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------ <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS-TANK PAGE 1 <br /> twolana <br /> Papa _ of <br /> TYPE OF ACTION al. NEWSRE PERMIT ❑ 4. AMENDED PERMIT ❑ 5. CHANGE OF INFORMATION) ❑ 6. TEMPORARY SITE CLOSURE O <br /> (CA one Sem only) 0 7. PERMANENTLY CLOSED ON SITE <br /> 03. RENEWAL (SFeCly mason-hulmlus only) ( PaCiy charge-Mbalua wW) ❑a. TANK REMOVED 430 <br /> PERMIT <br /> BUSINESS NAME(Samsu FACILITY NAME or Dng BA-DoB.-A•1 ] FAC6ITYIDt <br /> 007�� <br /> MGG.TION IMITHIN1e2 <br /> A ' <br /> 1.TAt#DESCRIP-n N <br /> TANKIDS 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yea ❑ No 04 <br /> 'T" SGo If-Yes'.moped we Page for sa,%coinpemem. <br /> DATE 05T_L D(YEAR/M 1 135 iANKCAPACITY IN GnLLONS 136 NUMBER OFCOMPARTMENTS O{� <br /> 701 uN� o0 2 +jg <br /> ADDITIONAL DESCRIPTION (For lural use oNY) 436 <br /> 11.TANK CONTENTS <br /> TANK USE 439 PETROLEUM TYPE 410 <br /> 1. MDTORVEHICLE FUEL 01a. REGULAR UNLEADED ❑ 2. LEADED ❑ S. JET FUEL <br /> IfineBee.mlpAeh Pelmm.Type) C>tU. PREMIUM UNLEADED ❑ 3. DIESEL ❑ 6. AVIATION FUEL <br /> ❑ 2. NON-FUEL PETROLEUM `fes <br /> ❑3.CHEMICAL PRODUCT ❑1c. MIDGRADE UNLEADED ❑ 4. GASOHOL ❑99. OTHER <br /> ❑ 4. HAZARDOUS WASTE(lyduCes COMMON NAME(hom HAzeE s M4 s ln"nWY page) 441 CAS t(hwn Hasalloux Mahnala Invenhkypape) 42 <br /> Uee0 Oil <br /> ❑95. UNKNOWN <br /> BI.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ 1. SINGLE WALL ❑ 3. SINGLE WALL WITH S. SINGLE WALL NTH INTERNAL BLADDER SYSTEM 11] <br /> fcheeh aesi only) EXTERIOR MEMBRANE LINER <br /> �I. DOUBLE WALL 095. UNKNOWN <br /> 04. SINGLE WALL IN A VAULT <br /> ❑99. OTHER <br /> TANK MATERIAL-Primary hnk f}i. BARE STEEL ❑ 3. FIBERGLASS I PLASTIC ❑ 5. CONCRETE 1195. KNW <br /> 95. UNKNOWN <br /> (CImm*co,Lem molly/ 7❑`2. STAINLESS STEEL ❑ 4. STEELCLAD ❑ 6. FRP COMPATIBLE W/100%METHANOL ❑N. OTHER <br /> NRUERGLASS <br /> REINFORCEO PLASTIC FRP <br /> TANKMATFRIAL-e4mn0eryhNLO 1. BARE STEEL 4. FIBERGLASS/PLASTIC ❑ 6. FRPCOMPATIBLEW/100%METHANOL 095. UNKNOWN 415 <br /> (CMec*.e only) ❑ 2. STAINLESS STEEL ❑ 4. STEEL CLAD WIFIBERGLASS ❑ 9. FRP NON-CORROOIBLE JACKET ❑N OTHER <br /> REINFORCED PLASTIC(FRP) [110. COATEDSTEEL <br /> O 5. CONCRETE <br /> TANK INTERIOR UNING 1. RUBBER UNED ❑ 3. EPDXY LINING ❑ 5. GLASS LINING ❑95. UNKNOWN 446 DATEINSTALLED 417 <br /> OR COATING <br /> ❑ 2. ALKYD LINING ❑ 1. PHENOLIC LINING S. UNLINED ❑99. OTHER <br /> Chew ariekerrG on Fwlogl uss oN <br /> OTHER CORROSION 1. MANUFACTURED CATHODIC ❑ 3. FIBERGLASS REINFORCED PLASTIC 095. UNKNOWN 446 DATEINSTALLED M9 <br /> PROTECTION IF APPLICABLE PROTECTION <br /> ❑ 1. IMPRESSED CURRENT ❑99. OTHER <br /> (Chec*ona 4errlonly) ❑ 2. SACRIFICIAL ANODE (Fwlopluse only) <br /> SPILL AND OVERFILL p YEAR INSTA�LLE�D 450 TYPE(Forloml Lee only) 451 OVERFILL PROTECTION EQUIPMENT YEAR INSTALLED 452 <br /> (ChockasfhMaopy) r I. SPILLNj <br /> CONTAINMENT� ❑ 1. ALARM . FILL TUBE SHUT OFF VALVE ZckDf <br /> Z DROPTUBE ./0, (I ❑ 2. BALL FLOAT ❑ 4. EXEMPT <br /> 3. STRIKER PLAat <br /> G N. TANK LEAK DETECTION <br /> M SINGLE WALL TANK(Chock ab hataopy): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER(Check arle item My): 451 <br /> ❑ 1. MS�AL(EXPOSED PORTION ONLY) ❑ 5. MANUAL TASK GAUGING(MTG) ❑ 1. VISUAL(SINGLE WALLIN VAULT ONLY) <br /> ❑ 2. AUTCMATICTANKGAUGINGLATG) ❑ 6. VADOSEZCNE j12. CONTINUOUSINTERSTITIAL MONITORING <br /> 3. CONTNuOUSATG ❑ 7. GROUNDWATER ❑ 3. MANUALMONITORING <br /> ❑ 4. STATISTIDAL INVENTORY RECONCILIATION(SIR)• ❑ S. TANKTESTNG <br /> BIENNiPLTANKTESTING 099, OTHER <br /> V.TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE <br /> ESTIMATEO GATE LAST USED(YRNOMAY) 455 ESTIMATED QUANTITY CF SUBSTANCE REMAINING 456 TANK FILLED NTH INERT MATERIAL? 157 <br /> gallons ❑Yee ❑No <br /> UPCF(11991 • • Formerly SWRCB Form 8 <br />