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nt/bI/2004 08:53 20946831.33 / mp FIFTH FLOOR k&-2:t/Oi• (PAGE 05 WITTED PROGRAM CONSOLIDATED FM OR �3 UNDERGRO TANKS UND STORAGE TANKS _ TANK TYPE OP ACDON ❑ (T l pages per lank)1•NEW PF,RMTT (Check one item only) ❑ 4.AMENDED PERMIT E] 5.CHANGE +'a � ❑ 3.RENEWAL PERMIT GE OP INFORMATION geOf ❑ fi.TEMPORARY TANK CLOSURE _1 B , "SS NAM"(Senn ACI I Y (Soa fy Treason) ❑ 7.PERMANENTLY CLOSED ON SITE 420. •J"_j^�l,' AME o:DBn_ (sP�IrY reason) Doing Husine«Aa) 3. FACILITY ID: 6•TANK REMOVED A WI lili�i�lli�: i i11INSITE(oplo4ol jL4^c: i;l�;ij' I. h,.tllr Ir;' II;;r,9ll ,•g 1 QJ`'l 7 scaled,; `r Mm I a bE$ 41 TANK IA N :Plot plan wlttitbe lonahon ofRhe.US7se»J mclud CRIPTaoN d3J. TANK MANUFACT RPR :'b6118rogg xFM landmarks shaW'beSubimtled tp[hb 701 ajaeR I n 5 rn 43J COMPARTMENTALIZED TANK ycy DATEINSTALLED MO) M135' TANK CAPACrl'Y IN GALLON$ 434• e;"m Inc one 434, rnP 0age for each enmpnnment. NUMBER OFCOMPARTMENTS ADD 10 AL DESCRIPTION(Farlotal Al 437. TANK ng, dJ9 USE "'^ FI.'xANxCCUNTENTS PE IROLELIM TYPE 1 MOTORV EHICLE FU EL •. �� piehceked.comp lee rnnilam Type) El]a, REGULARUNLEADED ❑Ib• PREMIUM UNLEADED [12- LEADED Ej 5 JET FUEL 44a. ❑ 2. NON.FUEL PETROLEUM L1 3. DIESEL ED] 3. CHEMICAL PRODUCT ❑la MfDGRADE UNLEADED ❑4C36• AVIATION GAS COMMON NAME . GASOHOL 99.OTHER; ❑ 4. IIA7,.ARD0 SWASTE (Eorn Fl4z4rdouc Malenab Invent 401. (1neluded used Ofl) °7WBe) CAS71(a-ll__douv Mmennls lnvcm - erY Me) 447. 95.UNKNOWN (Chef �.. E of TANK � ' � TANK,Cd1VSTRZJ�TION ck one ttcm only) ❑1 SWCLE WALL ❑3 SNGLE WALL W17Ft EXTERIOR .:": ..,'�' MEMBRANE SINpLF WALL WITH WTBRNAL BLADDER SYSTEM 447. TANK MATLRIAL_ CI 2 DUUBLE WALL ❑a. SWGLE HALL IN A VAULT .x•95' UNKNOWN pommy mng ❑ I. BARE STEEL ❑99. OTHER (CMkane kem only) ❑3. FIBERGLASS/PLASTIC ❑2. STAINLESS 37EEI. ❑4, STEELCLAD WrFIBERGLASS ❑S' CONCrzt fE �95.UNKI4OWN TANK MATERIAL-.: REBJFORCED QR• PRP COMPATIBLE 474• acwnda rook ]. PLASTIC RP W/!Op%METHANOL Q99'OTHER:_`` �' eARE STEEL 3. FIBERGLASS/PLASTIC ) (Ckcck aue itgmonly) Q2. STAINLESS SMFL❑4, STEEL CLAD W ❑$. FRF COMPI03LE W/]OVA,METIdANOL S.UNKNOWN /F7H IC(FRPS ❑9. FRP NON-CORRODARLE JACKET Ns' REINFORCEDRET PLASTIC(FRP) ❑1O. COATED STEEL ❑99.OTHER TANK NTERIOR LOVING i.rzUBBERLWEp ❑9. CONCRETE OR COATING ❑2.ALKYD LB4AIG 3.EPDXY LINNG g•GLASS L1N7NG �l (Check one item9nl ❑4.PNENGLIC L1MNG ❑fi.UN7.NED 6.UNKNOWN 445. DA3r,N OTHER CORROSION F.MANUFACTURED CATHODIC U 99,OTHER STALLED 447. PIAT IicablkN PROTECTION 0 d.IMBERGLED REINFORCED PLASTIC S,UNKNOWN ❑2.SACRIFICIAL ANODE PRESSED CURRENT ❑99.OTHER MB' DATE INSTALLED 449. SPILL AND OVERSELL YEAR WSTALLED 450. (Cheek all tWtapply) 13 1.SPILL CONTAINMENTTYPE a51. OVERFILL PROTECTION H(ER EQUIPMENT; YEAR NSTALLED 452. E32.DROP TUBE ❑ 1.ALARbI ❑3.STRPLATE ❑2.BALL FLOAT-- ❑S.FILL TUBE SHUT OFF VALVE JtEMP IF sIv �'aivlc L SINGLE WAL O''. TECT;ON . .. .. (A dtecnpppR of Nemonitoririgprogramsha1t bel IF DOUBLE WALL T• .. .. DE ANK aubmttted to die local agency') 1 ', (Check a0 that apply) 453 VISUAL(EXP `SD PORTION ONLY) (Check one ildmon]y) IA OR TANK WITH BLADDER 454 ❑2. AUTOMATIC TANK GAUGING(ASG) 113-MANUAL TANK GAUGING(MTG) ❑1,VISUAL(SINGLE WALL IN VAULT ONLY) ❑3. CONT1XUOUS ATG ❑6'VADOSE ZONE ❑2-CONTNUOUS INTERSTITIAL MONITORING 114. STATISTICAL WVENTORY ❑2 GROUNDWATER ❑3.MANUA L MONITORING RECONaLLITION ❑R•TANK TESTING (SIR) BIENNTAL TANK TESTING ❑99. OTHER 3 5 ANK.CI,OSURE.INFORMATION/ PERMAN ESTIMAtED DAIS LAST USLD(YRIMO/DAY) 435. T'L.,CLOSUIfE Il .PLACE' ... ' TIMATED QUANTITY OF SUBSTANCE RU�11A:ININ 4w .""'' '::<•'%`'.` ' , EMANING T.\NK FILLED WITH INERT 4 457 gallons MATERIAL Yen ❑ No UPCF hwCwre-b(1/99)-1/4 hstp:/lwww.u nidoc s.O r•g Rev.02/16/00