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01/08/2004 08:23 2094683433 FIFTH FLOOR Pr,GE '-9 <br /> 0 <br /> UNIFIED MOGRAM CONSOLIDATED FORM U <br /> TANKS <br /> ��.'� <br /> UNDERGROUND STORAGE TANKS-TANK PAGE <br /> F7 �57 <br /> (Two rag"per Mak) <br /> TYPE OF ACTION NEW pEmrr Q A-AMENDED PERMIT [] 5.CHANGE OF INFORMATION 0 fL TEMPORARY I <br /> ka me ibem oady) TANK 4.10. <br /> (C <br /> L3 j-REHEwALPExmrr 0 7.PERMANENTLY CLOSED ON SITE <br /> (SPGWY-Nrl) (specify remn) LJ &TANK REMOVED <br /> BUSINESS NAME(Summe.PAOLm NAhm.,IDRA Dcirg&n i.. FA T-- <br /> LOCATION WrrM SITE Ich*iomab <br /> U1 <br /> 141.Re,• "I; <br /> n <br /> % <br /> TANKIP0 4M. <br /> TANK MANUFACTURER CU. COMPARTMENTALIZED TANK AYes No <br /> - XF11L.SF-5 117"Ym"workloom page <br /> DATE B48TALLED 13x TANK cApAcrry IN GALLONS NUMBER OF i�-ART-M�ENTS <br /> (YEAR/MO) 0) 437. <br /> ADDITIONAL DESCRIPTION(rc.-Il.-I.only) <br /> 41i <br /> TANK USE PETROLAUNITYPE <br /> A ). MOTOR VEHICLE FUEL ❑I-REGULAR.UNLEADED 0 2. LEADED Us. JET Furm <br /> (Ifabacketi.congloL,PoemebatoTypc) 1b.PREMIUM UNLEADED U 3. OTMEL 0 6.AYIATION GAS <br /> 0 2. NON-FUELPETROL EUM t. MlIXiRADEONLEADED [14. GASOHOL E3 99.OIVZR: <br /> El J. CHEMICAL PRODUCT COMMON NAME(ftm H=nb.muwib bm.7 pap) 441, CASA chom ra=dm umih Tel- <br /> L3 4. HAZARDOUS WASTE <br /> (Jack"Ww oin <br /> ❑ 95.UNKNOWN <br /> .1 -Ru <br /> I 611ii,1. <br /> TYPE OFTANK U I.SINGLE WAIL L3 3. SINGLE WALL WITH EXTERIOR Ll S.SINGLE WALL WITH 94TEMAL BLADDER.SY STEM 443. <br /> (Chane ow item owy) b(2.DO WALL CIA.MIDASKA149 LINER 1395. UNKNOWN <br /> SWGLE WALL IN A VAULT 0 99. OTHER. <br /> TANK MATERIAL-prawyw& L]1.RAMSTREL PJ3,FIBERGLASS IPLASTIC CONCRETE 95.UNKNOWN <br /> (0wck4-cftmo*) 0 2, STAINLESS STEM 13 A- STEEL CLAD W/nMR01ASS 13 S. FRP COMPATIDLE [3 99.OTUU.: <br /> REINFORCED PLASTIC(FRP) W/100% NOL <br /> TANK MATE RTAL-sqmdpy CRA tj 1. RARE STEEL - 9(3. F1WkGLAaSiPLASTIC Q 8. FRP COMFMLE W/100%MMIANCL Ij 95-UNKNOWN -;F. <br /> (Check one item only) 0 2. STAINLESS STEM(3 4. STEEL CLAD WIFIBERGLASS 0 9.M NON-CORR.ODABLE JACKET 99.OTHER <br /> 171 s.REINFORCED PLASTIC(MP) Lj 10. COATWSTOL <br /> TANKRfTERJOR LINING L3 3.EPORY WE -Ej t GLASS LINM El 95.UNKNOWN 446. -5A-TEW3TALLE-D iii- <br /> ORCOATING Z ALKYD L84NO 4.PHENOLIC LDaNG 0 6.UNLINED 0 99-OTHER <br /> ((74cck on iftm <br /> OTHERCORROaSION 0 1-MANUFACTURED CATHODIC [3 3.FIBERGLASS REINFORCED PLASTIC Q 95,UNKNOWN 44zL DATE INSTALLED 449 <br /> PROTECTION PROTECTION L)4.IMPRESSED CMLNT [3 99.OTHER <br /> (YA00ficablo) 02-SACRWECLALANODF <br /> SPILL AM OVERFILL YEAR INSTALLED 45a TYPE 431, OVERFILL PROTECTION E-QU-IRM"WT-YE'ARNSTALLED 493-- <br /> (CbcCk8IIdatvpIy) IR 1.SPILL CONTAINMENT I.ALARM -[3 3,FILL TUBE SHUT OFF VALVE <br /> 2-DROP TUBE 2 BALL FLOAT 13 4,EXEMPT <br /> I STRIKER PLATE <br /> x;.•:.:;l. <br /> ;A <br /> IF SNOLE WAJA,I ANK 463,j IFI)quBLEWA-LLTANXOR TANK wrmALADDER, 454. <br /> (Check all that apply) (C ow item only) <br /> 0 1.VISUAL(EXPOSED PORTM ONLY) 0 5.MANUAL TANK GAUGING(MTO) ❑L SUAL(SINGLE WALL IN VAULT ONLY) <br /> D 2.AUTOMATIC TANK OAUGiN0(ATa) Q 6.VADOSE ZONE ❑z NTINUOUS INTIMTrrIAL MQNYn)RTNG <br /> 0 3.CONTINUOUS ATG El 7.GROUNDWATER 03, ALMONITORING <br /> 0 4-STATISrICAL fNVV4T01KY RBCONCIUATION E3&TANK TES71NG <br /> (SOL) BIENNIAL TANK TESTING 0 99.OTHER <br /> ANAM <br /> IF0.1 <br /> ESTIMATED bATF LAST USED(yRftjomAY) ISTIMATEDQUANT17YOPSUBSTANCE MMAINNG, 45& TANK FILLED WITH INERT MATEPIAL? 45' <br /> pflow D ye, 0 No <br /> IJFCF bwirwre-b(IM)-ijA http,/11vww.uuidoesorg Rev.02/16/04 <br />