Laserfiche WebLink
'UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS -TANK PAGE 7 <br /> (tau pages yerfsnk) <br /> Pepe _ of _ <br /> TYPE OF ACTION ❑1.NEW SITE PERMIT 0 4. AMENDED PERMIT 0 5. CHANGE OF INFORMATION) ❑ S. TEMPORARYSITECLOSURE <br /> (Chkolr o s dam onty) <br /> ❑ Z 3.RENEWAL PERMPERMIT \F❑� PERMANENTLY CLOSED ON 51 <br /> (Specrynaaon-MAaalum arey) (Spacdy cMrps-brlaul vse oMy) y S. TANK REMOVED 430 <br /> BUSINESS NAME(Sema as FACIUTY NAME w DBA-Going Business Aa) FACILITY 10 R 1 <br /> 0,s% v , - M►4tiN - 114 W z\t1\C: t <br /> LOCATION WITHIN SITE(OpinnaB 431 <br /> EA <br /> I.TANK DESCRIPTION <br /> TANK ID TANK MANUFACTURER COMPARTMENTALIZED TANK ❑ Yea No <br /> l57 1 q-01+ If'Yei,complies one peps breach compshmhent. <br /> DATE INSTALLED(YEA TANK CAPACITY IN GALLONS NUMBER OF COMPARTMENTS <br /> ►00 <br /> ADDITIONAL DESCRIPTION(F kxel oar okW <br /> II.TANK CONTENTS <br /> TANK USE 432 PETROLEUM TYPE <br /> ❑ i. MOTOR VEHICLE FUEL ❑1s. REGULAR UNLEADED 0 2. LEADED ❑ 5. JET FUEL <br /> Isserke0,cowkwe Psfnksem Type) DID. PREMIUM UNLEADED 0 3. DIESEL 0 B. AVIATION FUEL <br /> 2. NON-FUELPETROLEUM 01c MIDGRADE UNLEADED 0 4, GASOHOL 009. OTHER <br /> ❑ 3. CHEMICALPRODUCT <br /> ❑ 4. HAZARDOUS WASTE(IncluOaa COMMON NAME(kpm Nakansoua Mad s InyaMory Pspe) CAB 0(/con Herseloua AMhsrMe/3 lnaenbry pampa) <br /> uawon <br /> III.TANK CONSTRUCTION <br /> TYPE OF TANK 01. SINGLE WALL 0 3. SINGLEWALLVATH ❑ 5. SINGLE WALL`MTH INTERNAL BLADDER SYSTEM <br /> (Check one Mm oNy) 02_ DOUSLEWALL EXTERIOR MEMBRANE LINER 095 UNKNOWN <br /> 0 C SINGLE WALL IN A VAULT <br /> ❑1R. OTHER <br /> TANK MATERIAL-prlmerybank 0 1 BARE STEEL 03. FIBERGLASS/PLASTIC 0 5, CONCRETE 0115. UNKNOWN <br /> (Cho ons Asks only) 02, STAINLESS STEEL 04, STEELCIADW IBERGU ❑ B. FRPCOMPATIBLEW/100%METHANOL 11 N. OTHER <br /> REINFORCED PLASTIC FRP <br /> TANK MATERIAL-sactI tank 0 1 BARE STEEL 03. FIBERGLASS/PLASTIC ❑ B. FRPCOMPATIBLEW/100%METHANOL 096. UNKNOWN <br /> (CMN oro dem only) 0 2, STAINLESS STEEL 0 4, STEEL CUD W/FIBERGLASS ❑ 9. FRP NON-CORRODIBLE JACKET 099. OTHER <br /> REINFORCED PIASTIC(FRP) 1110 COATED STEEL <br /> 0 5. CONCRETE <br /> TANK INTERIOR LINING 0 1. RUBBER UNED 0 3, EPDXY LINING 0 5, GLASS LINING 0 B5, UNKNOnA4W3 DATE INSTALLED <br /> ORCOAONG <br /> 0 2.ALKYD LINING 0 4. PHENOLIC UNING 0 B. UNLINED ❑IR. OTHER <br /> Chock one item o Fwbml uss <br /> OTHER <br /> PROTECTION <br /> IF ON 0 1 MANUFACTURED CATHODIC 0 3. FIBERGLASS REINFORCED PLASTIC 095. UNKNOWN 434 DATE INSTALLED <br /> PROTECTION IF APPLICABLE PROTECTION <br /> ❑ /. IMPRESSED CURRENT 1199. OTHER <br /> (DMd:ors Item only) ❑ 2. SACRIFICIAL ANODE fFwlocN uee°NY) <br /> SWLLANDOVERFILL YEAR INSTALLED TYPE(ForlopluwoNy) OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED <br /> (Chock es let appy) 0 1. SPILL CONTAINMENT 0 1. ALARM 0 3. FILL TUBE SHUT OFF VALVE <br /> 0 2. DROP TUBE 0 2, BALLFLOAT ❑ 4. EXEMPT <br /> 0 3. STRIKER PLATE <br /> W.TANK LEAK DETECTION <br /> IF SINGLE WALL TANK(Check ashen a IF DOUBLE WALL TANK OR TANK WITH$LADDER(Check acre item only): <br /> ❑ 1, VISUAL(EXPOSED PORTON ONLY) 0 6. MANUAL TANK GAUGING(MTG) 0 1. VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ 2. AUTOMATIC TANK GAUGING(ATG) 0 B. VADOSEZONE 0 2. CONTNUOUSINTERSTITIALMONITORING <br /> 0 3. CONTINUOUSATG 0 7. GROUNDWATER 0 3. MANUALMONITORING <br /> 0 4. STATISTICALINVENTORYREOONCILIATION(SIR)a 0 B. TANKTESTING <br /> BIENNIAL TANK TESTING 099. OTHER <br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YRNO/DAY) ESTIMATED QUANTITY OF SUBSTANCE REMAINING 435 1 TANK FILLED WITH INERT MATERIAL? <br /> pieoni 0 yes ON. <br /> CUPAFORM(4/99) Formerly SVVRCB Fofm B <br />