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(Please complete one report for each tank <br />Tank Owner: Airs r , t-1 'e7 aP) t ) <br />Facility Address: 7717 � . f AC4 n IeN <br />Phone #; �( -� Owners' Tank ID #� <br />Tank Capacity (j Contents ( �� <br />Options to meet the 1998 Deadline <br />Choose A, B, or C, then enter the target or actual completion date(s) as appropriate. Completion Dates <br />:Tar e=Actual <br />A) Permanent closure or removal of the tank and piping system <br />13) Replacement of the tank and piping with a double -walled tank, double walled piping, and <br />dispenser containment. (Required for non -motor vehicle fuel tanks 4 ! <br />IqLsb <br />C) Tank and piping upgrade as follows: <br />1) Installation of striker plate(s) in tank. <br />2) Installation of a 15 gallon spill container at the fill tube. I I <br />3) Installation of an overfill prevention device with one of the following: <br />a) Automatic shutoff device. <br />b) Bali float valve. <br />c) Audible and visual overfill alarm. <br />4) Corrosion protection for the tank provided by one of the following, <br />a) Tank made of non -corrodible material (such as fiberglass). <br />b) Steel tank clad with (or encased) in non -corrodible material. <br />C) Steel tank upgraded with interior lining and exterior cathodic <br />protection. i <br />d) Steel tank upgraded with interior lining, exterior cathodic protection, <br />and a bladder system. <br />S) Corrosion protection for the associated piping provided by one of the following. <br />a) Piping made of non -corrodible material (such as fiberglass.) <br />b) Installation of new fiberglass or other non -corrodible, double walled <br />piping and dispenser containment. <br />c) Steel piping with corrosion -resistant coating and cathodic protection. <br />d) Steel piping upgraded with cathodic protection. <br />6) Installation of a line leak detector with an automatic shutoff systern/device. <br />Tan wr o ator a e t Signature: �" �'�' -/� <br />D / V <br />(choose one) ate signed: <br />u31193upVdUu,v,y upS dia June 2. 1947 <br />