IYRROlP11M- ❑ 3.DIESEL <br /> LARUNLFADED [3 5.ISETB RADE 1141FADED ❑ 6. PREMIUM <br /> ATION GAS❑ 3.DDsI'.1. <br /> ❑ &PETROLE(�A+RLENO Fury ❑ 10,ETHANOL <br /> PFEL TROLEUM(sPm � <br /> NON-PEZAOI.EUe1:❑ ].USED ou. I j u MC . ,K- <br /> I1.OTTID1.NOTYPEIROIEIR.S <br /> IV. TANK CONSTRUCTION M <br /> LSINGLE WALL ❑ 2OWfBLE WALL 95.UNKNOWN <br /> TYPE OF TANK ._.._9____ - <br /> PRIMARY CUNT'AINMENC Ijd,1.STEEL ❑ 3.FBFAGLASS ❑6.INTIXNAL BLADDER _ mw.. <br /> ❑ ].STEEL+RNnRNALlIN1NG ❑ 95.UNKNOWN ❑ 99.0DBB(S e�ckT us. <br /> O.EX'fERpQ1MEAlB tit 13 7.JACKEM9 4av <br /> SECONDARY CONTAENMENT ❑ 1.ST'EEI- ❑3.FTBFRO1.LSs ❑ S �t;� 'SAG c✓"�`" - - 95y <br /> _ ❑9o.NONE O 93_uwG+owN d�.on1ER1�'Y <br /> OVERFILL PREVECCCIOIN ❑ I.AIJDBLEh VISUAL ALARMS ❑2.13AI.f.FLOAT ❑ 3.F1U-'DIRE 5NlJT-0PP VALVE <br /> 4.TANK MFEIS FORE>�Fl.>P'110N FROM OVERFILL PREVENTION MENT <br /> Y. PRODUCT/WASTE PIPING CONSTRUCTION ,� <br /> P@TNG CONSTRUCTION_ ❑ 1.s1t+cLEWALL ❑ x.DOUBLfiwAL[. D --DNALs�LTl_. w+�l _4-SA-MK5CR0NM g4MPu 0(3-)) <br /> SYSTEM TYPE __ ❑ 1.PRF.5511RE__ ❑ 2.GRAVITY ❑ ❑ IO.RIGIDPLASTIC <br /> PRIIr1ARY CONTAINMENT ❑ I.slip- ❑ 4.F®ERGLA55 ❑ S.FIDaRLE may, <br /> ❑90.NONE ❑ 95.INKNOWN ❑99.0'I11IX(SpxlfyY - afwn... <br /> C [3 1.STEEL 4.�PgR,•AS,S ❑8.FLEXIBLE ❑ 10.RIOID PLASTIC <br /> SECONDARY ONTAINM1TENT' ❑ °69c _ _ <br /> [I 90.NONE O 95.UNKNOWN 999.OTHER <br /> PIPINGlTURBINE CONTAINMENT'SUMP TYPE 1.SINGLE WALL El2.DOUBLE WALL 139o.NONE <br /> VL VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION <br /> 4w� <br /> VENT PRIMARY CONTAINMENT ❑ 1.STFIl. ❑ 4-FIBERGLASS ❑ 10.RIGID PLASTIC &go.NONE ❑99.OTHER(Spo;i y): Zl. <br /> _ .NONE ❑ 99,OTRER(SPOnN): nWfl <br /> --__ _ <br /> VENT SECONDARY CONTAINMENT ❑ 1.STEEI. ❑ 4.FlBCRGLAES ❑ lO.RIOIO PLASTIC _...... <br /> _... <br /> -._ <br /> VR PRIMARY CONTAINMENT ❑ 1.STEEL ❑ 4.}TBEROLASS ❑ IO.RIGID A./.SIIC 9D.NGNE ❑ 99_CATIER(Spxify)' Mix- <br /> 99. <br /> ix- <br /> YA SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FMEROLASS ❑ 10.RIGID PLASTIC 90.NONE ❑ 99_ODffR(Specify): �). <br /> --__..-_ L SINGLE WALL ❑ 2.DOUBLE WALL 190.NONE <br /> VENT PIPING TRANSITION SUMP TYPE (7.__ __ <br /> _ _ bpi <br /> RI SER PRIMARY-CONTAIN MENT ❑ 1,STEEL ❑ 4.FBERtiLASS ❑ 10 RIGIDPLA477C �'90-NONE ❑ <br /> 99.OTHER(SPM*Y 46N1. <br /> RISER SECONDARY CONTAINMENT ❑ LSTEEL ❑ <br /> 4.rIBFncLAss ❑ lo_wclDPlnsnc ( ..NONE ❑ 99.OTHER(sP.h)-_-- ; <br /> FILL COMPONENTS MSTALLED ❑ 1.SPILL BUCKET ❑ I.STRIKER PLATEIBOTTOM PROTECTOR ❑4.CTINTANMINf SUfdP <br /> VII. UNDER DISPENSER CONTAINMENT C) F <br /> ❑ 2 7JOI/B1-EWAII. ❑ 3.NO DISPENSERS ❑ 90.NONE <br /> CONSTRUCITON_7"YPE ❑ f.SiNGLE WALL <br /> 44ve." <br /> CONSTRUCTION MATERIAL ❑ 1,srFt3. ❑4.FulveGl.ass ❑ lo.wcm PLASTIC ❑ 49.Orlme(59a'Ti') 449c <br /> VIII. CORROSION PROTECTION .� <br /> S7'L•EL COMPONENT PROTECTION <br /> 2.SACRITILTAL ANDD ❑ 4•IIv1PRFSSm CI1RRF7'!T ❑O.ISOLATION <br /> DL APPLICANT SIGNATURE <br /> CF,RTTFICATION: 1 cern thin ih6 Uk ST SYWM le MnWty with the hamrdolo gietiRte stalUd Rud That the mformatim Povwed btrdn is as& <br /> a m 1`md b full eom a with "ircmmm 4w. <br /> APPLICANT SIGNATURE U t-.- F DA ' <br /> 1 an <br /> 1 { -\ '11' I APPL T7TTLE '^('M Cr <br /> APPLICANT NAME(Wild) JC�V" �,lo"' <br /> UPCF USC'-B Ree.(122007)-IR www.uuidOa.Otg <br /> 6 'd 9091SZ860Z 2?e-10 eTb :60 01 b0 Few <br />