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JUL-Utl-UU wtu 11 , 16 AM ENVIRONMENTAL MGMT DEPT FAX N0, 9168758513 P, 02/0 <br /> _ - <br /> /4as i <br /> UNIFIED PROGRAM CONSOLIDATED FORY ®I <br /> \�\ <br /> UNDERGROUND STORAGE TANKS-TANK PAGE 1 �\ TANKS <br /> � _ AMIa <br /> m QT. NEWSNE PERMIT Q 4.AMENDED PERMIT Ps" d <br /> CLSAMpE OF KQRyNTIQfI <br /> ❑ <br /> 113 REMELT 6.TEMPORARY SITE Q CA <br /> O <br /> . <br /> PERMR 7. Peammo RpaffiEDOM <br /> 81 INE <br /> NAME ISMnYFAGNTRAMaDBA- _ LJB TANK RemomD <br /> All:OeNO(AmrMla ] FAOUTTIO. I D` <br /> LccAnav srrf(DP,,,n <br /> . L TANK DESCRIP}IDN \��� <br /> YL ❑ rr v�n ITV��� v� �abi ilt5 o!LJ i,rL cO4DARTx�"�'rusfD��m.P.D.,tr..el w ad <br /> ANK IN NU R <br /> k LV\� vkL <br /> ADDrrIOrRK OESCRIPRO!(Fd lea®^M'/ <br /> aV <br /> Y.TANK cONTEw TS <br /> TANK USE 4§ PETROLEUM-fn <br /> ❑ 1. LRDTaa VEnICiB FUEL ❑14- REGULAR UNLEADED ..R <br /> rem. r(#PaMMeTFDi) ❑�. LEADED ❑ S JE'TFUEL <br /> ❑ <br /> 2.=PETRd.EUM Qle. PREMIUM UNLEADED Q ]. DIESEL ❑8.AVMTON <br /> D 1 CNENIOALPAQQWCT ❑1. MIDGRADE UNLEADED ❑4. GISOMC, in__. 07� <br /> �4. (lam DWS w43TE(Inceos COMMON NAME rh--oTTm Maxameu9MbAMe,^w+mMPNM) -1 CASi(manNriaN,df MMMAOmrriFP.0.1 u7 <br /> ❑B5. UNKNOWN <br /> IW TANK CONSTRUC'RDN <br /> TYPE E-� ] <br /> SINGLE WML ❑ ], SINGLE WALLVAINSINGE Wpl1 W1TN IMTERNAL <br /> (L'J Q --1 DOUBLEWALL EXTERIOR MEMBRANE LINER Q 95. UNKNOWNQ 4. SINGLE WALLIN AVAULTW. OTHERTANK SFARE STEEL QS FIBERGLASS PLASTIC <br /> CONCRETE 13M um(NO"�' ❑2 STAINLBSSSTGEL W❑ A STGFELSLAO Q B. PRPCOMPATIBLEWI10%METNANL.0OL Ow 0}1fEq— <br /> TANK MATERIAL-semMMy Milt REINFORCED PLASTIC FR <br /> ❑ - BARE STEEL ❑3. FIBERGLASS <br /> /PLASTC Q B. PRPCDMPARBLEWlo0%NEf)NNOL ❑95. L1NIagWM "I <br /> (CAaY ana mNn eNsg /" ❑ Z STAINLESS STEEL D 4. STEEL CLAD W/FIBERGIASS ❑ 4 FRP Lo4CORRODIBLE JACKET ❑BB. onRI:R <br /> IA REINFORCED PASTC FRp C3 la COATED STEEL <br /> 9 ❑s. cONQiETE <br /> OR COATING <br /> LINWG Q RUBBER UNEO <br /> OR COATING ❑ ]. EPDXT LINING a❑.S GLASS iLNING Q95. urvKNOMN ue OATS u15TALL1]J uT <br /> er MN*d Q a A.Pvc UNING D A PNENDUC LINING I{M B. UNUNED ❑w-OTHER <br /> OTHER CORROSION ✓ Formals <br /> PROTECTION IF APPUCABLE D MANUFAG ElI CATNOOIC O 7.FIBERGLASS REINFORCED PLASTIC UNKNOWN 44B DATE INSTALLED uB <br /> PROTECfKNN ❑ A IMMESSEDCUPRENT <br /> (Crv_Nm oN)y ❑ ' SACRIFIClAIANODE 13 92. OTTER <br /> SRLLANOOVERFILL (Farmm/s sw <br /> YEARINSTALLEO 450 TYPE(FN(om eAy/ 45Eal"PLI PROTECTION EQUIPMENT YE RINSTALLED <br /> �lQAie(,APmriPPY1 ❑ ' SPILL CONTANAENT <br /> �ry M ❑3. FILL TUBE SHUT ITFFVALVE <br /> Q i OflOP TUBE FLOAT —_- <br /> 9R Q d. E3ENPf /p <br /> ❑ _ 3TmKER'P1VyF- x;p./Q- <br /> N- TANK LEAK OETEOTLDN <br /> IP BWCE WALL TANK fCAci u(INI4{QY). 463 IF OOUBLE WALL TANKOR TANK wrIN atAOOER rl.Mar er Alm <br /> ❑ 1, VISUAL(EXPOSED PORTION_NLn NN�� <br /> 'K .S MANUAL TANK GAUGING(MTGI Q 1. ASUAL(SINGLE WALL IN VAULT ONLY) <br /> E32 AUTOMATIC TANK GAUGING::iGI Q B. VAOCSEZCNE Q 2 CCNTINUGLS INIERSTRW-aLpMITpgING <br /> L I. CCNNUCATG ❑ GRWNDWATER ❑ ]. MANUAL A1014TORING <br /> ] nUS<. STATISTICAL 1MVEMTpRV RE_'NOUATON(SIR)- ❑ B. TANKTEBRNG <br /> BIENNI4 TANK TESTING I� dS <br /> a s9. <br /> OTHER <br /> V-TANK CLOSURE WFORMATI,OWN�T PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(VRnX ' 455 ESTINATEO QUANTITY W SURSTWdCE REMAINING <br /> YkL� �/� ��/}.! --�_ 456 TAN(FlLLED W1TN wERT MATERUJ.T <br /> i� dA <br /> Q Yea <br /> NR <br /> UPCF(1/99) <br /> FoRnerly SWRCB Form 8 <br />