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'. '­07-03 12 : 24P More -For Less 7 209 832 8078 P- 0'7/ <br /> UN; IFIED PROGRA71 CONSOLIDATES FORM •i:ANK.S <br /> UNDERGROUND STORAGE TANKS— TANK PAC=E (lwo pages Per,.,nk) <br /> ra.T „r <br /> TE <br /> TYPE OF ACTIO;i ❑1 NEW SITL!'pmIT ❑ 4 AM[NMED PLRMIT ❑ $f.IIANGL OF INFORMATION 0 7 IPLRKIRAR SI Ci HOED RE Sfl'ti <br /> item only) -'• " 4JU <br /> i( team.-fill u Intal use only) 151a'"'ry,m:on for local u onlyj ❑ R TANK REMOVED <br /> [] � ItbNF-wna.Pla(tiuT (.'pet v _ - - � <br /> FACILITY IU: I <br /> RI15IN "$I1AMF.(sanemFACltiTv�NA/7JNL��orD{ISAQR�„ng��inesaA•1 O <br /> A2 431 <br /> LUC•ATION W1THIN SITE(optwn0l) <br /> 1-TANK UESC'kIPTION {,1 sc;dcd plot plan wt <br /> the location orthe I1ST system inchtQinr baiWings and tandn,arks shall be submiu-d In the al agency.) <br /> loc <br /> TANK Ill N <br /> �)) TANK MANUFAC ruRF.R all CUhIPAIt?MFNTALILLU'I1tNK Ycs Vo 4.14 <br /> I 3 90003, LICNk l� /O6 �VLgg� S 1r`JMF1 0I ow(.)M'ART u,uyu.�nenl. <br /> V l(YP s15 FAN{KJjCJAFACITY(IINI•CA`LLONSN atF Ni1MBF.RUhCUMh,�RTMFNTS l�) <br /> L1A'1'F T�1S'r.4LLL•!)(YEAR/MC)) (� <br /> AppITIONAL Ul Sl"RIPTIUN tTvr to.�ttu�utJT) <br /> 11,TANK CONTENTS <br /> - un <br /> TANK USF u'1 PFTROLGUM TYPE <br /> ❑L MOTOR VTi1IICLE FUEL ❑In. REGULAR UNLEADED ❑2 i,nAI)LU, ❑S. JET FUEL <br /> {]It, PRI-.MLUM LF�LF,ADFU ❑). 1)1FSF1. ❑+i AVIATION FULL <br /> QI matkeJ cump4n�Pcu„?tum t ype! t /1 OIL GASO1101. •�.h).O31IfR Jr�.. <br /> ❑_. NUN-FUEL PF.TROLF:UM [3I,: Mln(:Rwut Llv1.r•.ADLn ❑4, aq` Y� " - y, <br /> •.,tm .tJ l C ASIF I Flom t tw>:..,kw.Mdu•„Iz Inyentoty pact 1 <br /> (]3. CHEMICA[.PROUCC`r CUV1MO04AML' tjro,,,m—does t\lautubinw. yr�l�) <br /> A4. HAZARDOUS WASTE <br /> (Inctu�es 1.1.0 till t" — <br /> ❑93.UNKNOW?: <br /> - 111. TANK CONSTRUCTION <br /> TYPGUF rA.VK p 1. TlNGI3C WALL ❑ <br /> I. StNULE WAI.I.WIT11 ❑S. $1Nt•11Y WALL Wi1H INTERNAL IILAUULK SYSTEM 44.1 <br /> EXI'EKIOR MF.MRRANE LINER []!)S. LfNKNOWJI <br /> (('F,c.k wit Aem only) <br /> ►�'. UulJH1,F.WALL 04 WALL IN VAULT ❑99. OTHER <br /> >t L K14OWN 4�a <br /> rAN'KATERIAL p,.mrry tank ❑l nAP STELL [1 3. Y(ISEKCiLAS-S I CLASTIC ❑i (O\CR1:T8 .