Laserfiche WebLink
,Dec 22 10 09:15a Bev (209) 462-9861 PA <br /> 12!21/2010 TUE 13: 27 FAX 20*433 SSC EHD 1 IZO04/005 <br /> UNIFIED PROGRAM CONSOLIDA'M FORM <br /> (-Ulu <br /> UNDERGROUND STORAGE TANK <br /> OPERATING PERMIT APPLICATION-'TANK INMIMAT, _X <br /> R 10 ,,Ndqpo Corm p.-r U91) <br /> . <br /> TYPE OF AC17ON (0jeck oily itual off''y. For a USY closum or remora!,Compke.-ally this srccdoij and section.1, <br /> 3.RhNEWAL PERMIT aMidlz-60 f4dRwwwwr <br /> Q 6JEMPOPkARYLIST CLOSURE 7.UST PE RM ANENI'CLOSURE ON SITE H's-rREMOVAL. <br /> DA:11,UST PERMANENTLY CLOSED: 4303. 1 DATE:EXISTING us'r DISCOVERED: <br /> -TACILIr <br /> T <br /> T -`7 <br /> IN. WN <br /> I'ACILITY ID 4(A&ency Use U1113) <br /> BUSINESS NAME(S-vto 0).DBA Doing 1111shless 3 3'- <br /> 17ile- <br /> 2 1-- <br /> BUSINESS SITC A>5RC5S - <br /> - z 103• CITY <br /> ZZ <br /> AN-K7D <br /> TANK ID lf +37. TANK MANUFACTURFR 433. TANK C.ONFIOTJRKrION:'rH[STANK IS 434. <br /> -al A STAND-ALONE TANK Ccm*a v Page tot,k' <br /> 0-2:ONE INA COMPARTMPNI.-Cr UNIT co;vmwam is the alft <br /> DAIT rJSTSYSTH\1 INSTM-LED 415. TANK CAPACITY IN GALLONS 43G NUMBER OFSOMPARTME TS1 ':'r1E,JNIT <br /> SE <br /> :ONT. T <br /> TANK USE [I mMO'r0RVr-.HICLAFUn.ING MARINA I"UELING [I Ic.AVIATION rUBLING <br /> 0 S.CHEMICALPRODW-TSTORAOL 0 4.HAMDOUS WAI;M-.(fadwics Usce OiQ 0 mimmormy GENER jEI.jHSyv. <br /> 0 6.OTIIr.RGF.NFItAT0�kJ-U1ZL Q 9S.UNKNDW-4 IRF,90.OTH <br /> comi-mrs Pt 1 C6 i1i iA/- -6-la"''REOULAR UNI.SADED 0 I M1040RADE U\41.EADr;D 0-Ib.Pitrimum LuADI-D <br /> 0 J.DInSEL 0 5.jb-rft;2L 0 6.AVIATION El GAS <br /> e .4c <br /> 91 PE'l-ROLEUN'HLE49YT--� : r 4402. <br /> [3 lo.LmIANOL <br /> 0 it.mmmNON-primom: 41 r�/ A 70, <br /> U <br /> TYPE OF TANK At 3.SINGI.E WALL 0 2.DOUBLE WALL El 95.UNXNCWN 443.- <br /> '3-.'?-F-J1-3ER*0'-LA*-S-S-' ❑ 0.INTERNAL BLADDER 44 <br /> ❑ 7.S'PEL'L 4-INTaINAI.LINING C 9S.UNKNOWN 0 99.OTHER(Spacify.): 4441 <br /> !BCON5- ARY60WfW1WfiWf"ff [33.rJOBAGLASS C 6.Lxi'vmoRm;ipA0RANCLINER [1 7.JALXETrD 443. <br /> 0 V.UNXN0WN 9.2.on-jr P(smory).. <br /> I VENTION 0 LAIJDIULE&VFoOXU'�ri b 'BBALL FLOAT 0 3.YILL TUDE SHUT-0.7 VALVE <br /> %)IA4 C1 4.TANK hIREMS REQUIREmEmrs FOR EXEMPTION FROM OV1.