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s u�Cu rnuunnm 1.unou uuns cu runm • m <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 1 <br /> (NVo pages per tank) <br /> Pay_ol_ <br /> TYPE OF ACT IDN ❑1 NEW SITE PERMIT ❑ A AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE <br /> (Check one Ilam only) ❑ 7 PERMANENTLYCLOSEDON S1TE <br /> 0 3 RENEWALPERMIT ap"Irygeeen-yaleoPeweny) Ispclp rm:en_le.lewl use only) ❑ B TANK REMOVED 130 <br /> BUSINESSNAME(Samo as FACILITY NAME or DBA-Dome Bosoms k) FACILITYID. I <br /> Beacon Station 83492 <br /> LOCATION WITHIN SITE(ovxon.q <br /> 131 <br /> $CIIIF?i,11I)III, e!t l>II?m I[ witw.tRB Iftl 1? <br /> +�'i9 '.'rw//,7ir'!/;:•.;�q;..�N, l'; -9 U. :».% 4:i/ /� '-.. ::i.// Iii <br /> .a/. %ip}//,. %.¢ .y;:. l(•�: .,.//,iB / i:i i'iY>e�!• .:'%%/{�h�": �f%/h4tiwr�i. i!/�• %i n/i�1.1 '%/.'S n:%i% <br /> TANK ID a q2 TANK MANUFACTURER 133 COMPARTMENTALIZED TANK U Yea R9 No131 <br /> 3492-1 TTU9C0 was.temp oe e w Page kh Ase..."nma+I. <br /> DATE INSTALLED(YEARrMO) a35 TANK CAPACITY IN GALLONS 139 NUMBER OF COMPARTMENTS 137 <br /> 12/90 14000 1 <br /> ADDITIONAL DESCRIPTION Ica and m any) s>a <br /> '�''� '.'{Sjtvjil%%i%%.:i�% ;I: �{";,:i'•' ':i��'?::%";;%,'i:%v!:jY::V "'II% ,K� ;'t. n/6 ,;}:,: ,.� <//fie.;,, <br /> { <br /> TANK USE 439 PETROLEUM TYPE <br /> „fro <br /> 01 MOTOR VEHICLE FUEL 019 REGULAR UNLEADED 0 2. LEADED 0 5. JET FUEL <br /> (il mahed comeiale Pe110lerm 700) 13110. PREMIUM UNLEADED 03. DIESEL ❑6. AVIATION FUEL <br /> ❑2. NON-FUEL PETROLEUM 0 Io. MDGRADE UNLEADED ❑4. GASOHOL <br /> Q 99.OTHER <br /> 03. CHEMICAL PRODUCT COMMON NAME (hwn Hkt., oee Malehls lmynloy Pope) All CASN(hem Meaeroc,,Moagelsl,Nery Page) 112 <br /> 0 d. HAZARDOUS WASTE 0006.61.9 <br /> (Includes heed O9 <br /> 0 95.UNKNOWN <br /> „'^, {;,..'l,:•; Yivi��lif".'�:i1'tf,'i'ii%('•if.�.' y1't.'. .i'. K MST - p. ..i,�,:e.:; �;,y �n.y,.r lig:,.j';w i• vi rr:,�.v.. <br /> y ,. . .1.:.: '�: i�tr4,'f <br /> TYPE OF TANK ❑/. SINGLE WALL ❑3.SINGLE WALL W ITN 0 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 4q3 <br /> (Cbn rm,m e o,ay) EXTERIOR MEMBRANE LINER O 95. UNKNOWN <br /> ®2. DOUBLE WALL [IA. SIGNLE WALL IN VAULT 1100 OTHER <br /> TANK MATERIAL-PdmaryimM I. BARE STEEL 3. FIBERGLASS/PLASTIC 5. CONCRETE ❑B5. UNKNOWN 111 <br /> (Checkeeekemu.Iy) 02. STAINLESS STEEL ❑A. STEEL CLAD W/FIBEROLASS ❑B. FRP COMPATIBLE W/ Dae.OTHER <br /> REINFORCED PLASTIC(FRP) 100%METHANOL <br /> TANK MATERIAL-sln to wk 111. BARE STEEL 03. FIBERGLASS/PLASTIC EI S. CONCRETE 11 N. UNKNOWN 1a5 <br /> (Crna one neuro"') [32 STAINLESS STEEL ❑4.STEEL CUD W/RBERGLASS E38 FRP COMPATIBLE <br /> 0 99.OTHER <br /> REINFORCED PLASTIC(FRP) W/100%METHANOL <br /> ❑5. CONCRETE ❑10.COATED STEEL <br /> TANK INTERIOR LINING 01•RUBBER LINED 0 3.EPDXY LINING 0 5.GLASS LINING ❑95.UNKNOWN 11e DATE INSTALLED 117 <br /> OR COATING 0 2 ALKYD LINING 0 q PHENOLIC LINING ®6 UNLINED O 99 OTHER <br /> (CheeY ane nem o,ay) (For 1.1 ase only) <br /> OTHER CORROSION 0 1 MANUFACTURED CATHODIC 0 3 FIBERGLASS REINFORCED PLASTIC 0 B5 UNKNOWN `all DATE INSTALLED 440 <br /> PROTECTION IF APPLICABLE PROTECTION 04 IMPRESSED CURRENT 099 OTHER <br /> (Check ane Ism olay) 02 SACRIFICIAL ANODE (Fa leeel use only)SFLL AND OVERFILL YEAR INSTALLED tiro TYPE(coal um only) 4s1 OVERFILL PR 9:7:61 X!EOUIPMENT:YEAR INSTALLED 152 <br /> Mn appy)eck AN1998 <br /> I SPILL CONTAINMENT 1999 _ <br /> ®1 ALARM ®3 FILL TUBE SHUT OFF VALVE <br /> ®2 DROP TUBE 11998 02 BALL FLOAT 04 EXEMPT <br /> ®3 STRIKER PLATE 1 <br /> IF SINGLE WALL TANK Icnea en nuleroyl 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER • q <br /> ❑1 VISUAL(EXPOSED PORTION ONLY) (Check ons L(SIN <br /> O 5 MANUAL TANK GAUGING(MTGI 0 1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑2 AUTOMATIC TANK GAUGING(ATO) 1716 VADOSE ZONE 0 2 CONTINUOUS INTERSTITIAL MONITORING <br /> 03CONTIN000SATG 0 GROUNDWATER ❑3 MANUAL MONITORING <br /> 0 4 STATISTICAL INVENTORY RECONCILIATION 0 B TANK TESTING <br /> t(SIR) BIENNIAL TANK TESTING 1:199 OTHER <br /> 71, <br /> ..i;'1::,•, jEiWV.' , ,PE- <br /> ESTIMATED DATE LAST USED(YR/MO/DAY) W5 ESTMATEO QUANTITY OF SUBSTANCE TANK FILLED WITH INERT MATERIAL? 157 <br /> REMAINING <br /> n9 ❑Yes [] NO <br /> UPCF(1/991efte(1) Formerly SWRGB Form B <br />