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C �\ <br /> U NIFIED P ROG RAM C ON50 LID ATE D FORD( =jp - <br /> ey <br /> UNDERGROUND STORAGE TANKS -TANK PAGE <br /> ❑ 5.CHANGE OF INFORMATION) ❑ S.TEMPORARY SITE CLOSURE <br /> TYPE OF ACTION I.NEW SITE PERMIT � 4."ENDED PERMIT ❑ 7.PERMANENTLY CLOSED ON SITE <br /> (CAackam Lam o^l17 5 plMlpa•brlouluaa eNy) ❑ a.TANKREMOVED 4]0 <br /> ❑3.RENEWAL PERMIT (Spa6yna+on l <br /> Bu9nau As) FACILITY IDA of <br /> BUSINESS NAME(Same as FACILfiY NAME wDBA'DomY - "2 <br /> �p 6C \czA ST03C\o \•X. <br /> LOUTION WITHIN SITE(OPbW4p <br /> 41 <br /> LTANK DESCPoPTION. - ❑ Na <br /> TANK MANUFACTURERL^,� <br /> COMPARTMENTALIZED pANewa Pe9a fw aatltaminp..a <br /> TANK ID a !�1� Yv +M <br /> c 1 <br /> NUMBER OF COMPARTMENTS ;.I di7. <br /> D �J TAHK CAPACITY IN GALLONS <br /> GATE INSTALLED IT P/L101 _123(D� \ pV� '1/ <br /> ADOITIONAL OESCRIPTION IForlwal uaa aNN <br /> B.TANKCONTENTS <br /> TANKUSE 412 PETROLEUM TYPE ❑ S. JET FUEL <br /> la. AR UNLEADED ❑ 2 LUDED <br /> L11 1. MOTOR VEHICLE FUEL REGULAR Ok1. DIESEL ❑ 6. AVIATION FUEL <br /> (II rkM camplM PafMrvm Typ) I, PREMIUM UNLEADED ❑99.OTHER <br /> ❑ 2.NON-FUELPETROLEUM 01c MICGRADEUNLEADED ❑ 4.GASOHOL <br /> OLS.(hom MazaNam Mabdalz In�nnforypa9e) <br /> 03* <br /> ].CHEMICAL PRODUCT COMMON NAME ffnm NauNow M+IaLM+mL -t ryPapa) <br /> ❑ A.HATAROOUS WASTE(I�W-- <br /> us+ 09 <br /> III.TANK CONSTRUCTION <br /> ❑ El]. SINGLEWALLWITH <br /> 1. S. SMGLE WALL`RATIN INTERNAL BLADDER SYSTEM <br /> TYPE OF TANK ❑ SINGLE WALL EXTERIORMEMBRANEUNER <br /> ❑95. UNKNOWN <br /> (CAKE pna Lam aNy) yl 2. OOUBLEWALL 04, SINGLE WALL IN A VAULT 099. OTHER <br /> �I0 95. UNKNOWN <br /> TANK MATERIAL•POMA7 Unk 0 1, ARE STEEL y�(1 FIBERGUSSIPUSTIC ❑ 5.CONCRETE <br /> (Crock oro iNm omy) ❑ 2. STAINLESS STEEL ❑4. STEELCLAOW/FIBERGLASS B. FRP COMPATIBLE WI1p0%METHwNOI ❑99. OTHER <br /> q REINFORCED PLASTIC IFR PI <br /> 3 <br /> TANK MATERIAL +araMary Vnk ❑ 1. BARE STEEL � . FIBERGLASSIPLASPC ❑ 9. FRP COMPATIBLE W1103% WN <br /> %METHANOL �99. OTXEN <br /> (CAKk we inm anM ❑ 2. STAINLESSSTEEL ❑ 4. STEEL CUD WIFIBERGU5S ❑ 9. FRP NON-CORRODIBLE JACKET <br /> REINFORCED PLASTIC(FRP) O to. COATED STEEL <br /> ❑ S. CONCRETE DATEINSTALLED <br /> TANK ❑ 1. RUBBER LINED ❑ ]. EPDXY LINING ❑ 5. GLASS LINING ❑95. UNKNOWN433 <br /> ORCOATERIDR LINING (Fmlwal ma en ) <br /> 00.COATING O 2 ALRYOUNING ❑ 4. PHENOLIC UWNG ❑ 9. UNLINED ❑99.OTHER' <br /> DATEINSTALLED <br /> (Cnackom aamo 1 <br /> 1.MANUFACTURED UTXOpIC ❑ ]. FIBERGLASS REINFORCED PUSTIC 95. UNKNOWN 4K <br /> OTXE0. ON 99.❑ OTHE0. u ' <br /> PROTECTIONTIONIF IF APPLICABLE PROTECTION 0 4. IMPRESSED CURRENT (FWKKil uaa anhl ' <br /> (Cmckompamo^M ❑ 2.SACRIFICIALANOOE. OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED <br /> YEARINSTALLEO TYPEaHyl <br /> SPILLANOOVERFILL <br /> O d 1 AURM YX-N� ]. FILL TUBE SHIT OFF VALVE <br /> (CAKAaI Naf appM Ql. SPILL CONTAINMENT f`A <br /> I�L2. DROP TUBE 1911 ❑ 2. BALL FLOAT•__ Q 4.EXEMPT <br /> P'3 STRIKER PLATE <br /> ... TANKLEAKDETECTION <br /> IF DOUBLE WALL TANK OR TANK WITIIBUDDER Kk wskam any): <br /> . .�SINGLE WALL TANK aflfMt ❑ 5. MANUAL TANK GANGING(MTG) V/. <br /> ❑ VI$UAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ 1, VISUAL(EXPOSED PoRTION ONLY) 0 S. VPOOSE ZONE lY 2. CONi1NUOV51NiER5ATIAL MONITORING <br /> ❑ 1 AUTOMATIC TANK GAUGING(AT G) 0 T. GROUNDWATER ❑ ]. MANUALMONITORING <br /> ❑ ]. CGNRNUOUSATG. ESTING <br /> ❑ 4. STARSTURI <br /> LINVENTORYRECORCATION(4R)• ❑6. O 3. TANNKTKT <br /> BIENNML TANK TESTING <br /> V.TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE <br /> 415 TANK FlLLED W11TN INERT MATERIAL? <br /> ESTIMATED DATE UST USED(YRR4010AY) ESTIMATEOQUAA;;; Y OF SUMAI <br /> BSTANCE RENING <br /> _ papwa ❑Yu ❑No <br /> F,11�111Y SWROB FDlrr <br /> CUPAFORM(4198) <br />