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01/08/2004 08:23 20946834 FIFTH FLOOR • PAGE :_9 <br /> UNIFIED PP-OGRAM CONSOLIDATED FORM C/ <br /> TANKS <br /> UNDERGROUND STORAGE TANKS-TANK PAGE 1 <br /> (Two pages per tw*kt)_ <br /> TYPE OF ACTION I.NEW PERMIT Q 4-AMENDED PERMIT 0 5-COANCAOFINFORMArioN 0 &TEMPORARY TANK-cL_(.suRE 430. <br /> (Ck=k one ftu only) 3-RENEWAL PERMtr 0 7.PERMANENTLY CLOSED ON SI-E <br /> (Svvib rewon) Q 8.TANK REMOVED <br /> BUSINESS NAME(sr�e-tAOLrff NAM DDA-Doin Bois=t.QT7 <br /> "5 5TN7f0c'J <br /> LOCATION WITHIN SITE(opti=4 <br /> nor.... <br /> TANXID# <br /> iJ TANK MMUFACTURER COWARIMENTALIZED TANK?X Y­ Ll No 434. <br /> )(le IL)(1?-.4; 1f'1yeN"wMPk4eoat P084 ft web oowrfta- <br /> DATE INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS <br /> (YEARIMO) / 437, <br /> P)c 200'{- 9000 ?I ( Sloo0 <br /> ADDITIONAL DESCRIPTION tFatvalmomdy) alar <br /> 909 <br /> -5 <br /> V., <br /> FTNK MM0121UNITYPE, <br /> I <br /> 1. USE ' <br /> VEHICLE FUEL 0 la.REGULAR UNLEADED 0 2. LEADED s. TET run <br /> f f.M <br /> obskea cowpWe Pet*14out Tyvc) 0 1b.PREMIUM UNLEADED DIESEL ❑6. AVlKtLON OAS <br /> E3 2.WON-FUELPETROLE", L3(c. ME)GRADEUNLEADED <br /> El 4. GASOHOL 99,OMR: <br /> El 3. CHEMICAL PRODUCT COMMON NAME(r..H..&.mdbb r.5'ewq pp) 441. <br /> L) 4. HAZARDOUS WASTE <br /> (ink4w usw oin P,UTO Dif-SE L- <br /> 0 UNKNOWN <br /> dm: <br /> .7: <br /> Onmk Oltrr <br /> TYPECIFTANX 03. 'WALL U 3, SWULE WALL WITEI EXTERIOR LIS.MCKE WALL WrM INTERNAL RLO DDER SYSTEM 443. <br /> (Cbmtowimmonly) MIDASKANSLINER 0 95.uuxNowN <br /> b(_2.DOUBLE WALL 3.4. SErgLE WALL IN A VAULT 0 99. OTXM. <br /> TANK MATERIAL-pgimyurjc L3 1.BARE FFWZL FIBERGLASS I PLASTIC 0 S.CONCRETE [395-UNKM)WN 444. <br /> (c'wko"Acm.vb) 02, STAINLESS STEM [3&STEEL CLAD WMBFIGLASS LI IL PRP COMPATIBLE [3 99.OTHER.; <br /> REINFORCED PLASTIC(FRP) w/10Q%MLTHANOL <br /> TANK MATERIAL-secondary VA [3 1.BARE STEEL jq-3. FIBERGLASS/PLASTIC Q B. ERF cOMPTIBLE w/300%mEnLwOL 1:195.umckdwk 44-- <br /> (0wk ane item 0131y) E]2.STAINLESS REM[14. STEEL CLAD W)FIBIMOLASS 0 9.ERP NON40MODAaLE JACKET 99.onlm <br /> R5R*QRCED PLASTIC(FRP) L3 10,COATRIDSTEEL <br /> TANK INTERIOR LINING ).RUBBER0LINED <br /> ❑3' <br /> Q 0 1 GLASS LINING 95- WN 446. DATE INSTP.LLED T47-- <br /> Emxy L"N' <br /> OR COATING. 0 1 ALKYD 12aNO HEN <br /> 4.PHENOLIC LINING 0 6.UNLINED 0 99.OTHER <br /> -(Chock one.Rcin only) <br /> OTHER CORROSION []i.MANUFACTURED cArHoDtc E]lim=Gwsmsvo;DRCEDPLAstiC 0 93,UNKNOWN 4411. "7ATUINSTAILn=47 <br /> PROTECTION ?RcnTcTmx C)4.IMPRESSED CVRRENT E3".OTHER <br /> (IfAuDlicalAo) 0 7-SACRIFICIAL ANODE <br /> SPILL AND OVERFILL YEAR INSTALLED 490. TYPE 41-. OVERFILL PROTECTrON15QUIPMENT; YEARIMSTAILED 45-2 <br /> (Check all that apply) I.SPILL CONTAINIMENT him,ALARM FILL TU _ <br /> BE WT OFf'VALVE <br /> 1 7-DROP TUBE 2.BALL FLOAT 0 4.EXEMPT <br /> 93.STRIKER.PLATE <br /> k' vk%xi' <br /> 'tt: <br /> Ai <br /> IF SINGLE WALL TANK 453, (T UBi E WALL TANK OR TANK WITH BLADDER 4P. <br /> (Check al(that apply) one item only) <br /> 13 1.VISUAL(EXPOSED PORTION ONLY) ❑S.MANUAL TANK GAUGING(MT(i) ❑1.VISUAL(SINGLE WALL Al VAULT ONLY) <br /> [3 2.AUTOMATIC TANK GAUGING(ATCl) L)d.VADDSE ZONE Q CowTrNVOUS iNTERSrTnAL MONM)RTNO <br /> [3 3.CONTINUOUS ATG [3 T.GROUNDWATER 3.MANUALMONITORING <br /> 0 4.STATISTICAL INVENTORY RECONCILIATION 0 9,TANK TESTING <br /> (SIR)+BIENNIAL TANK TESTING 0 99.OTHER <br /> ESTIMATED i)AM LAST USED(YRA901DAY) 45, ESTIMATED QUANTITY OPSUBSTANCE REMAINING 456. TANK FILLED WM INERTMAng][AL? <br /> I sallono 1 13 Y43 D No <br /> UPCF hwfwrc-b(1199)-114 hvtp,//www.unidocs.wz Rev.02116180 <br />