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r Dec-30-2002 03:03pm From- . T-264 P.008/014 F-536 <br /> .�- <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> �1 ,v -01- TANKS <br /> UNDERGROUND STORAGE TANKS-TANK PAGE 1 <br /> lv <br /> j `3 f�� r�pg1!4+TM+mnkl <br /> iuBaw.ot� <br /> TYPE OF ACTION 01.NRW S1Tk PP T 04.AMBm m mmur ®s C3IANGB OF INFORMATION) 06. TiDeOAARY SM C LORIMS <br /> (cho0me Res omw ❑7. =M&N IN Y CLOM ON STO <br /> ❑3. RENSWALPERP4ET � � � ( Y rorrocartsaon(y) DR.TAMK MOVW 430 <br /> g0$nJY'S$NAME(Smoe o PACBTfY NAbffi ae Dr1BA- gYlmreis A� 311"4cv=M' <br /> T <br /> Cowcollwnips## �Sql/ 3Q9 <br /> LOCATION WTTFI)N SITE odmo 431 <br /> 1boa CR" ( oR, <br /> LTANKDLWkWnON blxeef.Apfa►PIAa, h�4.bwda�yfd�vt/S7 aanidadura mdr�rmlQ,AorreesxEwortadroeMraaera cyd <br /> TANKID0 �] y [ ,/n 492 TANK AC17fR13R 433 C�OMARrMENTALCWTANK ❑ Ye No 434 <br /> o1gs` o'6 fD �.1� f� �L�,/J IfOYwO.wupluoa"p9aAr <br /> DATE DMTALJM(YSMJ1M 435 TANKCAPACITY IN C ALLON S 436 NLU22BLOP COWAR'TMMM 437 <br /> /a <br /> ADDTrMAL (ForAw91 uww(V) 438 <br /> U.TAMC CON'i'I+NO <br /> TAMC TZB 439 PETmCRmm TYPE 440 <br /> MOTOR Von=FUEL. ❑1.REGULAR MaRADED ❑: LEADED ❑A JHT FUEL <br /> worTmZm�ple�ePdroromn7}f+y ]h PRMaUMUNI.HADED ❑3.DM=_ ©d AVIATMIRIEL <br /> ❑ 2 Nom.nm PE9ROLEUm ❑l t MR3 WDH UIVL2ADBD ❑4.QUOROL ❑99.OTIC! <br /> ❑5. CIIEM1QCALPROD= CQMMONVM00aa HOW"MtWW&1'RMA"0V) 441 CASs(fewn/faserdmaACafmrars/m�ouwFpaBel A42 <br /> ❑4. HAZARDOUS WAbT 914*1a <br /> ' ueaaw <br /> ❑95.x13R1�s <br /> 111.TANK COM8MVCMr4 <br /> Tn9OfTV& ❑ $tNG14WA17 ❑3.SDIGLEWALLWIIA ❑ 5 443 <br /> ([MWAcot Item Q*) DOUBLEWALL mcTMORAVIIANRANRWVm [19.%=w= <br /> ❑ 4.SEJG1 E WAi 1 Ed A VA17LT p gy <br /> arm <br /> TAmICINnIEk1AL-P�7� BARIISYERL ❑3.PrBBR(q.AS$/PLASTLC ©s CONCaETE ❑P+.> 494 <br /> (Check onsrrwr02.S'PAIl'11-RSSsnR11. []4.mm a_iDw/PEiaC+LASS ❑S.PEPCOlUATM1,11VIOMMISTRANOL 099.OTHER <br /> Rffi1FQF,CQD PT-A4T1c <br /> •TANK MAT9 UAL-se®dQ7 tMk 01. "a s7R2i ❑3.PMURGIASS r PLAN= []L PRP Co14PATffii8 WYI0M N=I ANOL 091.MM 445 <br /> (Qmrk one Rao ea(y) E31 STAINL IM STS . STEEL CLAD WMISERGLASS ❑9.FRF NON-CORRO0WA JA= 099.am= <br /> RBA4POR=KA=C(FM?) 010.COA-MOVIXIM <br /> L31 COmt rk <br /> TANKIIVIEBR <br /> 'ERIORLINING ❑ I.RUBLOW Eli EFONYLIXM 05.*LAssLNING []95.xER=446 DATBEZ4TALLSD M7 <br /> OR COATING p2,AIICYDUNING 04.PMTIQLJCLDDNG UNLDIED ❑99.OT+TM <br /> OTNMCORkcwOm ©1.MA UFF IAW P19WLA55RkMRCWPLASTIC [3m XM= 448 Q!►TSINSIALLED 449 <br /> PR0779CTION W APPLLCAMS ❑4.BUMMED CURRENT ❑99.OTHER <br /> PROTECTION <br /> Seib°n4 ilwn ATO) 02.SAQlIIRC1AL ANODE (Fw 1014!wa O J <br /> SPILL AND OVERVII.L YEARDWAM 450 TYPE(Aw kwaf mw a{t.) 451 OVBRVILLFROMMON l:Q YgARIN TA�M 4R <br /> (Che+kaGd oDpb) SPBI.CON'TAINMENT Ell.ALARM zTUHU <br /> BESTOFFVALV9 <br /> �b dz DROP TMR _�r� p2 ENI.FLOAT ❑4•WOMPT <br /> /�`. STFJRIiRFLATS -- - <br /> IV. TANK IMAX UL.'6MON(A dmdplon oft&mom%vinspoinwAdree aab Mff d ro dw hMMi aSMc'%) <br /> IF SINGLE WALL TAMC 0gdk o0 rhdr : 453 D?VoVwX WALL TAMC OR TANK WrM HLAVOU(CbwA am*Imm om(y): 454 <br /> Qi, V69UAL(waaswFORTTONONLY) ❑1. MAW^LTANKGAUGRIG(MTC) ❑1. VEWAL(SQIGiSWALLINVAULTO t1.1) <br /> ❑Z AlJTOMATICTANKGATJWQ(ATG) ❑6. VADOSBZONB CANTEVUOLI9 Qi78RSRRAi.MONlTDRIIM <br /> Q3. CANTMOUSATO ❑7. ftWNDWATRR ❑3. MANUALMONITOWNG <br /> ❑4. SrAT1STICALMTN'TORY RECONCILIATION(SBL)* ❑8. TANKTBSTiNO <br /> 51ENNIALTANRTISTING 099. mm <br /> V.TANK CI.m=INFOIIMATIOPI r PzkmAmnT cLoff)ItS IN PLAC$ <br /> RSTIMATEDDATE LAST USED(YRIMOIDAY) 453 "TA ^TEDQtV=MOF9U33TANCRM11M1Nd1G 456 TANRPXZX0%MC1'F W=MATPYIAL7 457 <br /> ❑Yv 014. ti <br /> trnlrp(1/99 +sea) PeirRtrilV GwRr R Fnrrn R <br />