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..u�m aLuvu 6ucL U Y. VIt16R PETROLEUM $ ed <br />moi <br />NON•PBTROLEW: [17. USED 01. Q 10. Mv4 OL <br />IL -PETROLB <br />"(lb�< <br />;'1Al�i[CINSTMMOP, <br />TYPE OF TANK 1, SINGLE WALL 40 2. DOUBLE WALL Ll 95, UNKNOWN <br />443 <br />PRIMARY CONTAINMENT I, STEN. ZI 3: FIBERGLASS Ll 6. INFERNAL By ADDER <br />aM <br />7. $TBEL'INTERN.M,LINING ❑ I1NKNOWN ❑99.OTH8R S <br />4444 <br />F. <br />SECONDARY CONTAINMENT 1. STEEL 3. FIBERGLASS ❑ G EXTERIOR MEMBRANE OR 7, 3ACMTED <br />ars <br />❑ 90, NONE Q 93. UNKNOWN 99.OTNER $ ' � <br />OVERFILL PREVENTION 1. AUDIBLE A VISUAL ALARMS 2. BALL FIDA 3,FR.L TUBES AoFF ALVE <br />4sa <br />4. TANKMERTS REQUIREMENTS FOR EXEMPTION FROM,OVBRFRL PREVENTION E U@IBNT <br />BRpDII�'T;I�A;R�PE�it'ii�ONSLRTSC.'Fli�l� •::,' ` ' . <br />, <br />PIPING CONSTRUCTION 1. SINGLE -WALLED y, DOUBLE -WALLED Q 99.OTFIER <br />a <br />SYSTEM TYPE 1. PR83SURE .GRAVI'TY 3. CONVENTIONAL SUCTION ❑ 4.SAFESUCFION wclt 3636( 3 <br />46A <br />PRIMARY CONTAINMENT I, STEEL d, PiBERGLA59 8. FLEXIBLE Q 1G RIGID PLASTIC <br />469 <br />Q 90. NONE Q 95, UNKNOWN Q 99, OTHER(8 eify): <br />4646 <br />SECONDARY CONTAINMENT ❑ 1. STEEL Q 4, FIBERGLASS U 8. FLEXIBLE 10. RIGID PLASTIC <br />4Wb <br />Q 90.NONE. 9$.UNKNOWN Q "-OTHER(S ): <br />46k <br />KPINOTTUREINK CONTAINMENT SUMP TYPE IL 1. SINGLE WALL 2. DOUBLE WALLQ 90, NONE <br />4696 <br />lC�$IkE;�IPiPiiG�Q�7$'�UC'£I(7�; <br />._ <br />BINARY CONTAINMENT I. STEEL 6. FIBERGLASS 10, RIGID PLASTIC U 90. NONE E3 99.OT748R (Sp1clM <br />INe <br />46461 <br />VENT SECONDARYCONTALNMENT LSTEEL Ll 4. FIBERGLASS Ll 10. RIGID PLASTIC 0 90, NONE Q 99.OTHER (Speeify) <br />i <br />99, OTHER (SpmiM <br />VR PRIMARY CONTAINMENT 1. STREL L3 4. FIBERGLASS Ll 10. RIGID PLASTIC 0 90. NONE L34 <br />464, <br />WI <br />VR SECONDARY CONTAINMENT ❑ I,STEEL 0 4. FIBERO 10. RIGID PLASTIC Ll 90. NONE Q 99.OTHER (Spwli ) <br />awn <br />VENT PIPING TRANSITION SUMP TYPE rl 1.SINGLE WALL 2. DOUBLE WAL 90. NONE <br />4611, <br />RISER PRIMARY CONTAINMENT 1. STEEL d. FIBERGLASS l0. RIGID PLAST C Ll 90, NON7i U 99, OTHER (Specify) <br />464j <br />46411 <br />RISER SECONDARY CONTAINMENT 1. STEEL 0 4. FIBERGLASS Q 10. RIGID PLASTIC Q 90. NONE 13 99. R(Spccity) <br />4611 <br />4 <br />PRI, COMPONENTS INSTALLED L SPILL BUCKET 3, mmER PLATEMOTTOM PROTECTOR 294,coNTAIMIBNT SUMP <br />461x4 <br />r VII:; MER-DI3ipN" OP TARely"F: fUffE) <br />CONSTRUCTION TYPE I SINOIB WALL ❑ 2. DOUBLE WALL Q 3. NO DISPENSERS 90. NONE <br />469+ <br />CONSFRUCT[ON MATERIAL 1. STEEL. L3 4. FIBERGLASS Cl l0. RIGID PLASTIC ❑ 99, 4y1'I1ER(SON469ba <br />vm C099 ox"PROTEMON <br />STEEL COMPONSMPROTECTION Q 2. SACRIFICIAL ANODE(S) Q A. MnPvRSSSBD CURRENT Q 6. ISOLATION <br />44 R <br />IX.'APPLICkNTSIGNAT " , <br />CERTOMAT ION: I tar* tW tilts UST system I$ 9oaipadble with the harerdom subeteade stored tad that the lafo.m itl9n provided herein u tree, eeeurote, <br />40 In feu rom Eaaea wah I d rectuimmuts, <br />APPLICANT SIGNATURE <br />DATE <br />APPLICANT NAM (pttm) 471. <br />APPLICANT TITLE <br />47L <br />UPCFUST-R-1/2 Rev. (IiT n <br />