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HAFTED PROGRAM CONSOI.IDATFD F001k UNDF.RGROLNO STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION 1 TYPF.OF ACIlON fC'he k n e ifem only. For R(`.ST.`IOtRYr M rrae»nl..y mpfrro+ntv Neil sv.rirm and SS-firms L 11.111.It ad lY i'e, - ❑ I.NEW PERMIT1. RENEWAL PERMIT El CHANGE OF INFORMA IION 0. rEMPOIARYLSTCLOSURE '.L51 PLRMA\LN[CLOSLREONATE 8 USTREMOV.AL DATFI'STPF-RMANENTLYCLOSED: '^)+ DATE FXIS11N4i LST DISCOVERED "* I. FACILITY INFORMATION FACILITY ID 04 15.m,l Ur.Onh( ! 3 t- BCIS(NESS N,AME.&um'w Fanluv A'Wre'ur L)A.1 Lhnng Bysm:>e Its O BUSINESS SITE ADUHF If. r k N K DESCRIPTION TANK 11) TANK AI+. _- _ - I a\KC'O%tlGL.RATION: THIS TANK IS X aSTANRALONE TANK C�:z PW 000 O O _ - UNE r A COMPAR1Aff7RED UNIT DATE LST SYSI EM INS I ALLED )" I-ANKUNPA(111't\GAtL )NN \1 N13ER Of COMPARTMENTS IN THE UNIT " S.c2.9r S So l __ Ill. TANK USE AND CONTENTS TANK USE ❑ L.MOTOR YFAl01-1-1II IIMI ❑ 3h.MAROIA(t tll\l. ❑ 1z AvIAVIONFUEEJNG a� ❑ 3 CHEMICAL PRODUCT STORAGE 84 HAZARDOUS W AS11 ❑ FMI'R(:1 NtY(h1Y1 RAI<M tl1:I IIaR'l='z+v=N ❑ 0_OTIBRGENEKATORPLEL_ 195.LNKNUNT+___ (1DNTEN S PFTRCRI7%M- ❑ [a REC:VI AR I NI.-APED ❑ Ic hurmup MN I.\11 %IN.1) ❑ th.PtEMN1M l.'Tilt_41N-.O N' ❑ 3.DIESEL ❑ S.TET FUEL ❑ 6.AVIATION GAS ❑ 6.PETROLEUM mum Fl)EL ❑9.OTHER PETROLEUM ISpmL61. NO MTRO EUM i USED OIL ----UTO.ETHANOL _ F I I OTHER NON PRE RCR-EIIM ISPeedyt _ r IV. TANK CONSTRUCTION TYPE OF TANK Q 1.SINC:l F*AL1 TXIA TH.F W'AI 1. 95.IIVKYOWN _ u' ---- 0 --- PRIMARY CONTAINMENT ❑ t.STEEL �' 3 FIBERGLASS ❑ e.INTERNAL NI AINRR ❑ 9.STEEL-INTERNAL LL\TNNG ❑ 95-UNKNOWN ❑ 99.OTHER(Spenfi.) SECONDARY CONTAINMENT ❑ 1.STEEL J9 I FIBERGLASS ❑ e.EXTERIOR MESRBRA[4E Lagx ❑ -J.ACKETED ❑ at MMF ❑ 9s 1'NKV IWN ❑w O111FRtSPevi(f1: ` OV LKI ILL PKLA LV I10\ ❑ '. AC[NBLF 8 VISUAf ALARMS ❑ =_HALL FC0.1T ❑ 3.FILL TUBE STILT-0FF VALAE '- ❑ a TANK MEETS RLUORLIREVINIS FOR EV MP ION PROMOAI 81911.PRY aLNf N'/N PI l'Mt NT V. PRODUCT/WASTE PIPING CONSTRUCTION PIP[NG CONSTRUCT RON 0 sma1.WAf1. ❑ 2IRRiNII,Wall ❑ w (,IHFR SYSTEMTYPE 01.PRESSURE _ ❑ '_GRAVITY 0 CONXL%-1_K)\1I it.(. IU)\ ❑ 4 "it Sia-[X)\(7401zl ..+,.e:,. +`• PRIMARY CONTAINMENT ❑ 1 still p 4 RIVOGLASS ❑ RFLEXIB(F. ❑ 10 RIGIDPIASTI' 1p` ❑ 94.NKt ❑ us UNKNDMN ❑ w 411111 R(sµ.'1 ) naa SFCONOARY CO\TA6MF\T ❑ SI - IHERGIASS ❑ R Fttd[W E .)PLASTIC idea ❑ 90.N. I%;k-%DW'N Q 99.OT TIER 611 -'(:.'; PIPING TURBINE CONTAINMENT SLAM -. ""F' -\6t n N!! 7.DDI:111 VL VENT,VAPOR RECO% ERI (` R) .-AND RISER I FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT R I_STEEL ❑ 4 FIBERGLASS ❑ 10 MILIPLASIX ❑ w; NO\I ❑ »mul R(Speohl- VEMSECONDARY CiONT-MN-M-6a❑ 1 STEEL ❑ ( FIBERGLASS ❑ 10 RIGMPLASTIC N 90 NONE Q W OTHER(SpmbT µyl VR PRIMARY CONTAINMENT I5OT1 [341TRI WA,kbv ❑ Irl RNAOPI_ANIN ❑94 N4NNF ❑ 04 OTHFRISpanb). VR SECONDARY CONTAINMENT ❑ 1 STEEL ❑ 4 FIBERGLASS ❑ to,RIGID PLASTIC a W_NONE ❑ 4i C/T11T.R(Spenbl- VENT PIPING TRANSITION SUMP IYPL J111 I SINi.I F%%1' ❑ ?.DOUBLE WALL ❑9a NONE ae► RISER PRIMARY CONTAINMENT ® 1 \O 11 ❑ 41 till R(d ASN ❑ IU Rk.ujn.AST1C0Q NONE ❑ 90 OTHFItiSpedf.0 +aM i RISER SLCONDARY CONTAINMENT ❑ 1.STEEL Q 4 FIBERGLASS Q 10 RRBIRASTIC jo 90.NONE u i 0FHEA(Spm6Y Mt FILL COMP>NEN7 S INSTALLED A=" I Hit KPI ❑ I NIRHJIt PATE BOTTOM PROTECTOR u 4 '.-ONTAI}1D}TSL-W VII. UNDER DISPENSER CONTAINMENT NDC) CONSTRUCTION TYPF [] 1 SIM;I.I W( Q - IN N.It,1 w M 1 ,", I M)OINPPNSI-Ki Jig a \[INF ' 1 CONSTRUCTION MATERIAL ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ iO RIGIDPLaSIII 0111111f%r11.1 VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ - SAi IUFICTk1 AN(1DFAS; ❑ 4.LMPRESSEDCLRREVT ❑ c ISOLATION EX. APPLICANT SIGNATURE CERTIFICATR)N: 1 cettih that this OUST s5atem IS mmpadhle Willi the hvar)LRs wb>QaRae surd &Rd tial the idortoa mem pevviiIIINIR4111micim6 trw I overall.and iR jail mmpti!5E with 1 r eiremcets. n APPLI{'AN[SIG\.4nDATE A KF - - �r6 Tj 1 APPLK'A\'1 \A%41,q ml • ✓ ' ?. i 'Ar APPLIC'A%T TITLE Ai