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si <br /> NIFIED PROGRAM CONSol IDATED FORM <br /> ' = UNDERGROUND STORAGE TANKS — TANK 'TANKS <br /> ` PAGE 7 <br /> (two pages per tank) <br /> P OF ACTION C'NEW SITE PERfJEIT AMENDED <br /> Page_of <br /> 0 4 A✓ENDED F ERMIT Q 5 CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE ~ <br /> (C ecx ane item only) Q 7 PERMANENTLY CLOSED ON SITE <br /> 0 3 RENEWAL PERMIT (Specd season.-for local use only) (Spec ry reason--fucoca:use only) Q B TANK REMOVED <br /> 430 <br /> B' S,'NESS NAN1L Same as F.4CILlTY VAME ^r D8A--17oing Eus,+,es.As+ I 3 i FACILITY ID' <br /> NELLA OilCompany 427 f i <br /> _— �_ ____-----_ <br /> I <br /> rL CATION WITHIN SITE(Options:; --.-1-- <br /> U <br /> 43' <br /> derground Storage Tanks south of building <br />'i <br /> J.TANK DESCRIPTION (A.caied plot'plan with the location of the US 7 system including buildings arid-landmarks shall be.submitted to fha"focal <br /> _Tla NK iD# 432 TANK MANUF..,CTURER g y) a33 i 0 ARTMENTALIZED TANK Q Yes ® No 434 <br /> X�4._2� 01 unknown �it Yes' complete one page for r-ach coinpanment <br /> DATclNSTALL.ED{YEAWlVIO) 435 TANK CAPAGTY;N GALLONS a3b 1 NUMBER OF CQfNpARTMENTS 437 <br /> ( unknown 10000 <br /> ADDITIONAL DESCRIPTION tFor lees;use only) 43e <br /> 11_jk K <br /> T --- <br /> ANK UsE�-_..__ a3� PETROLEUM TYPE — <br /> 440 <br /> TOE;VEHICLE FUEL Z 1a REGULAR UNLEADED Q 2 LEADED 05 JET FUEL <br /> M <br /> ;ttmafkec con;c;ete PLI'MeLm Type; 0 1 b PREMIUM.UNLEADED O 3 DIESEL,u .AVIATION FUEL <br /> 0 2 NON-FUEL PETROLEUM n 1c. MIDGRADE UNLE AD D 0 4. GASOHOL CJ 99- OTHER <br /> ❑3 CHEMICAL PRODUCT COMMON NAME +'-n fi _Z4,00us Matenals Inventory page; "at - CAS#,rrom Hazardous Mattnals Inventory cage 441 <br /> ❑ HAZkRDOUS''VVASTE i Regular Unleaded Gasoline 87 Octane 86290-81-5 <br /> - Ixma ,Used GS I <br /> L 9 NKN0"IN <br /> - --._—._-- <br /> ----------� III. TANK CONSTRUCTION <br /> :t TYFi Of !ANK Q 1 SING:E WALL Q 3 SINGLE WALL WITH (]5 SINGLE'PJA�i. VV;'TH IN rERNAL BLAOCER SYSTEM 443 1 <br /> a (CrEo- ^eAefnon-o EXTcRIOR MEMBRANE LINER 0 95 UNKNCVvN <br /> F X0,;6 � (ALL ❑4 SIGNi-E WALL IN VAULT ❑a9. ')-HER I <br /> l <br /> y "TA"K PA,41 LRIr,L rr 3r t=nn Lj I 'SAT S EF.L L1 FIEF RGLASS t PLASTIC 0 i:GN _'E ❑95 UNKNOWN -� <br /> tele ori to rt,lvi ❑2 ST?.INLESS STEF:. STEEL CLAD WIFISERGLASS [ 8. FRF CONIPA;:BLE ft ❑95 OTHER <br /> Rr NFOR'ED P;AS71C'FRP) p09b MET HANOL <br /> P.NK tv9ATf'Ritit_ se^ �a,ytant. 1 BASE ST EL ❑; _n L1�5 PI AST( , 5 CCNCPE 1= Q 95 UNKNOWN 445 <br /> (Cne�s one:&ml jr,w, 0 2 STAINLESS STEEL 0 S`EEL C.AD VWFIBERGLASS ❑8 'RP COMPATIBLE C)99.OTHER <br /> REINFORCED PLASTIC tFRP• Wr,00%PI[TttANO <br /> ❑5 CONCRETE C1 10 COATED STEEL <br /> I'AN .iNTERIOR L;NING 7] :. <br /> 1 RUBD R LINED 3 EU:_ 'y UMN"i Ery 5 ;,t"k3S LINING 5 UNKNOVVN 446 DATE INSTALLED 447 <br /> I ORP GAMING [ )2A KYD i-INING [..):�F ' 'O:_i,LINING ®c L1Ni-INEt7 u'—T 99 OTHER <br /> ;Ched.one-tern;.mly; (For,ocai use only) <br /> OTHER CORROSION Q I VtANUFAC-.JRF.:D CATHODIC Z?FSERGUiSS REINFCRCEUL <br /> Pt C:95'uNKNOW.V 4'38 DATE INSTALLED 449 <br /> PROTFCTION;F APPOCAaLE PROTECTION ❑a;MPRESSED CURRENT ❑99 OTHER <br /> iChe k ne«e.71 only; Q 2 SACRIFICIAL ANODE (For local use only) <br /> I <br /> SPILL AND OVERFILL YEAR iNTALLED— ' L c iti, T"1 PF-liocal use only) 451 ? OVERFILL PRO'1 ECTlON EQUIPMENT:YEAF2INSTALLED 452 <br /> (C.h i u 1 SPILL CONTAINNIEN i <br /> t„a. ia.r 1998 y25 ❑ ! ALARM ®3 FILL TUBE SHUT OFF VALVE <br /> (x]w.DROP TUBE 1998 yes [1 22 BAL L FLOAT C1 4 EXEMPT <br /> ®3 5,RIKER PLATE 1998 ye <br /> IV.TAN 11EAK DETECTION;A desc piton of the monitoring program snail be submitted to the locaLagency.) <br /> j4. 1N6LE WALL rA.NK(Check all that surly) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 <br /> (Cne;k one!em only) <br /> Q° VISUAL(EXPOSES.)PORTION ONLY) 0.5 MANUAL TANK GAUGING(MTG} 0 1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> Cl 2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE 1 0 2 CON7IN000S INTERSTITIAL MONITORING <br /> 3 CONTINUOUS ATG ❑7'GROUNDWATER C'_MANUAL MONITORING <br /> ©4 STATISTICAL INVENTORY RECONCIL;ATION 0 6 -ANS!TESTING <br /> SIR) SIENNA' TANK TESTING ❑99 CHER _ <br /> _ `r.TANK CLOS .E NFORMATION 1 PEi7MANEN7 CLJSL�� IN PLACE <br /> -- St.ES A c TANK 45 <br /> � "'� - �fC^ FELLED v',ITH INERT MATERIALS I -� <br /> Yes 7 No <br />• <br /> -_ <br />