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UNIFIED PROGRAM CONSOLIDATED FORM <br /> I TANKS <br /> UNDERGROUND STORAGE TANKS -TANK PAGE 1G�3�a3 <br /> i (Av9 Pages per(aniJ <br /> TYPEOFACTION ❑1.NEW SITE PERMIT ❑ a. AMENDED PERMIT OO 5. CIUNGEOFINFORMATION) ❑ 8. TEMPORARY SITE CLOSURE <br /> (CAac4 am dam wdy) /, ❑ 7. PERMANENTLY CLOSED ON SITE <br /> ❑I.RENEWAL PERMIT ISpacNy naaon-brlauluv ordyl (SPac2/clung•-brlmalu»only) ❑ g. TANK REMOVED UD <br /> BUSINESSfUMEISam..I FACILITYNAME or DBA-Do-9 Bminav M)'• / FA ID. „ 1 <br /> QrSl,,,,.� bmf I 4 399y <br /> ELO711. <br /> WITHIN SITE(DPdpnM A31 <br /> _._._..._.....- L ESCRIPTON <br /> TANKD <br /> c NK MANUFACTURER COMPARTMENTALIZED TANKCoxAll ❑ Ws No <br /> ANKIDY ( /7V-�/ If Yai.remDbl.nn.paSe wlla eompa wnl <br /> TANK CAPACITY IN GALLONS NUMBEROF COMPARTMENTS <br /> PATE INSTALLED(YEARM01 �/ �� <br /> /,3yz <br /> ADDITIONAL DESCRIPTION(PorwcL Iu.only) <br /> It TANK CONTENTS <br /> TANK USE 432 PETROLEUM TYPE ❑ 5. JET FUEL <br /> REGU [3Z. LEADED <br /> 1. MOTOR VEHICLE FUEL LEAD ❑ S. AVIATION FUEL <br /> plmaM.e.compbfa P.fnNum TNM) ID. PREMIUM UNLEADED 3 IESEL <br /> ❑ 2. NON-FUEL PETROLEUM a.GASOHOL ❑99. OTHER <br /> tc. MIDGRADE UNLEADED <br /> ❑ 3. CHEMCALPROOUCTCASY(hDm Haiadpua Maf.mlt lnranfprypa9.1 <br /> COMMON NAry ME(hVm NaiaAoua Malenala Imnnfopa9.) <br /> .. HAUROOUS WASTE ffM',du <br /> Ua.E Od) <br /> 111.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ 1. SINGLE WALL ❑ 3. SINGLE WALL WITH ❑ 5. SINGLE WALL WITH INTERNAL BUDDER SYSTEM <br /> EXTERIOR MEMBRANE LINER 0 95. UNKNOWN <br /> (C.4 a n.d.m aNy) �2. DOUBLEWALL Q A SINGLE WALL INAVAULT ❑99. OTHER <br /> TANK MATERIAL-Mmary M^% 0 1. BARE STEEL 3 FIBERGUSSIPLASTIC ❑ 5. CONC0.ETE <br /> ❑95. UNKNOWN <br /> (ch ckom Na .W ❑ 2. STAINLESS STEEL C34 pT EE <br /> LILADPU590(FRPS 0 5. FRP COMPATIBLE W110 W11 %METHANOL 099. OTHER <br /> OL 95UNKNOWN <br /> TANK MATERIAL-Ha d'ry W4 (3 1 BARE STEEL mac+ 3 FIBERGLASS I PLASTIC ❑ 5 FRP COMPATIBLE WHW%METHAN � . <br /> (Cnac4.n.dem.My) ❑ 2. STAINLESS STEEL 0 4 STEEL <br /> CLAD PIASTRGILAS El 9 COATED STFRP EEL <br /> ODBLE JACKET ❑99. OTHE0. <br /> RCED <br /> ❑ 5. CONCRETE OATEMSTALLEO <br /> TANK INTERIOR LINING 0 1. RUBBER LINED ❑ 3 EPDXY LINING S. GLASS LINING ❑95. UNKNOWN 433 <br /> ORCOATING ❑ 4. PHENOLIC LINING ❑ 5. UNLINED [3 99 OTHER (Forbcal m.o.hI <br /> ❑ 2. ALKYD LINING pgTEINSTALLED <br /> (Crock am dam ) <br /> OTHER CORROSION 1. MANUFACTUREOCATHOOIC [33. FIBERGLASS REINFORCED FUSTIC X99.OTHERS aw <br /> PROTECTION IF APPLICA3LE PROTECTION ❑ 4. IMPRESSED CURRENT (Forbcaluv pnlyl <br /> (C koro lNm pMyl ❑ 2. SAGRIFICIALANOOE OVERFILL PROTECTION EQUIPMENT.YEAR INSTALLED <br /> SPILLANDOVERFILL YEARINSTALLEO TYPE(FprbcL aa.Dny1 <br /> (bl.ckaN maNpPHI [3 1. SPILL CONTAINMENT 1.ALARM - 0 3, FILL TUBE SHUT OFF VALVE <br /> ❑ 2. DROPTUSE ❑ 2. BALL FLOAT- - a EXEMPT <br /> ❑ 3. STRIKER PLATE <br /> N.TANK LEAK DETECTION <br /> IF OOUBLF WALL TANK OR TANK WITH BUDDER(Cn.ck ana item.nNl <br /> B�WGLE WALL TANK aN NNf ap 1: <br /> ❑ 5. MANUAL TANK GAUGING(MTG) ❑ I. VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ J. V15UAL(EXPOSEO PORTION ONLY) IFf"2. COWINUOUSINTERSTITIALMONITORING <br /> ❑ I AUTOMATIC TANK GAUGING CATO ❑ 8. VADOSEZONE <br /> ❑ ]. CONNUOUS ATG <br /> ❑ 7. GROUNDWATER ❑ 3. MANIAC MONRORING <br /> TI <br /> ❑ a. STAnSTICALINVENTORY RECONCILIATION(SIR) ❑ a. TANKTESTING <br /> BIENNIAL TANK TESTING ❑g9, OTHER <br /> V.TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE <br /> ESTIMATEGDATEUSTUSED(YftIN 1111 ESTIMATED pUANTtt OF SUBSTANCE REMAINING <br /> 435 TANK FILLED W i INERT MATERIALT <br /> gaYana ❑Yn ❑No <br /> FODNBAT SWRCB Farm E <br /> CURAFORM(4J99) <br />