Laserfiche WebLink
11124k • <br /> it <br /> UNIFD PROCONSOLIDATED FORM �6 <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 1 I'PIX 4b <br /> (Two pages per tank) <br /> i <br /> TYPE OF ACTION ,NEW PERMIT Pa4p ofL <br /> 4.AMENDED PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY TANK CLOSURE no. <br /> (G«t one.it <br /> only) ❑ 3.RENEWAL PERMIT <br /> ❑ 7.PERMANENTLY CLOSED ON SITE <br /> (specify r<sson) (spxify reamn) ❑ 8.TANK REMOVED <br /> B,B S NAME(same as FACILITY-NA/ or DBA-Do�i;BBusinc 3. FACILITY Ip; y: xpy.- <br /> IFI r! <br /> L CATION THIN SITE("eme l) <br /> of c� (�TNI. �ILOi�I 451. <br /> X;TANK:DEscxuax>orr <br /> TAA.4caled lot Ian wiih theWation oftha USS';; stem mclgdw ,bu(Ig1 <br /> NKIDH 45x TANK MANUFACTURER 0 :And',p.. rgarlys-shl.I,,be,;46miKed;:{olbe fpfpl,ggenc. . <br /> DATE MSTALLED COMPARTMENTALIZED TANK Yes o 4J4 <br /> 450. TANK CAPACITY IN GALLONS U6. NUMBER <br /> COMPARTMENTS earl mmpanS <br /> (YEAR/MO) NUMBER OF COMPARTMENTS <br /> / So 437. <br /> ADDITIONAL DESCRIPTION(For Boal use only) <br /> 439, <br /> II .t'QNTN <br /> TANK USE 439. PETROLEUM TYPE <br /> ❑ I. MOTOR VEHICLE FUEL ❑)y REGULAR LEADED o. <br /> (It<hecked,mmpine Pctmkum type) ❑2' LIiADED 11 s. JET FUEL <br /> [1 2. NON-FUEL PETROLEUM ❑It. PREMIUM UNLEADED [13. DIESEL ❑6. AVIATION GAS <br /> [Ile. MIDGRADE UNLEADED ❑q, GASOH04 1199.OTHER: <br /> (/✓��❑ 3. CHEMICALPRODUCT COMMON N <br /> ❑ 4. HAZARDOUSOUSWAwASTE AME(from Hawdpus Materiels lnvemorypaee) 441 CASH(bom HazardousMated.1.1t etu <br /> (Includes used oil) wPaBe) 445. <br /> 95.UNKNOWN <br /> TYPE OFTANK <br /> 1. SMGLE WALL ❑3. SMGLE WALL WITH EXTERIOR ❑5. SMGLE WALL WITH INTERNAL BLADDER SYSTEM au, <br /> (Check one item only) <br /> ❑2. DOUB MEMBRANE LINl]t ❑95. UNKNOWN <br /> TANKMATERIAL_primW�^L 4. SMGLE WALL INA VAULT Q 99. OTHER <br /> ary wk , BARE STEEL ❑3. FIBERGLASS/PLASTIC <br /> (Check one itemonly) ❑2. STAINLESS STEEL ❑5. CONCRETE 95.UNKNOWN 444. ' <br /> ❑4. STEEL CLAD W/FIBERCLA$5 ❑8. FRP COMPATIBLE <br /> REINFORCED PLASTIC FRP ❑99.OTHER: <br /> TANK MATERIAL_serondaryV 1. BARE STEEL 3. FIBERGLASS/PLASTIC W/100%METHANOL <br /> (Check one item only) 'e. FRP COMPTIBLE W/100%METHANOL 93.UNKNOWN 445. <br /> . STAINLESS STEEL❑4, STEEL CLAD W/FIBERGLASS ❑9. FRP NON-CORRODABLE JACKET <br /> REINFORCED PLASTIC(FRP) ❑!0. COATED STEEL ❑99.OTHER <br /> TANK INTERIOR LINING 6 RUBBER LINED ❑5. CONCRETE <br /> OR COATING ❑2.ALKYD LMING 3.EPDXY LINING 5.GLASS LMING ,s5.UNKNOWN <br /> ' <br /> Check one item onl <br /> ❑4.PHENOLIC LINMGI4LINED tJ 99.OTHER 446. DATE INSTALLED 445, <br /> OTHERCOAROSION ❑1.MANUFACTURED CATHODIC 3.FIBERGLASS REINFORCED PLASTI <br /> PROTECTION PROTECTION .UNKNOWN 44 S. DATEMSTALLED 449. <br /> HA A licable 2.SACRIFICIAL ANODE ❑4.IMPRESSED CURRENT ❑99.OTHER <br /> SPILL AND OVERFILL YEAR INSTALLED 450. TYPE 411. OVERFILL PROTECTION EQUIPMENT: YEARINSTALLED 45z. <br /> (Chak all that apply) ❑i.SPILL CONTAINMENT <br /> 112 <br /> 2.DROP TUBE �/� ❑1.ALARM [13.FILL TUBE SHU FF VALVE <br /> 3.STRIKER PLATE .„ / V [12.BALL FLOAT ❑4.EXEM <br /> IS�."1'A1�TK;L,EAIf` Tdr"TYii r <br /> (A ddscri tign bf4hemonitonng ro ram ghall be subfni(IpR Co th&loeala ency., <br /> IF SINGLE WALL TANK <br /> (Ch ell slut apply) 451• IF DOUBLE WALL TANK OR TANK WITH BLADDER 454. <br /> ISUAL(EXPOSED PORTION ONLY) El 5.MANUAL TANK GAUGINGMTG (Check one item only) <br /> ❑2.AUTOMATIC TANK GAUGING <br /> ATG ( ) ❑1.VISUAL(SINGLE WALL M VAULT ONLY) <br /> (ATG) ❑6.VApOSE ZONE <br /> Q 3. CONTINUOUS ATG ❑2.CONTINUOUS INTERSTITIAL MONITORING <br /> ❑7,GROUNDWATER <br /> [D4. STATISTICAL INVENTORY RECONCILIATION 3.MANUAL MONITORING <br /> Cl❑8.TANK TESTING <br /> (SIR)+BIENNIAL TANK TESTING 099. OTHER <br /> V TANGX OL�Ik INF01kf'A �Nl > I�NtE7TLf9UYtIlLr10E' <br /> ESTIMATED DATE LAST,USE 0/ppy) 4st. p�nMA F SUBSTANCE REMAINING <br /> Un/ --TED Q-LUITLY 0 456 TANK FILLED WITH INERT TERIAL7 455. <br /> /V gallons <br /> ❑Yet 4KO <br /> UPCF hwfwrc-h(1/99).114 h ItP:Hwwlv.unidocs.org <br /> Rev.02/16/00 <br />