BILLING 2007 - 2015 - Laserfiche WebLink

Home Browse Search

01 H ED PROGRAM CONSOLIDATED FC.4 �1f ..,HEED UNDERGROUND STORAGE TANK �f OPERATING PERMIT APPLICATION- TANK INFORMATION (One form per UST) TYPE OF ACTION (Check one item only. For a UST closure or removal,complete only this section and Sections 1,11,111,1V,and IX below) 430. ❑ 1.NEW PERMIT ® 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 430. 1 DATE EXISTING UST DISCOVERED: 4396 I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) _ _ 1- BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) MCI, doing business as, Verizon Business BUSINESS SITE ADDRESS 103. 1 CITY 194 2500 W. Turner Road Lodi IL TANK DESCRIPTION TANK ID# 4 1. TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 1 Owens Coming 0 I.ASTAND-ALONE TANK Complete one vase for�h DATE UST SYSTEM INSTALLED TANK CAPACrrY IN GALLONS 436 ❑ MBE 2. INA COMPARTMENTED UNIT cuNITcar in we unv. 435. NUMBER OF COMPARTMENTS IN THE UNIT 431. April 1991 4,000 1 III. TANK USE AND CONTENTS TANK USE ❑ la.MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING 0 Ic.AVIATION FUELING 439. ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Ineluden Ux Oil) 0 5.EMERGENCY GENERATOR FUEL[USC 625281.5(,)] ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN 0 99.OTHER(Specify): 439a. CONTENTS PETROLEUM: ❑ Ia.REGULAR UNLEADED ❑ ]c MIDGRADE UNLEADED ❑ Ib PREMIUM UNLEADED 440, 0 3.DIESEL ❑ 5.JET FUEL 0 6.AVIATION GAS ❑ S PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM(Specify): 440a. NON-PETROLEUM.❑ 7.USED OIL [] 10 ETHANOL ❑ 11.OTHER NON-PETROLEUM(Specify): 440h IV. TANK CONSTRUCTION _TYPE OF TANK ❑ LS I NGLE WALL 0 2 DOUBLE WALL ❑ 95.UNKNOWN 443. PRIMARY CONTAINMENT 0 LSTEEL ® 3.FIBERGLASS 0 6.INTERNAL BLADDER - - ------- ��_-- 444. 0 7.STEEL+INTERN AL LINING ❑ 95 UNKNOWN C-3- 99.OTHER(Specify): 464. SECONDARY CONTAINMENT ❑ 1.STEEL ®3 FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER 0 7.JACKETED 445. ❑ 90:.NONE ❑ 95 UNKNOWN ❑99 OTHER(Specify): 445n. OVERFILL PREVENIION ® 1.AUDIBLE&VISUAL ALARMS ❑ 2 BALL FLOAT ❑ 3.FILL TUBE SHUT-OFF VALVE - - 451. ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION ❑ 1 SINGLE WALL N 2 DOUBLE WALL ❑ 99 OTHER 460. SYSTEM TYPE ❑ 1 PREBSURE Q 2 GRAVITY ® 3.CONVENT11 IONAL SUCTION ❑ 4 SAFE SUCTION[23 CCR p2636(axJN 456. PRIMARY CONTAINMENT �� ❑ 1.STEEL ❑ 4.FIBERGLASS ® 8.FLEXIBLE ❑ IO RIGID PLASTIC 464 ................ ❑ 90.NONE .,,,..,..,.._❑ 95 UNKNOWN ❑ 99 OTHER(Specify): 464.. SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4 FIBERGLASS ® 8.FLEXIBLE ❑ 10.RIGID PLASTIC 4646 ❑ 90.NONE ❑ 95 UNKNOWN ❑ 99.OTHER(Specify): 464,, PIPING CONTAINMENT SUMP TYPE ❑ 1.SINGLE-WALL ® 2.DOUBLE WALL ❑ 90.NONE 4644. VI. VENT,VAPOR RECOVERY(VR) AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT 0 L STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 464e. _.__ _ _ .................. __-_ ........... 4640 ........ ___. .......... VENT SECONDARY CONTATNMENIT ❑ 1.STEEL ❑ 4 FIBERGLASS ❑ 10.RIGID PLASTIC ® 90.NONE ❑ 99.OTHER(Specify): 6411 VRPRIMARYCONTAINMENT .. ... ___. ........O .. . 4648,.. 0 1 STEEL ❑ 4 FIBERGLASS ❑ .O.RIGID ® 90.NONE ❑ 99 OTHER(Specify): g6ag1._ VR SECONDARY CONTAINMENT ❑ I STEEL ❑ 4 FIBERGLASS _ y 464n ❑ ]0.RIGID PLASTIC ® 90.NONE ❑ 99.OTHER(Specify): 464h1- VENT PIPING TRANSITION SUMP TYPE ❑ 1.SINGLE WALL [32.DOUBLE WALL 0 90.NONE 4641.-- __--_ ......... ... .....__..__ " ..._...... ......... '.... ........__ ................. NT 0 I STEEL ® 4 FIBERIGID PLASTI --_-. .__. ............. _____. ........... RISER PRIMARY CONTAINMENT ❑ 10. C ❑ 90 NONE ❑ 99 OTHER(S(Specify): 464j' P 66611.:.. RISER SECONDARY CONTAINMENT ❑ 1.STEEL 0 4.FIBERGLASS ❑ 10.RIGID PLASTIC 0 90.NONE ❑ 99.OTHER(Specify): 464k. ........... - ----- ...... 464k1._ FILLCOMPONENTS INSTALLED .. ® 1 SPILL BUCKET ❑ 3.STRIKER PLATE/BOTTOM PROTECTOR ❑ 4.CONTAINMENT SUMP 43fz<. VII. UNDER DISPENSER CONTAINMENT (UDC) -G7 CONSTRUCTION TYPE ❑ I SINGLE WALL ❑ 2.DOUBLE WALL ® 3.NO DISPENSERS ❑ 90.NONE 469. CONSTRUCTION MATERIAL ❑ 1.STEEL ❑ 4.FIBERGLASS 0--10.RIGID PLASTIC C199.OTHER(Specify) "'- 469c. VIII. CORROSION PROTECTION C STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODES ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION C, 448- IX. APPLICANT SIGNATURE13 CERTIFICATION: 1 certify that this UST system is compatible with the hazardous substance stored and that the information provided herein is true, accurate,and in full corngtiancf with legal requirements. APPLICANT SIGNATUREDATE 4/22/2011 j'...._ °'0 APPLICANT NAME(prmt) Todd Harris °" APPLICANT TITLE Regional Environmental Manager 92-