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06/03/2004 09:23 9166352606 TAIT PAGE 03 <br /> —NMO PROGRAM CONSOLIDATED P- 'M <br /> TANKS <br /> .__.' <br /> UNDERGROUND ST® CS-TANK PAGIE A <br /> (two pa Ifortm it <br /> PE <br /> TYOF ACTION D i NSw SITS pE mT p 4 AIVIENDSD pnMrr . . 5 CHANm of 1NTORMAn0N D 6 TEMPORARY$rM CLOStME <br /> (C1w*Qwt0"0 dy) — ❑ 7 PERMANEN'TC.Y CLOSED ON 3rM <br /> 0 3 REI�EWALPERMrr oped*� -iotmcatuaoaly) (s�tp -foeto�uaoot� 3 TANKR•EMOVED 430 <br /> SBBUSINESS NAME(Same as FACR.ITY wAmE orDBA-1&ft 3w6aw M) 3 FACILITY ID: lr~ Ll 1 1 <br /> SBC#ESCLCAII h. <br /> LOCATION WI THIN SITE(Optwa0 431 <br /> LTANK 1)$SCRIP'PIOX (AscaWplat-plan vftthe location ooftheUST sysftm includiztgbuildia8sand tadmatkssilallbesubmitted tothe 10=l#goncy.) <br /> TANK ID 9 02 TANK MANUFACTURIM 433 COWAXTU ENTALIZED TAMC 0 Ycs N No ala <br /> I Jooz 1f"Ya.oww1mo mpeaftw c-%-f n-t <br /> DATE INSTALLED(YEARMO) 4M TANK CAPACITY IN GALLONS 436 NUhMP_OF COMPAR'I ZN'TS 437 <br /> UiAMOwn 500 <br /> ADDMONALDESCRIPTION(For h u.&vy) 4M <br /> M TANK CONTENTS <br /> TANK USE 439 pMOLEUM TXP)3 440 <br /> ®I.MMORVEEMME FUEL Q 1a, REM ARRUNLEADED ❑7 ❑A JET FUEL <br /> (If—ked001a*aa Pln0 'TfP0 (31h. PREMMMi}"ADED 03.DIESEL A 6. AVIATM FUEL <br /> E3 2.NON.11)ELPETROLEUM E3 le. b(IDGRADEUNLBADED 04. GASo 099.OTBER_ <br /> ❑3.CHEMICAL PRODUCT COMMON NAME (from Hawdaua M5t..0]avattm Fags} 441 CAS#(r,—H--d—mmiale lawsmy Fane) 442 <br /> ®4; FMA ARDOUS WASTE <br /> (tsatu4ae11p"10 <br /> ❑93.UNKNOWN <br /> M. TANK CONSTRUCTION <br /> TYPE OF TANK 13 F 31NM WALL 13 3. 3INGa WALL 0 S. SINN wALL wrm II4TERNAL BLADDER SYSTF.m 443 <br /> tt'hack one t atRy) ERIERIOk.NOM=APM LMR 0 95.UNKNOWN <br /> (S(2. DOUBLE WALL E34.sTGNLE WALL w VAULT E3 W. aylmp .._,_ <br /> TAUX MATEXAL-yang t.* E 1.MO E ME—L 3. FBERC I A511/PLASTIC 0 3. CONCR9= 9S.UNKNOWN — <br /> (t3a3dcori ady) []Z_ STAitt ES3 STMM ❑4, STEEL CLAD W/MERGLASS ❑a.FRP COMFMLZ W/I00'N M5MAX0L ❑99.t TPOL <br /> REINFORCED PLASTIC ) <br /> TAMC MATERIAL. aeeonda y tmdc 0 1. BARE S77ML 0 3.FMAGLAS3/P ASTM` _. CONCRETE 95. UNKNOwN <br /> (C9to�tinegam Q 2. STAINLESS STEEL 114, STM CLADw ❑L t;A"CON&TIBL11 W/100%METHANOL ❑99.OTBER <br /> REINFORCED PLASTIC( ) ❑10.COATED S= <br /> 01. CONCME <br /> TANKIN1ERIORL1NWG E31.RVBBWLRM 0 3.EPI=iJR&d C3 3.aLAss LINING 13.t.UNKNOwN 446 13ATIis 1NSTALL1) 447 <br /> OR COATING 0 2 ALKYD LININO 04 PMNOLIC LINING 13 6 E]99 oTEER <br /> (t Ct etuka t adY) Tor focal uee+tmW <br /> OTBER CCRROSPON ❑1 MANUFACTUYxD CATmDAC (:3 3 FMERGLA33 RE RCED PLASTIC ❑95 UNKNOWN <br /> PRUMCMN W APPLICABLE p1KOTF.cn0N ❑4 RApunvo Cunw4T 1:7 99 amr, <br /> (CfHsf<oeehomottly) 1�7sACRIFYCIALANODE (FOCIOWtaeoniy) <br /> SPAJ,AM OVERFILL YEAILWSTALLED 450 "l`YPI,{tnrnitixca�ly) 451 OVM*-AI.YROt'1:•GMNEQUIPMENT_YEARINSTALLED 452 <br /> (Chc*411 Uta"V10) M I SPML CONTATKNO2 T jnk ®i ALARM T1 ❑3 M.L TUBE 3J1UT 0t2 VALVE, <br /> 0 2 DROP TUBE Unk ❑2 BALL FLOAT 134EUMWT <br /> 3 STRIKER PLATE <br /> IV.TANK LEAKDIRTECTION(Admx4manoYd+a aabonNatadtoUtelocal Vow) <br /> IF SINGLE WALL TANK(Check an that appiy) 453 IF DOUBLE WALL TANK OR TANK WITH SLADMR 454 <br /> (0p*Miftn**) <br /> 1 VISUAL(EXPWFD PMT1CJNt ONLY) 0 5 MANUALTANK ClAUGWO M 0 1 uJSUAL(SINGM WALL iN vAuLT ONLY) <br /> ❑2 AUTOPrIATTCTANK IIEAu N-,(ATC:) D 6 vADOsE 20NE H 2 CONTINUOUS INtERS'T)TIAL MONITORING <br /> D 3 CONTINUOUS ATO Q 7 GROUNDWATER ®3 MANUAL M0NTTORWCx <br /> ❑4 STATISTICAL INVLWTORY RECONCILIATION ©6 TAM T6 Mr. <br /> (SIR) BIENNIAL TANK TESTING ©99 OTHER <br /> M TANTS CLOSURE ID1FCT ATION/PEMANWIT CLOSURE IPI PLACE <br /> ESTIMATED DATE LAST USED(YXIM(YDAY) us ESTIMATED QUAN rrY OF SUWANCE REALAINING ' TAMC FV.Ul)WrM WERT MATERIAL? 431 <br /> gal3ans Q Ya+ 0 No <br />