-:RnLLPRE%1FNTJON rig(JIPMEW <br /> 6 <br /> 'KIO <br /> WALL.� ....... <br /> SYSTEM TYPE PRESSURE <br /> PRIMARY CON TA I rim I;\rr cin.snr-L E3 4.FIBERGLASS [3 a.rimmi-c [3 Jo.RIGID PLASTJC aas <br /> E] )0.NONE [I_tS.UNKNOWid yy O,59 0?'FIR .1606 <br /> SENDARYCONTAINMENT [I I.S772-1. 0 4.):1131MGLASS (I a.m.rXIBLn [1 10.RIGID PLASTIC <br /> y�. QWN ❑ 99. <br /> .......... ........ <br /> CONTAIN(viliNT SUMP TYPE 0 LSINGLE WALT, [3 2.DOUBLE WALL 90.NOAH 454d <br /> iX <br /> _yr,--NT PRIMARY CONTAINMM14T wml, El 4.FIDERGLASSQ 10.1tIGIDPLAS71C [3 90.NONC ❑ <br /> ........❑I...I.STEEL El 4.FIBERGLASS [3 1O.RIGID PLASTIC 99,OTHER(Specif'y): 4rAn. <br /> 'OR PRIMARY CONTAINMENT 01.STCPA. L"34.FIBERGLASS [] I0.RIGID F1,ASTIC �'hj.NONE 0 at'HER(11voiry): 464el. <br /> ------------...... <br /> VR SCCONDAIY CONTAINMENT C) I.VCEL Cj 4.14SERGLASS ❑ 10.RIGID PLASTIC e5lcpo.oom. o aram(sj=ir) <br /> 'y: <br /> ................. <br /> C <br /> PIPING TRANSITION SOWITYPE, ❑ 1.SINGLE,WALL ❑ 2.Do(N3Lr WALL Z.90.NONE <br /> -ITI, iv(1,STE 11-1. .0 ASTIC AILI-IjT 4 <br /> FLISI:R R114ARY(;ONTAINNIC Cj 4.I'11MR(3LASS ED 10,RIGID N. E3 99-O'llm(sitccify): <br /> RISrft SECONDARY CONTAINMEN'r '-3 1,STEEL 0 4.P13BROLASS (:) 10.RIGID PLASTIC Q'30N'r 0 99.01*1 ISR(Specify): 464k. <br /> FILL COMPONENTS MSTALLED -1 I.SALLBUCKET [2 1.STRIKER PLATE,130TTOM PR011ECTOR C)4.CONTAINMENT SUMP 4514'. <br /> ........... <br /> DIE g <br /> �Z. <br /> T. <br /> v .1 <br /> vNIN <br /> ON TYPE NONE <br /> n"All 7� 'I ,""-""------- .................. ..........n....99- <br /> 4496. <br /> MNS'I1tUC`I'I1Q1N NINI-HRIAL 0 I.SrIU;I. 0 4.FIBERGLASS o 10"RIGID PLASTIC o oTHI.:k l.Sj:C6ry) <br /> �77-- <br /> sTripi.COMPONENT PROTRC'110N [3 1.SACRIACI AL AMODI-(8) [3 CIMPRE.13SM)CLIRRENT 0.Im LAI-ION <br /> CFRTIPICKIION: I certify that this UST sygoin is compitibie with the hazai*us substance stored and that the,hiformation provided hortin is true, <br /> accurate,and i[L full Compliance with legal rAqviAnwom . <br /> APPL;CANTSICHATURL1pATC 471 <br /> APPL'CANTNAW.C(PH lit) LC ffA ffrrki APPLICAPITTrr-E <br /> U rcp U.Ti'-o[toy.(1212007)-14 wwwaguidoes.org <br />