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UN.: IED PROGRAM CONSOLIDATED Fe mM <br /> TANKS <br /> UNDERGROUND ST RAGE TANKS -TANK PAGE 1 <br /> J R K FILLS (two pages per tank) <br /> Peps _ 0 <br /> TYPE OF ACTION ❑1 NEW SITE PERMIT. AMENDED PERMIT ❑ 5. CHANGE OF INFORMATION) ❑ 6. TEMPORARY SITE CLOSURE <br /> (Ch p ..mm only) ❑ 7. PERMANENTLY CLOSED ON SITE <br /> ❑3 RENEWAL PERMIT fSpaGyn/suw-rorAsWlueldYl•) (Spiny Carpe-Mboa/v»091 ❑ B. TANK REMOVED 430 <br /> BUSINESS NAME(Sem*a FACILITY NAME w DBA-Dong Bu4Y1s44 As) 3 FACILITY KI/ <br /> airy <br /> Y< <br /> Cu�lf, S 7LVIcy, STpmw I <br /> L3o-tj_WITHIN <br /> (;� P:E%jfi�w r l Nou-F Dz I\m S rcr fcroN „1 <br /> 5 <br /> I.TANK DESCRIPTION (A raYOpAXphn aim pu bwMfon arm.VSTayaMnvXA4AnpMIBSIpsWNntlnlerAa sAYMatltIlOWmtM bal.p.ry.1 !!la�x� <br /> ANK IOt ,1 432 TANK MANUFACTURER 477 I COMPARTMENTALQEDTANK ❑ Yx pl W CM <br /> ' 1 U SYS u B'Ysi.oanpala ons Pp4 mr x01 'mmMmnwtt <br /> DATE INSTALLED(YEMMO) 435 TANK CA l I Y IN GALLONS s36 NUMBER OF COMPARTMENTS 437 <br /> iq cl S J-154 000 I ONS <br /> f ADDITIONAL DESCRIPTION(Fore um wb) 438 <br /> 11.TANK CONTENTS <br /> /(( TANK USE 439 PETROLEUM TYPE 440 <br /> I�IT1. MOTOR VEHICLE FUEL I �ie. REGULAR UNLEADED ❑ 2. LEADED ❑ 5. JET FUEL <br /> (r(llmusb'cvr^dsle Pehdwm Typal ❑t0. PREMIUM UNLEADED ❑ 3. DIESEL ❑ 6 AVIATION FUEL <br /> 111 2. NOWFUEL PETROLEUM I 11 is MIDGRADE UNLEADED ❑ 4. GASOHOL ❑99. OTHER <br /> ❑ 3 CHEMICAL PRODUCT <br /> I]4 HAZARDOUS WASTE flnOWes COMMON NAME fAotll Narartbus MeteMB InvenfOly papal N1 Cps/fAOm N4lanmus Matensls ImenNrypepal N2 <br /> uuKtO4 %Q 1N� /OGTRN� 37 <br /> ❑95. UNKNOWN <br /> I <br /> RI.TANK CONSTRUCTION j <br /> TYPE OF TANK [3 1 SINGLE WALL ❑ 3 SINGLE WALL WITH ❑ 5. SINGLE WALL MTN INTERNAL BLADDER SYSTEM N3 <br /> �(Cxd oro Clem way) x2. DOUBLE WALL EXTERIOR MEMBRANE LINER C]95. UNKNOWN <br /> ❑ 4. SINGLE WALL IN A VAULT <br /> [IN OTHER <br /> TANKMATERIAL-ptexryiN 0 1 BARE STEEL �[cLT-.e3. FIBERGLASS I PLASTIC ❑ 5. CONCRETE 095 UNKNOWN 4N <br /> (CMG p ,ft.W4,1 ❑ 2. STAINLESS STEEL LJ 4. STEEL CLAD WWIBERGLASS CS M. FRP COMPATIBLE W100%METHANOL 1:199 OTHER <br /> j REINFORCED PLASTIC IFRP) <br /> S TANK MATERWL•""*y1W Q 1 BARE STEEL )R�3. FIBERGLASS I PLASTIC Q 8 FRP COMPATIBLE WI100%METHANOL C3 q& UNKNOWN 445 <br /> fCMGorM dam wry) ❑ 2. STAINLESS STEEL ❑ 4 STEEL CLAD WIFIBERGLASS ❑ 9 FRP NON-CORRODIBLE JACKET 099 OTHER <br /> j REINFORCED PLASTIC(FRP) 010 COATED STEEL <br /> j ❑ 5. CONCRETE <br /> TANK INTERIOR LINING COATING 0 1 RUBBER LINED 1] 3. EPDXY LINING ❑ 5. GLASS LINING ❑95 UNKNOWN 44S DATE INSTALLED N7 <br /> TA �� <br /> ❑ 2 ALKYD LINING 114. PHENOLIC LINING ❑ 6 UNLINED ;B99 OTHER C.1fiQ" <br /> CMG one dem 1 ForbcN ux <br /> i OTHER CORROSION [I t MANUFACTURED CATHODIC0(3 FIBERGLASS REINFORCED PLASTIC ❑95. UNKNOWN 4x DATE INSTALLED N9 <br /> PROTECTION IF APPLICABLE .lcm S <br /> PROTECTION ❑ 4 xPRESSED CURRENT ❑93. OTHER <br /> ifGepk we,Nm o0Y1 ❑ 2SACRIFICIAL ANODE (Fa,bcM vx wry) <br /> SPILL AND OVERFILL YEAR INSTALIIED 450 TYPE(Fw47Wux"Y) 451 OVERFILL PROTECTION EQUIPMENT YEAR INSTALLED 452 <br /> (CMG x mat appy) 111 1 SPILL CONTAINMEN.TIp� ❑ 1 ALARM ��3 FILL TUBE SHUT OFF VALVE <br /> -12 DROP TUBE y 1 15 <br /> ❑ 2. BALI FLOAT ❑ 4 EXEMPT <br /> ❑ 3 STRIKER PLATE <br /> j IV. TANK LEAK DETECTION (A 'pew pine mdeMrlp ppp/Yn 1ANWsu/mlf40ro tlN 4>:al pencT) <br /> IF SINGLE WALL T NK(CMG N mat appy)' 453 IF DOUBLE WALL TANK OR TANK WITH BUDDER(CMG"dem Iudyl 454 <br /> Cl 1 VISUAL(EXPOSED POR ONLY) MANUAL TANK GAUGING(MTGI 1 ❑ 1. VISUAL IBINGLE WALL IN VAULT ONLY) <br /> 0 2 AUTOMATIC TANK GAUGING(AT ❑ 6 VADOSE ZONE �. CONTINUOUS INTERSTITIAL MONITORING <br /> ❑ 3 CONTINUOUS ATG ❑ 7. GROUNDWATER 1 0 3. MANUAL MONITORING <br /> ❑ 4 STATISTICAL INVENTORY NWOLIATION(SIR)• a TANK TESTING <br /> BIENNIAL TA/NK TTEESj �B 0 N R <br /> _ <br /> V.TANK CLOSURE: FORMATION I PERMANENT CLOSURE W PUC <br /> ESTIMATED DATE UST USED(YR MOIOAY) 455 ESTIMATED OUANTRY OF 456 TANK FILLED WITH INERT MATERIAL+ 457 <br /> 01 M �pNp N /� <br /> UPCF(1199 revised) 6 Formerly SVVRCB Fom B <br />