Laserfiche WebLink
MW INIFIED PROGRAM CONSOLIDATED Fu_ ./ <br />TANKS <br />UNDERGROUND STORAGE TANKS - TANK PAGE 1 (T- p&M per tank) <br />Page -ef- <br />TYPE OF ACTION B 1. NEW PER19T ❑ 4. AMENDED PERMIT M 5. CHANGE OF INFORMATION ❑ 6. TEMPORARY TANK CLOSURE <br />4xi <br />a w" :x. C ttA N 4E ❑ 7. PERMANENTLY CLOS® ON SITE <br />(Cb.k. J*aa my) ❑ 3. RENEWAL PERMIT <br />(SP.Yn.* (SP-ify ❑ S. TANK REMOVED <br />1. <br />BUSINESS NAME(smrFACLf1Y NAME mDBA -1>oe.ISrrr N) 3. FACII.ITY ID: <br />L ( KI pI-M m A k.K �----r <br />LOCATION WITHIN SIIE(OpeoaL <br />- LAST <br />AI. <br />$Zo3 kE H-W`F 2 -Co 5'tMK-MN <br />Z TANK DESCRIPTION <br />(A w.led with the k scion of tha U57 a t®' huBdo nd I.odtuub 90 to tEIJ Ya No <br />4x <br />A�RTbc <br />TANK ID M 432 TANK MANUFALTURFR TANK <br />oD tJTcZDtll vrr �alra.r�tr.�Mm�.�s <br />DATE INSTALLED 435. TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMINTS <br />437. <br />(YEAR/MO) UA m Nk I b1 00 0 <br />436 <br />AD MONALI)ESCRFMN(Fwl d...w <br />II. TANK CONTENTS <br />TANK USE 43A <br />PEIROIEUM TYPE <br />a4a <br />lin 1. MOTOR VSHICL.EFUEL <br />tfi 1.. REGULAR UNLEADED ❑ 1 LHADED ❑ 5. )ET FILE. <br />(Icb.k.3. oov g, pard -Type) <br />13 l PREMIUM UNLEADED ❑3. Dom. [3 6. AVIATION OAS <br />❑ 2- NON -FUEL PETROLEUM <br />❑ la MIDGRADE UNLEADED [34. GASOHOL ❑ 99 OTHER: <br />M2 <br />441. <br />COMMON NAME (ema ff s Yndb mrrvYPe') <br />CAS#(6® B. adze M41ub 4MUYPva) <br />[33. CHEMICAL PRODUCE <br />❑ 4. HAZARDOUS WASTE <br />O.W. Uvmd OQ <br />� �1 G p- 50 (-t lit= <br />❑ 95. UNKNOWN <br />III. TANK CONSTRUCTION <br />wk <br />). snaol.EwAlt . sINGHwALLwrrx�crEuoR s. �rGLawALLwtrxEaTffi(NALBLADDERSYSTEM <br />TYPEOF! 55, 3 L <br />ul <br />Mffi. LINER ❑95. UNKNOWN <br />(Cheek ® item only) DOUBLE WALL 4. SINGLE WALL IN A VAUL7 99. OTHEi <br />TANK MATERIAL -'a<Ywek ul. ISARESIBBI. 3. FEMRGIAS.9/PLASTIC ❑5. CONCRETE 13 95 UNKNOWN <br />44l <br />❑ 2- STAINLESS STS. -S4. STEEL CLAD W/FIBEIROLASS ❑ S. PRP COMPATIBLE ❑ 99. OTHEt <br />RffiNNFORC®I1.A9TIC ) W/100%METHANOL <br />TANK MATERIAL --------- I. BARE STIP. 3. FIBERGLASS/PLASHD S. PRP COMPTIBLEWA00%MBCIWNOL 95. UNKNOWN <br />H3. <br />(L•y,� sm mly) ❑ 2 STAINLESS STEEL U4. STEEL. CLAD W/FEEEtGLASS C]9. FRPNON-CORRODABT )ACKET ❑ 99 OTHER <br />REINFORCED PLASTIC (PRP) [310. COAT® STEEL. <br />S. CONCRETE <br />TANK ARTERIOR LINING 1. RUBBER LINED 1 ffi'OXY LINING S. GLASS LINING 95. UNKNOWN 416 DATE INSTALI.E/ <br />uY. <br />OR COATING ❑ 2 ALKYD LINING ❑ 4. PHENOLIC LININO ❑ 6. UNLINED ❑ 99. OTHER <br />(Check®bm ) <br />OTHER CORROSION Ql.MANUFACTURhUUAIffQVJC Q 3. FIBERGLASS REINFORCED PLASTIC 0 95, UNKNOWN 446 DATE INSTALLED <br />u9. <br />PROTECTION PROTECTION ❑ 4. IMPRESSED CURRENT ❑ 99. OTHER <br />Applm-blal 131 SACRIFICIAL ANODE <br />�w.ANDovE1FH.L YP SrALLED 4xi TYPE I4_31. ovElFacPROTECTIONH2UtP&ONT: YEARINSTALLEo <br />I. ALARM 3. FILL TUBE SHUN OFF VALVE <br />452 <br />(Check aL de, apply) "I. SPH.I. CONTAINMENT % 2 �(. <br />04. <br />Imo. DROP TUBE LOU OPW ❑ Z HALL FLOAT_ EXEMPT <br />3. STRIKER PLATE K <br />IV. TANK LEAK DETECTION <br />(A fthe mandating propsam shall be eahmkW to the local. ay.) <br />W SINOIE WALL TANK 431 It DOUBLE WALL TANK OR TANK WITH BLADDER <br />434. <br />(Chock all tlaa apply) (Clank me hem *) <br />131 VISUAL (EI'OSI ) PORTION ONLY) ❑ 5. MANUAL TANK GAUGING (MTO) ❑ 1. VISUAL (SINGLE WALL IN VAULT ONLY) <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) ❑ G VADOSE ZONE ❑ 2. CONTINUOUS INTERSTITIAL MONITORING <br />[13. CONTINUOUS ATO ❑ I. GROUNDWATER ❑ 3. MANUAL MONITORING <br />❑ 4. STATISTICAL INVENTORY RECONCILIATION ❑ S. TANK TESTING <br />(SEN)+ BffiRNIAL TANK TESTING 099. OTTER <br />V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE <br />PSIIM.ATED DATE LAST USED (YILMO/DAY) 45S <br />E4TTMATED QUANTITY OF SUBSTANCE REMAINING 436. <br />TANK FILLED WITH INERT MATERIAL? <br />457. <br />�I� <br />❑ Ya ❑ No <br />UPCF hwre b(11" -LO naPd/www.mux.mi Rev. 02/16MO <br />