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Jul 13 2000 G: 25PM Rage Environmental , Inc (9101 354- 1786 P. 3 LTNIFIED PROGRAM CONSOLIDATED FORMS TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 (Two pages per York) Pago-of TYPE OF ACTION ❑ 1.NEW PERMIT ❑ 4.AMENDED PERMIT ❑ s.cEJANGEOF INFORMATION ❑ 6.TEMPORARY TANK CLOSURE 430. (Click mekemody) ❑ 3.RENEWAL PERMIT ❑J 7.PERMANENTLY CLOSED ON SITE (Speoiy roewv) (Spml(y-) .(a 8.TANK REMOVED BUSINESS NAME(sama aeFACILM NAMES wMA-noineEa:mue A,) 3, FACILEEY ID: COVNTY REVILMVE ANIO RrCDVFRt (3VYLplflCl 17af „_ LOCATION WITHIN SITE(op,iom0 431. NEAR NW CORNER 0E SITE AT 220 N. SAW TOAQVIN ST. SucfmN _ (u4 sr�Ied tot lmk"With-the kreatian oF:tlko Usl'. - - e�ik)1• TANK ID A T �-/ D 43$, TANK MANUFACTURER 43). COMPARTMENTALIZED TANK Yd No ma. �/ I V N K W O W N ..pegeTo,eechwmpewiw,. DATE INSTALLED 435. TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMENTS (YEARMIO) 437 VNKGWN Soo I ADDITIONAL DESCRI`TION(Fvrrosl u.e Doty) - - _ 439. MIT TANK USE 4)9. PETROLEUM TYPE N A a4a ❑ 1. MOTOR VEEDCLE FUEL Ella. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL (ifcheckeq wWlate Pae mType) ❑lb. PREMIUM UNLEADED 03.DIESEL 06. AVIATION GAS 2. NON4VEL PETROLEUM ❑le. MIDGRADE UNLEADED ❑4. GASOHOL 099.OTHER; ❑ 3. CHEMICAL PRODUCT COMMONNAME fpom Hez.dem Mm.iel,ImeMory pyeT 441. CASM(OwnFL a.ewnaae,e�mk Nwowry Pe9e1 442 ❑ 4. HAZARDOUS WASTE HEATINCT OIL (lndudc,U.d Oil) ❑ 95.UNKNOWN yT :: y.•.'Y IL... tiia Fu. +,.,a !'lC,<;xJ•. rF .;. ,4'nK•'^ Y!'�1 .: F,n - TYPE OF TANK M1. SINGLE WALL [33 SINGLE WALL WITH EXTERIOR E3 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443. (Cbeck one twamly) - MEMBRANE LINER ❑95, UNKNOWN ❑ DOUBLE WALL ❑4. SINGLE WALL IN A VAULT 02 99. OTHER TANK MATERIAL-pft yr ME 1. BARE STEEL 3. FIBERGLASS/PLASTIC 52=9 0 95,UNKNOWN 444. (Cbsk um Ile.only) ❑2. STAINLESS STEEL ❑4, STEEL CLAD W/FIBERGLASS ❑8, FRP COMPATIBLE ❑99.OTHER: RBINFORCED PLASTIC FRP W/10056 METHANOL TAMC MATERIAL-secoodwymnk I. SARESTEEL 3. FIEERGLASSlPLAS1TC B. FRP CO..myrLBLE W/100%METHANOL E3 95.UNKNOWN N5. (Check o,.itemoniy) WA 02. STAINLESS STEEL[14. STEEL CLAD WlFIBERGLASS ❑9. FRP NONCORRODABLE JACKET ❑99.OTHER REINFORCED PLASTIC(FRP) ❑10. COATED STEEL S. CONCRETE TANK INTERIORLENING 0 1.RUBBER LIKED E33,EPDXY LINING U 5.GLASS LINING95.UNKNOWN 446. DATE INSTALLED 449. OR COATING ❑2.ALKYD LINING ❑4.PHENOLIC LB4ING [36.UNLINED 99.OTHER v N K N 0 W N Chock one item on OTHER CORROSION 0'.1..MANUFACTURED CATHODIC 3.FIBERGLASS REWFORCED PLASTIC Uq3.UKxNOWN 44M. DATEINSTALLED 449. PROTECTION PROTECTION ❑4.IMPRESSED CURRENT ❑99.OTHER V N k N 0 W N If Applicable) ❑2.SACRIFICIAL ANODE SPILL AND OVERFILL YEARINSTALLED 45M TYPE 451. OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED or (Cbwk all that apply) ❑1.SPILL CONTAINMENT ❑1.ALARM _ ❑3.FILL TUBE SHUT OFF VALVE_ ❑2.DROP TUBE ❑2.BALL FLOAT_ ❑4.EXEMPT ❑3.STRMFIR PLATE IV,TANK LE+ .. l, 31 3+r; r [:l tiewrtpf¢0n:9t the,mm(oTiop Ili'SINGLE WALL TANK NONE a53. IP DOUBLE WALL TANK OR TANK WITH BLADDER (Check aI!lilt apply) (Cbwk ane,mm Only) NA ❑1. VISUAL(EXPOSED PORTION ONLY) ❑5.MANUAL TANK GAUGING(MTG) ❑1.VISUAL(SINGLE WAIL IN VAULT ONLY) ❑2.AUTOMATIC TANK GAUGING(ATG) ❑6.VADOSE ZONE ❑2.CONTINUOUS INTERSTITIAL MONITORING [13.CONTINUOUS ATO - ❑7.GROUNDWATER ❑3.MANUAL M ONIIORINIG ❑4,STATISTICAL INVENTORY RECONCILIATION ❑8.TANK TESTING (SIR),BMNMAL TANK TESTING ❑99.OTHER _..._. •f..Yilii i i,. .v .. V.TANK CLOG. ._:_ ._ .. ,,: ",- ESTIMATED DATE LAST USED(YR/M0MAY) 455. ESTIMATEDQUANTITYOFSUBSTANCEREmAINING 4s6. TANK FILLEDWITH INERT TERIAL? 457. V N k O W N 0 8280- O Yea jz No UPCF hwfwro-b(IM)-114 hnp://Sv3vw.unldoexurg Rtv.02/16/00