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JUL-05-00 WED 11 16 AM ENVIRONMENTAL MGMT DEPT FAX NO. 9168758513 P. 02/03 <br /> U W'F?E0 PROGRAM CONSOLIDATED FORA <br /> UNDERGROUND STORAGE TANKS-TANK PAGE I TANKS; <br /> z <br /> dNn i <br /> Yn1 ❑,. NEW$TEPERMn �] 4.AMENDED POWT :aaeT Gt+aK[,S:aFes+DRYAIft" w <br /> ❑A REItl71I, <br /> * Q 6 TEMCRARY9TTE <br /> PERYR f w�Wv�e•�er�Y�oy.1 ! Q 7. 9EJiYRgNTL1 d-LgED ONBIE <br /> ®e1P-Ke rs mrryl <br /> 81 INE NWEf3m u,F LIT�6W ar OBA-OyV Eimno Nl - ] F6QnTm0 ❑ B. TAMILRpIQym ®0 <br /> LJTGTICY �� �srts(t\gNva.a a_et ji...f�:�1 �t V:- 6R <br /> att <br /> ANKI R L TANK DESCRIP7ICN <br /> pp <br /> eaM°"RT"meMreal=rANc ❑ r. NY ase <br /> Iw nd I ANK � mnPlel.air w4•+a...af emle�.1M.R, <br /> NUIINIElil OF <br /> AT7OfTWNAL OEBCRIPTION(FVIaeNAs arryJ � --� <br /> ate <br /> L TANK CONTENIS <br /> TANK USE at5 PETRCLEUy rYPE <br /> ❑ 1. YOTCft VE NICE FUEL Cl IV. REGULAR UNLEADED ❑Z.Ig °a0 <br /> (Y arhaR.emgiem FeaYMee TTP.) Q 1 JEY FUEL <br /> ❑ NCNiLEL PETROLEUM Q M PSCMUM UNLEADED Q x DIESEL <br /> i C EMCALPRCIDUCT 13 1- (a'gq1c WOCRADE UNLEADED }}❑���&� awERN <br /> <10L .OLYN. OTHER �. yy •• ��� <br /> NII7ARDOU$WggiE(//Q�ea COMYON NYIf/hbn NgAAW91M1eNs/nwuoryP9E1 Ll ('.La Yf/M11vx �`— <br /> LLYRCd7 a'�'T AK.NY'i 01p11 4QJ <br /> eL TANKCOKSTRL== - <br /> TYPE OFTANK <br /> DOUBLE. <br /> OUB <br /> E.WALL <br /> Q J. SINGLE wA, vdTfl Q 19NGLEWALL"THINIERNAL BLADDER SYSTEM 4101 <br /> (Ce.NraA.Nam any Q i ���W,� EXTERIOR MEMBRANE LINER <br /> Q a, SWQf WALLINAVAULT Q91 DNT NOWN <br /> QSe. OTHER <br /> TANK PIA.TERIAL-Damen W* :. <br /> !!ARE STMI Q1 ABIUMASS iPILSTIC <br /> Q 1 CONCRETE 13 am UAYNpMM ... <br /> fOnee ary Nam mvq Q 1 STAIWESSBTSal. 4. STEEL CLAD Q e. PRPCOMGanRLEwn00%MEINAMCL C39&. <br /> W/FlOOfE� <br /> TANKYATERIAL-.aoauen Mnt REINFORCED PIA}Tf0 EN <br /> ❑ ' 3ARE STEEL Q Z. RBERGIASS f PL 4STIC O 1 FRP COMPATIBLE WateeR METHANOL ❑95. UNKNOWN N.e <br /> (Cx.v en.m elwl �� Q 2 STAINLPSS STEEL Q a. ST99L MAD WIRREIOLCSS ❑A F"P MONCORROOM-E JACMT Q M. OTHER <br /> 6p [2,a <br /> - REINFORCED PLAS71C RFRF} ,LL COATED SEEL <br /> T <br /> ❑5. coNCFSTF <br /> TAM[INIERXXR LINING Q •. aUBBER LINED <br /> ORCDATING ❑ x EPDXY LINING rrr111❑.A GLASS LJMNG QSS UNKNOWN NA6 DATE ASrAUED MT <br /> O�NM e Q L ALXYO UMW Q a. PHENOLIC LINING =LM S. UNLINED MM OTNER <br /> O,HER CORROSICN Y'` /fveais <br /> PR OTECTICNIFAPPUCABLE C ' MANUFACTURED CATNOGIC Q I. PRIEAGLAS4 REINFORGED PLASTIC gg,,L UNKNOWN "Ill <br /> wyTALLED e.9 <br /> fCMere wdem � � Q a IMPRESSED CURRENT 13 m. orHER <br /> PLM _❑' SAC9IFlOALANOOE <br /> SPILL aNOOVERFlLLlFvAVI w.aNM <br /> TEAiRINSTALLEp 450 TYPE(FUIm/NNseNY) 41 W6RFlLL PROTELTICN EOUIPYENT YEAR INSTa, M <br /> 11CMt "=,.PPa'/ QWILL CONTAINMENT Q 1. 4LAR11 <br /> ❑1. FlLLTUBESHUTDEFVALbe <br /> yy Q "c DROP"E p <br /> �3r Q 2 9AL1 FLOAT ❑N. EXENPf J, <br /> STI§KEn PLn9F' <br /> N- TANK LEAK OEFWnCN <br /> IP SA9GLE WALL TANK IC+ea aY mal ataYX 43 QDOUBUWALL TAMC LTANKMRTN BLADDEG ICa.sesa.m <br /> ❑ 1, NSUN.(EXPC5E0 PORnOL_NLvl °M'1' 'i5N <br /> MANKAUG <br /> GING IMTGI Cl T. VISUAL(gNGLE WALLIN VAULT ONLY) <br /> 132 AUTOMATIC TNIL EAUGING:aiGl ❑ e. VAOCSE OCSSM7ANE Q 1. CONTNLCLS MTERSTTifAI.yyRTLyRING <br /> ❑ 1 CONTINUDU9 ATG ❑ GROUNDWATER ❑ T. MANUALYOWTORNG <br /> ❑ N. 3TATISnCN.INNENTOAV 4E«-^NNOIJnnON(S1R1- ❑ 9. TANKTE=NG ,"1L <br /> BIENNIAL TANK TESTING 'x <br /> Q 99. OTHER <br /> V.TANK CLOSURE INFORMATIONI FERMANENTCLOSURE IN PLACE <br /> ESnMAYIA OATS LAST USED(VRAt.4LT) a5E ESTMATED CDANTrtT CS SURSTANCIE TLEMAIMNG <br /> .Se TANKFlLLSD WITH INERT MATEAIatT <br /> �,L0i '�f:151i3�'s N5T <br /> y1eiM ' <br /> ❑Ya. NP <br /> UPCF(1199) <br /> Forme*SKRCB Forth 8 <br />