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u4i iui zvlz TUB 9: ab PAX �7g5206 ! ®004/005 <br /> UNI)H'1ED PROGRAM CONSOLIDATTCD FORM <br /> UNDERGROUND STORAGE TANK <br /> OP'ERATINGPZRMITAPPUCATION-TANKINHORNIATION eererroprru4Tj <br /> Tyr EOP ock ono tem only. For an UST pNNNarnto or Icrmv ,OOmphad only"■vUim rad one4H, 11,M below) <br /> 1.NBW PERMIT 3.RENEWAL PERMIT 5.CHANGE OP Ar1FORMATION <br /> 6.TBbIPORARY UST' RE 7.UHTPBRMANBNT URE ON SITE B.UST REMOVAL <br /> DATE USTPERMANBNPLY CLOSED: DATE EXISS•INO UST DISCOVIlUD: <br /> FACILITY IDN(Agrncy tag ) <br /> BUS 9 NAME(Same sP PACILITY NAME or DBA-Dohq BudmaAt) <br /> S critGaaoum <br /> w CRY <br /> 1250 North Wilson Wavin <br /> r ;7'7'.7 .r t•,,•. .i' •i ')'�x' ..�! 'N 'x ';1 i' ,'''+ r, h• ,nt- .':.i', r.,) <br /> TANK ID N Took 2-Midgtado AC7'URER 4v TANK colinavRAT10N: u TANK LS 434 <br /> MOdelnWelding ®1.ASTAND-ALONE TANK <br /> ❑2.ONO IN A COMPARTMENTED DNR. <br /> Owal DATE UST SYSTEM INSTALLED A IN GALLONS " NUMBER E MPATM N 0> P.UNIT rr <br /> 4/1/45 12000 l <br /> ' �" :• r I 5r 'a �nA r•�. .ILS 'r. `.,1, �, $I,�r .I` j.b, <br /> TANK USB I,.MOTOR VHHICIBPUBUNG 0 ib.MARWAFUBLINV p I&AVIATIONPUMMO 439- <br /> 0 7.CHUML PRODUCT' OAAOB p 4.HAZARDOUS WASTEUrRiu,b Wb Oh ❑ S.BMBROSNCYpENERATORPUBLpI■09r19r15ggI <br /> r.DTH®taeNmtAtrntP11EL ❑ as. WN 99.MMR( Ily): ups <br /> N PETaOLBUM: iLRHOULAR UNLEADED 10 IaMIDORADRUNLBADaO U IlLPREAUUMUNLRADBD 4q <br /> U XDE'.M U S.ISTPUBL Q 6 AV1AT(ON OAS <br /> 6 P$TROLHUM BLIND PURI. 9.OTPB3RPBTROLBUM 9pl <br /> N0N-PBTPDL8UM: 7. L I0.UIHANOL <br /> 11. NW0.PEIROLEUM calf 9pp <br /> TYPE OF TANK 1. aLHwALL s.IXRIDLHwnLL 9s. <br /> VAUVIATTYCONTAINNIIINT III Loral. u 3.jqbmwws 0 6 Ri1101NAL BLADDER 4w <br /> 7r6TBBLt N ALLINMO 95.UNKNOWN 99NI 4w <br /> SSCONDA0. CONTAINMENT I.BTO S,PIBUC 6.8}CTRRIORMBMBRANOUNBR 9.iA <br /> 90. 9r,UNKNOWN 99.OTI0 R NL <br /> PRRYBNTION 1.AUckam 40 <br /> 1 S 1r BAil.FLOAT u 1PILL TUBE SHUT4fP VALVE <br /> Q 4.TANK MEM R.HQUIRRMENTS POR MMOTION PROM OVERFILLPRUYEMiON ENT <br /> PI OONHTAVCTIQ4 I,EWOLP.WA 1.13OUBLE-WALLED g9li.vittim t b 4 <br /> BYaTBN TYPE i.Fillussugs W.2.GRAVITY Q IF CQNVWnONAL SUCTION 4.SA1®BUCTIDN OCRtH <br /> PIUMARYCONTAMENT u I.STEEL IT9 4.9IBBRULASS U Sr PLBXIBLS E3 1 PLtSDC <br /> MN_ ".ONE UNKNOWN 99.OTHER naa <br /> SBCONDARYCONTAIRWif I,IrfDaL 4.PB11LOMASS U 1,PLL'TMOLP. 0 10.RIDIDPLASTIC Ida <br /> i90.NOPm Q 9S.UNKNOWN ❑ 99.OTHER oft <br /> PB'1NOrIURBDIH CONI'AMMBNT SUMP lr BBi0Il1 WALL 2.0 WALL . 9a NONE Oar <br /> VENT RNURY VQW7AMnN7 U 1.STBEL 0 a ROEROLAS , U 10.]UG1DKAffnCU 90.t4ONB U 99,DTrIDR tSIuaIN1V&r4N9 <br /> 16NI <br /> SECONDARY CONTAtNM LSTBEL 29 4,P1811it L E C 3 I . FLAB 90.NOI'7B Q 9AVR 4M <br /> Ar <br /> PRIMARY ATNMBM' /. 4.PIBBROLA t0. ABT 99,077'®R <br /> vR SWONDARV COMMENT Q I.HZE 0 4.PMERGLABS 10. iEpm}a.) <br /> PMrYI <br /> RISER PRIMARY QUNTA04MEM U 1.STJISL 09 6.PIBBRGLAE9 U 10,R1 IDP 509.01111111(311110111/) <br /> 460 <br /> 7MUSBCOMMAYCONT .ma 0 4.FIDOWLm El IO.RHIMPLASTIC Lj 90, NO <br /> FILL 09MMOM INWAILMdel <br /> 0 I-SPILLIMCM 0 O.6TM P TI9BOTI0 P UCTUR 4.CONT 451N <br /> CONSTRUCTION TYPE L SINGLE WALL 7.DOUBLE WAU. U A.NO DISPBN98Ra U K NON9 <br /> CONSTRIICMNMATMaAL 13LWM 09,118BROLASS L] 10.RIGID PLAS'n 99. <br /> STDELCOMPONINTPROTSCTION [12,BAICPIPIMAL ANOD&bT rt)9 44,IyMPRESSHOCURRBM' U 6.390LAT10N <br /> .+8!.a 4lAYr <br /> CL*RTIFICA7rON1 I catityplat Nd■VIYI'ylnare V o with Tllr hn■rdout rabrtroce stereo�that eh■1nRN'matien plm'Idsd herW -trr■,■terr■ag <br /> M INfall eom ra I Itenanpr <br /> APPLICANT SIGNATURE DATE 471012012 <br /> APPLICANT NAME(prInt) Jogbtdu Lel Te5e7i.VA NTTITL6 Operstar <br /> UPCF UST-8.1/2 Ia.,(Luis,) <br />