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UNIFIED PROGRAM CONSOLIDATED <br />TANKS <br />UNDERGROUND STORAGE TANKS - TANK PAGE 1 <br />(Iwo p� p- �) <br />TYFHOFACTION 01.NHWpBQyIT �-d- <br />❑1.Al�JDHDP®thl7 }g S. CHANGE OF INPoRM6ATKIN <br />(Chetsday� ❑ 3. RENEWAL FHFDf17 ❑ 6. rHLIpRARY TANK CIOSIELB ULL <br />NF -L, O C AI t% ❑ 7. F91MANBNTLy CLOSED ON SITE <br />(sps;yn.y tsl�rs� <br />BUSAI❑ RTANK REMOVED <br />ESSNAME(Ss.FACE.f1YNAM¢eDIN-1>,�6 ne:�A.) T. FACILITY IIk <br />G (/vU rn�reK� o a 3 �9 1. <br />LOCATION WIl'HIN STTE (co..* <br />Zo3 E !•fW �4 ( STDGK7�Dti!- L(S f 94A <br />L TANK DESCRIPTION(A eoeled will the lmm aftbs UST 0ITANK ID N U2 TANK MANUEACI uR u3. COtdPAR1MEl71'AII7Ep TANK YaI%)dOC�iZAI �Jf (>, DATENSTALLED 13i TANKCAPACII'YAIOALJ-V0 1T6 u � rJ NUMBER OF COMPAR-1 5, D O o Z ADDr1TONAL D-ESCRIPTIONG'abal.w0 <br />II. TANK C0 77[N7Q <br />Ei 1. MOTOR VEHICLE Pvm <br />(rdYd-4®euepType) <br />13 1& 132 LHADH) <br />[3 5. IST PURL Ile <br />❑ 2 NON-rjm pmxoLmm <br />❑ Ih PAHA UNLEADED Il DIESEM <br />❑ 6. AVIATION OAS <br />133. CHEMICAL PRODUCT <br />❑ la SDH Ute® 0 . GASOHOL <br />❑ 99. OTIHHt: <br />❑ 4. EAZARDOU9 WASlB <br />COMMON NAty� (b LlsaJoe tlreYln'✓avp�) <br />WI. CASH (�HoJoa MLroYyeepgp�) M2 <br />cLsba.vrwD <br />�/�:✓Z � Z <br />❑ 93. UNKNOWN3�- <br />w9. <br />'/ <br />O� �1MpROTEC7ION BQUE'AffiNT: YEARINSTALLED <br />TIL TANK CON318UCTION <br />TYPE OF TANK <br />(Lhw me mm m(S') <br />1. SINpLEWALL 3. MNOU <br />MEMBRANE WITH ®(T'HHIOR <br />S. SINGLE WALL WITH INTERNAL BLADDER <br />02 DOUffiA w�v i. MA o..,.:..,...... _.. _..__ <br />SY SfHM 10. <br />13 91 UNYNOWN <br />(lets�aeb) S <br />13 2. 9TAINLHSSSl ❑9S. UNFNOTVN <br />Z4. STEEL CLAD W/F[E11811GLASS ❑ a. PRP COMPATIBLE <br />w <br />❑ 99. OTABQ <br />TANKMATHRIAL- REINFORCED PLASTIC WAObK MlBIgAl10L <br />�°O�Yl+et 1. BARB 9TBHI.. 3. FIBERGLASS/PLASTIC <br />I. FRPOOmPnBIEWAWfi MBfEANOL 93.UNKNOWN <br />(Chet ate Gem m1F) ❑ 2 STAINLESS STEEL, N1. SLE&. CLAD W/FU EBOLASS <br />N] <br />❑ 9. FRP NONLORRODABLE IACKBT ❑ 990TEM <br />�RTH PLASTIC (IRp) ❑IB COATED STEEL <br />6 O <br />COATING ❑ 2 ALKYD LA`INp <br />OR CCAT'Ho LITT>R70 I. RUBBHRINING 3. EPDXY LDIIIIO 6. OI.Il III I, I'll 95. UNKNOWN H6. DATBINSTALLED <br />❑ /. PHENOLIC LINING <br />Cook am � <br />(C ❑ 6. UNIFIED ❑ 9R OT88B <br />Ml. <br />07AHR CORRO9(ONU L MANUFACTURED CATHODIC 3. F1BHB(GLASS RBIMORCED PLASTIC <br />PROTECTION PROTECTION 93. UNKNOWN <br />❑ 1. plRggSBll CURRENT Nl DATBINSTALLHD <br />2 SACRIFICIAL ANODE ❑ 99 OTEE1 <br />w9. <br />SPILL AND OVID2FIIy YEARINSTAIy® T <br />(ChsrJ[WtLl yply) Q7. 9PILl, CONTALNMHNi 2O Z tl0. pLrl-h'CpDL <br />O� �1MpROTEC7ION BQUE'AffiNT: YEARINSTALLED <br />DROP TUBE <br />M �' TUBE SHUT OFF VALVE <br />u2 <br />B 3 STRIXEM PLATE _ IAN a <br />❑ 2 BAIL FLOAT ❑ 1. EXEMPT <br />rv. TANK LEAK DEnw77AFr <br />(Chet all dt apply) 1u IF DOUBLE WALL TANK OR TANK WTIH BLADDER <br />13, VISUAL (EXPOSED PORTION ONLY) ❑ S. MANUAL TANK GAUGING (Chet <br />❑ 2 AUTOMATIC TANK GA[IGIIlG ATO) (MTG) 13, ' �)�' (� WALLIN VAULT ONLY) <br />❑&VADOSE ZONE ❑2 CONTRIMUSLNTEPST1TTALMONITORM <br />❑ 3. CONTDWOU9 Aro ❑ 7. GROUNDWATER <br />[34. STAT7S7ICALINVWq 10RY RECONCE.UTTON ❑ 3. MANUAL MONITORING <br />❑ S. TANK TESTING <br />(SIR) + BDR04AL TANK THIl ❑ 99. 077M <br />V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE <br />ESTIMATED DATE LAST USED (YR/MOiDAY) 153. ESTIMATEDQUANTTTYOFSU&STAIKH R®fAININ(3 1H <br />TANK FILLED WITH INERT MATERIAL] <br />BeRao ❑ Yd ❑ No <br />UPCF hwft b(L99)-1/4 h"J/www./nNumetK <br />Rev. 0yl(JM <br />