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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANKS-TANK PAGE I TANKS <br /> Iloilo 1 of <br /> TYPE OFACTION ❑i.NEW SITE PERMIT C3 4. AMENDED 1'CIIA04T U S. CI#ANGF Of INFORMATION) 0 6 TEk4Pr)rtAQY SITE CLOSURE <br /> {Chock one mom only) ❑ I PEROAANE14TLY CLOSED ON SITE <br /> ❑3.RENENVAk PERMIT <br /> —lyp D. TANK REMOVED 430 <br /> BUSINESS NAME IS;Irn-It.FACILITY NAME of DBA-Doing 13sima­A.1 FACILITY 10 0 -R]T <br /> i;P4-7 <br /> LOCATION WITHIN SITE(Gplionap 431 <br /> 1.TANK DESCIIIIIIIJON <br /> TANK IDR TANK MANUFACTURER COMPARTMENTALIXED IA14K <br /> ry)Oda(n W&I n Y4'_.comptet"Oct.PAGO Cor®acn romga imam. <br /> DATE INSTALLED(YEARIMO) TANK CAPACITY IN GALLONS ISAMIDLI't OF COMPARTMENTS <br /> — I q_q 17-tcoo <br /> ADDITIONAL DESCRIPTION(For 06cat Jam oewyl <br /> lt.TANK CONTENTS <br /> I^tx USE .1;t PETROLEUM TYPE <br /> '_ <br /> MOTOR VEHICLE FUEL To. fir:DANLEADED 0 2, LEADED 0 5, JET FUEL <br /> ?'�­-..compfIrto pofna�Typal 0%b_PRE MUUM""UNLEADED 0 J. DIESEL 11 6.AVIATION FUEL <br /> ® <br /> 4 NON-FUELPETRIDIEUM C1 It..MIDGRADF UNLFADE-1) 13 4. 0ASOt4OL 13 93. OTHER <br /> D 3-CHEMICAL PRODUrT <br /> E3 4, HAZARDOUS WASTE-(Anchitin, I COMMON NAME(Prom Ituardowl Motecfali himitutypai;ta) CAS 0((rpm Ifofartfwl mala"11 I—nactry page) <br /> ""d 09 i <br /> [ft.TANK CONSTRUCTION <br /> TYPE OF TANK 131. SINGLE WALL 0 3, SINGLE WALL WITH 0 S. SINGLE WALL WITH INTERNAL DLADOER SYSTEM <br /> (chock 6)"from 0") 2 OCUOLEWA(L EXTERIOR k4EMDRANE LONER 095, UNKNOWN <br /> 0 4, SINGLE WALL IN A VAULT ®9s. OIIIER <br /> TANK MATERIAL-primary Wilk 1. DARE STEEL 0 1 FIBERGIASSI'PLASTIC 0 %,CONCRETE D its UNKNOWN <br /> fc,70ck—ir.,,t VnIyjl El 2, STAINLC--S STEEL Q 4, STEEL CLAD WIFIDERGLASS 0 &fRPr-(WPATIOLF Wflff)%METHANOL ❑911,OTHER <br /> RF)mFORCED PLASTIC(FRP) <br /> TANK MATFRIAL-socondary t.M 01, BARE STEEL D 3. rior Rc-.t Ass r PLASTIC 04 FRI"COMPATIOLE WfIDO%MCTHANOL El 95UNK14OA74 <br /> plecAr one aom ON)l D 2.simmusssTEEL 0 4,S11:P-L CAND WINDERGLAF—S 09. FRP NON-COA ROML C JACKFT XP9. OTHER__,_ <br /> SEWFORCIE0 PLASTIC(FRP) 0 in COATED SICELN4441,A Merl+ <br /> 0 5 CONCRE TF. <br /> TANK INTERIOR LJNING .1 EPDXY LINING (3 S.GLASS LINING 05 9UMIN �& <br /> O "433 UA TF INSTALLED <br /> OR COATING 01, 111,111113JER LINED <br /> D Z. ALKYD LINING 4- 1"IeNcut;LINING UNLINC-0 ❑wl,OTHER <br /> GTKER CORROSION D I MAIA)FACTURE0 CATHODIC CJ 3 FIDERGI_ASS REINFORCED PLASTIC 0 9.5. UNKNOWN 434 GATE INRTALLEO <br /> PROTECTION IF APPLICABLE PROTECTION D 4, IMPRESSED CURRENT One, 1mwR <br /> (Crwck one doirl onkelI SAr.R)FICIAL ANODE 'Illy) <br /> SPILL AND OVERFILL YEAR �rYPE(Fo-,f.—�*§ eqyj QvFRF%Lt PQ0rCC1 ION FOUItIMENT,YEAR INSTALLED <br /> plecti as Ihm apply( <br /> I SPILL C�OUTAINMENT1. ALARM ❑ S. FIL4,TUfJ;_SHUT OFF VALVE <br /> 2. DROP )gW,f 4%119 _18L <br /> f. 2. DAL;-FLOAT C3 4 [X[MP1 <br /> N p LAT c <br /> A14— —0?-W- <br /> 4, <br /> WJANK LEAK DETECTION. <br /> IF SINGLE WALL TANK E!!Sfu Itcs appfy): IF DOUBLE WALL TANIA OR I ANK WITH CLADOER(Ch6ek <br /> C2 T. VMUAL(EAPOSEDPORTZON ONLY) E) 5. MANUAL TAW GAUrWC.(14TIS) B T. VISUAL(SINGLE WALL IN VAULT ONLY) <br /> 0 2, AUT(.)MAYIP.YAt4KOAkt&tg-,(Al(,I 1 0 0 1%)IiL I LRJtINUUU:i INI Lit S IN 1A L MUM T ULIOX, <br /> C1 1 COPILTINUOUSAIG ❑ 7, CAROUNINVilTER 3, MAUUAI.MONITI)MIND <br /> ❑ 4. STATISTICAL INVENTORY RCCOPICILIATIO14(SIR)- ❑ D. TAuKTEST"'G <br /> OtENRIAt TANK TESTING " 01"Efil <br /> V.TANK CLOSLIFIC INFORMATION f PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USEO(YRIMOMAY) ESTIMATED QUA141 ITV OF 5119SIANCC RE.1`41W, 41-5, TANK FittEDI)NAT"WERI MATCRIAL7 <br /> ®Vo, 0 tio <br />