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UNIFIED PROGRAM CONSOLIDATED FOPUM <br /> TANKS <br /> KS <br /> UNDERGROUND STORAGE TANKS - TN: PAGE=1 <br /> ( _7 <br /> rwo Paw per;znk-) <br /> TYPE OF ACTION Q NEW SITE PERMIT [1 4 AMENDED PEWMIT CILANGE OF INFORMATION C3 6 T&M.r-ORAkY SITE CLOSURE <br /> (Cbwk am imn Only) [3 7 PERMANENTLY CLOSED ON SITE <br /> 3 PENEWALPERmn (spomfy Mason-file local Use owy) (Specify rawer-ibc local VAG CVAY) 8 TANK REMOVED <br /> BUSINESS NAME(sme as F _DBA--Dams suaisua A4) FAC ID: <br /> Irs-. Vol OAD - , 4L 3 If <br /> LOCATION W11111IN SITE(OPUPOW) w_ oft <br /> RXPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall Ce submir4d to the low agency.) <br /> TA NX ID# '432 ACTURER 433 COMPARTMEN --07N,— 434 <br /> 12 TA T—AHZED Tkik Arin. <br /> If'Yes",complow Qw pass far asoll compirtmom. <br /> —41, <br /> DATE INSTALLED VTAR/NI0)_:j7TARK CAPA&fY GALLONS _43b NUMBER OF COWAT437 <br /> ADDITIONAL DESCRIPTION(For local tm awy) 438 <br /> U.TAMC CONTENTS <br /> T 439 PETROLEUM ITPE <br /> I ANIL USE - --------— <br /> 440 <br /> MOTOR VEHICLE FUEL lkrlaREGULAR UNLEADED E32. LEADED C)S. JET FUEL <br /> (If marked coWlete Nitrolm.rype) A'b, PREMIUM UNLEADED 0 3. DIESEL 0 6. AVIATION FUEL <br /> 0 1 NON-FUEL PETROLEUM ®lc. VIDGRADE bNLEADE13 []4, GASOHOL OTHER <br /> C 3. CHEMICAL PROD(TCT COMMON NAME (ft.Hmmus m"uw joveasory pap) 442 <br /> 0 4. HAZARDOUS WASTE <br /> (Inchwam,Umd Oil) <br /> 1U. TANK CONSTRUCTION <br /> TYPE OF TAT'K0 1.—SINGLE WALL rT_19WGLE WALL WITH Y S&GLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (G=oes ilawn Only) EXTERIOR MEMBRANE LINER 0 95. UNILNOWN <br /> ') 2. DOUBLE WALL 04. SIGNLE WA.LIN VAULT []99, OTHER <br /> TANK MATERIAL PMAWY lack T. BARE STEEL 3, FIBERGLASS/PLASTIC 0 5. CONCRETE-- E3 95._tjNKNOWN 444 <br /> (L-Awk one am only) 2. STAINLESS STEEL []4. STEEL CLAD WiFIBERGLASS 0 8. FRP COMPTIBLE W!yw%METHANOL ❑99.OTHER <br /> REINFORCED PLASTIC(FU) <br /> CONCRETE OWN 445 <br /> BARE STEEL 0 1. FIBERGLASS PLASTICCF95. <br /> Z0 <br /> TANK MATERIAL-accoadesy;;; <br /> (fleck we am only) kqA 0 2. STAINLESS STEEL [3 4. STEEL CLAD WIFIBERGLASS 0 S. FRP CCF MPTIBLF W/100%METHANOL 0 99.OTHER <br /> REINFORCED PLASTIC(FRP) Q 10.COATED STEEL <br /> 5.CONCRETE <br /> TANK INTERIOR L&'ING 1,RUBBER LINED 3.EPDXY E[­NWGZT 5—GLASS LINIINC 95.L^VKNOWN DATE INSTALLED 447 <br /> L_)R COATING 2 ALKYD LINING ❑4 PHENOLIC LINING 0 6 UNLINED 13 99 OTHER <br /> (Check oce dm only) (For low w only,) <br /> OTHER CORROSION I MANUFACTURED CATHODIC 0 3 FIBERGLASS REINFORCED PLASTIC 0 95 UNKNOWN 44 DATE INSTALLED 449 <br /> PROTECTION IPAPPLICABLE PROTECTION [3 4 IMPRESSED Q 99 OTHER <br /> (Check me iman maiy) 0 2 SACRIFICIAL ANODE (For tread use awy) <br /> PILL ANDOVERFILL YEAR L14STALLED JJIM450 TYPE 451 452 <br /> (Omckall dwawy) WISPIUCONT AMIENT <br /> W I ALARM IC FILL TUBE smrr OFF VALVE <br /> mL2DROP TUBE V2 BALL FLOAT ❑4 EXEMPT <br /> 3 STRIKER PLATE <br /> IV.TANK LEAK DETECTION(A descripaw Gfdw moclaortagpeogrem sbgll be j %od to dw low agwc_�) <br /> IF SINGLE WALL'TANK(Cbeckidi IF DOUBLE NYALL TANK OFTANK.wLTH_BLADDER 454 <br /> was is only)j <br /> r <br /> 0 1 VISUAL(EXPOSED PORTION ONLY) [35 MANUAL TANK GAUGING(MTQ) I VISUAL(SINGLE WALL IN VAULT ONLY) <br /> 0 2 AUTOMATIC TANK GAUGING(ATG) 0 6 VADOSE ZONE W CONTMUOUS INTEM7711AL MONITORING <br /> [33 CONTINUOUS ATG C3 7 GROUNDWATER Q 3 MANUAL MONITORING <br /> 4 STATISTICAL INVENTORY RECONCILIhTION C3 8 TANK TESTING <br /> (SIR) BLENNIAL TANK TESTING C1 99 OTHER <br /> IV.TANK CLOSUR Ij4j±d PERMANENT CLAMURE IN PLACE <br /> ESTIMATED DATE LAST USED(YRiMOMAY) ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 <br /> tj4_ ❑[VIA- gallons C] No TANKFILLED WITHINERT MATERIAL? 457 <br /> USCF(12199 revised) 10 Formerly SWRCB Form B <br />