- <br /> e i+cm,,alyl ❑'. STAINLESS STF,.f=1. ok 4. !FBEL[;I.AD W%IIUI:RULASS ❑8 FRP C[)f�iP'1'ItlL1%W)SQ(1'�,h11iT11AKUL ❑9'i,i 1T11GR <br /> KEINFORCFI)PLASTIC{FKI') _ <br /> t n:o& {. BAKESTf.fL ❑) F1D(RGLASSr rLASTIC ❑ <br /> 5. CUNCKF,TF ❑9.5. (1NKNUkN `' <br /> TAVK MATERIAL ucaniary ❑ <br /> (76-OL.,e aanonly) 2. STAtVIT_S5 STEEL ❑J. STL'EL CLAD WIFIRITRGLASS ❑8. -tRP Ct)MPTIBLE W,1 W"•:S1ET11ANO1. ❑99.UTHEK <br /> RP.INFORCEUPLASTIC(FRP) ❑It).CoxfkGSTEEL <br /> Q s. CONCRFTF <br /> 'rA.VK I`TFRIOR LIw V(i ❑I Run <br /> LINFO ❑3.EPDXY 1.Ntvc S.GLASS t.INING [],)5 [JNKNOLrN <br /> a46 DATE INSTALLED <br /> 447 <br /> OR COATING ❑2 ALK LINING ❑4 PHENOLIC I.INIXG ❑6 UNLINED ❑'):)OTI IRR (F.,o?„cal we only <br /> Inwk one itrm o„bl ... <br /> _ . . ...� - ...Jtr DATE IN6TA1-L[ii) .t'v <br /> OTIIL'RCUKROSION ❑1MANUFA('TCREDCAI HOD1C ❑3FIB"GLASSR6MFORCEUI'LAS(IC ❑4SliNKNUWN <br /> 0 IMPKESSED CURRrNT ❑99 OTI11:R — <br /> pROTf<T10\IF APP Lit'AnLr PRU'1'EC`f1ON ❑ (Fu.k,wl ou Orly) <br /> (Check one item o+,ly) ❑2 SACRIFICIAL ANODE _ <br /> SPILI AND OVERFILL <br /> YEAR 1_VS'I'ALLFD 45� TY1'@(1owulvteoMy) a."rr (1VFRfiLLpItUILC�'FICINF.QUIPMLNINLAKINSTALLFO 11 <br /> (Ch, k.u11—iippty) Eg I SPILI.CO`•TAIN.M&NT /��w0{�� ❑I ALARM ❑IFILLTUn[_Slwrurr VALVE <br /> 2 U1lOP TURF; f�Oi [ 2 NAI.).FLOAT ❑4 FXFMPT <br /> STRIKER PLAT[ <br /> T.TANK LEAK UFTECTION(A Jcx•ltna'•uttte mon to+inp p+oxram,h a lc.ul.tuneU a rhe local.►r^vy 1 <br /> 43I IF DOUBLE WALL TANK OR TANK WITH BLADDER J5J <br /> IF Si,NU L W ALL TwplyI (t3wic ont itc-0y/ <br /> ❑IVISUAL(EXPOSF.DPORTION ONLY) ❑5MANUAL TkNK(iAUG1NG(MTG) ❑1VISUAL(SIVILEWALL INVAULTC)NIY') <br /> 2 AUTOMATIC TANK GAUGING{ATC) ❑ ClV <br /> 6 VADOSE ZONE 2 CTM1:0US iNTEKS'FI'1'IAI•MONITORING <br /> ❑ �i p4AVifA1.11(UViTUKINIi <br /> ❑)CONTINUOUS AT(. ❑7 GROUNDWATER ❑- <br /> ❑4 STATISTICAL INVENTORY RLCOVC'ILIATION ❑B TANK TES IING <br /> (SIR) B L'NNIAI.TANK TLtFIP4 : ❑99 CITRER —_. .. <br /> IV.TANK CI,OSIIRE IN FORMIATION/PEKMAnFnT CLUSL)RC IN 1'1•nC.F. 4R <br /> 055 ESi IMATFn QIfANTITY OF SL'aSTAVCE REMA)KINC 456 TANK tILLET)WITH INERT MAI ERIAI <br /> LSTINIATED DATE.t.AST USLLI(YR/M O:UAY) gallons ❑Yes ❑ Nln <br /> Ft)rmerly SWRC:H Four[B <br /> UPCF(12/99 revised) <br />