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UNIFIED PROGRAM CONSOLIDATED FORM <br />UNDERGROUND STORAGE TANK <br />OPERATING PERMIT APPLICATION — TANK INFORMATION (One Em <br />PR Us <br />E OF ACTION (Check one item only. Far UST permanent closure or removal. compiete only this seatioa and Soetiom 1, 11,111. IV, IX <br />eeP <br />and below) <br />1. NEW PERM17 3. RENEWAL PERMIT 0 S. CHANGE OF INFORMATION <br />6, TEMPORARXUSTCL03URE 7. UST PERMANENT CLOSURE ON SITE 9. UST REMOVAL <br />DATE UST PERAfAtQBNTI.y C[ASBD: �' DATE =STING UST DISCOVHREp; <br />svm <br />.; L: FAEII;TI SF, O F10N <br />, <br />FACILITY E) 4Vgaaey use Ono,) <br />B .SSS NAM$(�e FACN�1ME or DBA -Doig Eusimesa Aa) <br />�vf11 <br />Bus SSTTE AD SSN tm <br />CrrT <br />r <br />� <br />F. <br />., IL'1'ANKDESCRIRTiON <. <br />..TANK <br />TANK ED ua <br />MANUFACTURER ay TANK CONFWUPATmd THIS TANK IS <br />aso <br />—TINT—, <br />(N O;�?a �p� 1 <br />1. A $TANMALONr TANIC <br />J �� Z. ONE N A COMPARTMENTED UMr. <br />))) C 1«om mmc <br />C <br />TANK AF ifY IN GALLONS <A NUMBER OF COMCCIM PARTMEIN IN THE UNIT <br />Oar <br />DATE UST SYSTEM INSTALLED • <br />— <br />—1q <br />w <br />TANK USE Qj. la. MOTOR VE10CLE FUELWO ❑ Ib.MARINAFUELINO ❑ Ia AVIATION FUELING I, 1 <br />Q 7. CHEMICAL PRODUCT STORAOR D A. HAZARDOUS WASTE(htdm Urd co) 12 1. EMERGENCY GENERATOR FUEL[ ESC gE5281X,)1 <br />C3 6.0THERGENERATORFUSL Q 9S. UNKNOWN 99. OTHER (Smi : <br />419e <br />CONTENTS PETROLEUM: 0 ie. REGULAR UNLEADED Q Ia MIDCRADE UNLEADED Ib. PREMIEN UNLEADED <br />910C33. <br />DIESEL_ � S,)ET FUEL Q 6, AVIATION GAS <br />