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UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS -TANK PAGE I (Two p4ps Per tonic) <br /> Pwj Of I'l <br /> TYPE OF ACTION I.NEW PERMIT [3 4.AMENDED PERMIT 5.CHANGE op wpoitmAnw 0 6.TEMPORARY TANK CLOSURE 430. <br /> (chook wa bm Q*) ❑ 3.RENEWAL-PERMIT Q 7,PzRmANENTLY CLOSED ON SITU <br /> [3 ff.TANK REMOVED <br /> BUSINESS NAME(s..FAcmn-Y NAME�XIRA-Mift a-kimm.u) FACILITY 10: <br /> 1. <br /> 6 Fo,,,D C ]FAvocil-c5l <br /> LOCATION WMIN SITE(Opww) 431, <br /> Is st, Cow�'Le-j QvA Atub CA 9&940 Y <br /> C 432, TANK MANUFACTURER 433. COWARTME1,1TAT TAN&jiqYcs 0 No <br /> I z('0 )(CA <br /> DATE INSTALLED 435- TANK CAPACITY IN GALLONS 436. NUMSMk OF COWARTMUNTS 437. <br /> MAWMO) 171`9 9 0 ocz, _GCI oN,> <br /> ADDITIONAL DESOMXON 4A <br /> NMI', <br /> TANK USE 439. PETROLEUM TYPE 440. <br /> )(' I. MOTOR VEHICLE FUEL IL REGULAR UNLEADED 0 2. LEADED 05. ZTFUEI. <br /> lafx.wi.wmimpstmimmmm) [I lb. ?REMrUM UNLEADED 0 3. DIESEL Q 6. AVIAT70N GAS <br /> 0 2,NONFUEL PETROLEUM C3 lc. MIDGRADE UNLEADED 0 4. 5ASOHOL. 99.OTHER: <br /> 0 2. CREMICALPRODUCT COMMON NAME(ftwn lia-ayda-muftlas W-mey pwl 44t. CAS#(kom namdams Autmialm lawatDry Par) 442. <br /> 0 4, HAZARDOUS WASTE <br /> QWu&.Ilaod Oil) CA S.1,1111 <br /> El 95.uNr.NowN <br /> TYPE OF TANK I. SINGLE'WALL 0 3. SINGLE WALL WITH EXTERIOR 0 3. SINGLE WALL WITHINTERNALBLADDER symm "3, <br /> (Cluck ow lam ady) MENMRANE UNM El 95. UNKNOWN <br /> ------ 5r2. DOUBLE WALL 0 4. SINGLE WALL IN A VAULT 99, OTHER <br /> TANK MATERJAL-N mw t.* U14. BARE 'L LJ3. FIBERGLASS/PLASTIC S. Cwcu 444. <br /> (Chock me pimmanly) Cl 2. STAINLESS STEEL 0 4, STEEL CLAD W/F(BERGLASS 0 S. FRP COMPATIBLE 99.OTHER: <br /> RF)NFORCF-D PLASTIC ff") WfI00%METHANOL <br /> TANK MATERIALscroadoxY mok Cl 1. BARE STEEL [13. FIBERGLASS/PLASTIC US, FRP COMPTIBLEW/100% UNKNOWN 4". <br /> (Check one faro only) E2 2- STAWLESS STEEL Q 4, STEPI.CLAD W/MERGLASs [19. FRPNON•CORRODABLE JACKET Q 99,OTHER <br /> REINRD-CED <br /> PLASTIC(MP) [110. COATED STEEL <br /> 0 5, CONCRETE <br /> TANK INTERIOR LINING-- I.RUBBER LINED 3.EPDXY LINING S.GLASS LINING45.UREWWR 446. DATE INSTALLED 447. <br /> OR COATING ❑ <br /> 2.ALKYD LINING 0 4.PHENOLIC LINING UNLINED <br /> Ckeck ane item y) <br /> OTHER CORROSION 0 1 MANUFACTURED CATHODIC--%F�-Flb):AULASS REINFORCED PLASTIC 0 95.UNKNOWN 443. DATE INSTAUM 449. <br /> ANA�4P 'ON PROTECTION IEN:IMPRESSED CURRENT 0 99.OTHER. <br /> k <br /> 0 2.SACRIFICIAL ANODE <br /> SPILL AND OVERFILL y IN ALLPD 450. TYPE 451. IRFILL PROTECTION EQUIPMENT: YEAR INSTALLED 451 <br /> (Check <br /> an that apply) '421.SPILL CONTAINMENT 1.ALARM ❑3.FILL TUBE SHUT 0"VALVE <br /> .DROP TUBE BALL FLOAT 13 4.ExEwr <br /> 3.Snuxim PLATE <br /> IF SINGLE WALL TANK 453. IF DOUALE WALL TANK OR TANK WrM BILADDR .--4X <br /> LChack all dw ap*) (ccbmmak o *m only) <br /> Ll I.VISUAL(M&QSED PORTION ONLY) 0 S.MANUAL TANK GAUGING(MTG) Q A.VISUAL(SINGLE WALL IN VAULT ONLY) <br /> Cj Z.AUTOMATIC TANK GAUGING(ATG) [3 6.VADOSR ZONE Z.CONTINUOUS INTERSTrrLkL MONITOJUNO <br /> [33.CONTINUOUS ATG [17.GROUNDWATER 913.MANUAL MONIT"G <br /> [3 4.STATISTICAL INVENTORY RECONCILIATION [3 8,TANK TESTINt, <br /> (SOt)+804NIAL TANK TESTING Q 99.OTHER <br /> NEW <br /> ESTIMATED DATE LAST USED(YPWjM0"MAY) 433- eSTIMATED QUANTITY OF SUBSTANCE REMADMO 06- TANK FILLED WITH INERT MATERIAL? 4SY <br /> Ej YM 0 No <br /> UPCF hwhvre-b(1199)-114 A".MIS" <br />