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zoo q <br /> 1 UNMM PROGRAM CONSOLMATED FORM TANK: TA0515579 <br /> t PRM: PROM6874 <br /> UNDERGROUND STORAGE TANKS —TANK PAGE 1 PACM: PA0001463 <br /> (two Pages per tank) <br /> TYPE OFACTIO14Pulte 101's <br /> (C -o—lf Y®mly) ❑ INBWSrTEPERMrT ❑4AMENDED PERMIT ❑5 CHANGE OP I\PORMATION ❑6 TEMPORARY SITE CLOSURE <br /> ❑7 PERMANENTLY CLOSED ON SITE <br /> ❑S RENEWAL PERMIT mom t� ❑9TANK REMOVED u0 <br /> BUSINESS NAME(SemeuFACIWNNAMfmb9A-NbSflab=A3) FACULTY ID: PRM: 1 <br /> FOOD 4 LESS' 1 3 M0002463 PRO516874 <br /> LOCATION W1 H N SITb(tt timnO 678 N WILSON WAY,STOCICCON 43I <br /> PHONE <br /> I-TANK DESCRIPTION(A acaled plot plan with die location of the UST systa0 including btultimp and lendnarks shall be submitted to the local agency.) <br /> TANK IDN Tank#: 1 430 TANK MANUFACT(RiER 493 COMPARTT4EN7 MED TANK Ely" ❑No 434 <br /> TA6515579 MODFRN GLASS STEEL Irve.•,arpmm oaa payanreoen aomParoiea,. <br /> DATE INSTALLED(YEAA/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 <br /> 4127/2001. 12:00:OOAM 20,000 2 <br /> ADDITTONALDESCRIPITON(Palaag...6) 49B <br /> TL TANK CONTENTS <br /> TA 439 PETROLEUM TYPE <br /> ® I.MOTOR VEHICLE FUEL ® Ia-REGULAR UNLEADED ❑ZLEADED <br /> ❑5.15'TFUEL <br /> (Rmrtedeorplee Peavlmm'1)paJ Ib.PRPABOMUNLEADED ❑3,.DIEM <br /> ❑4 AVIATION FUEL <br /> ❑2.NON-FUELPETROLECIM ❑ Ia traDOriAbE UNLEAbSb ❑4-QASOHOL ❑99.OTRER <br /> ❑S.CHEMICACT <br /> ❑a.1lAzwnnous COMMON NAR9E(wm8uxabm:Memdae m.maoav+w) 4I CASM(amnxaoramm Mamie]:lawmmy page) 443 <br /> USWAS wASTe , <br /> [195,UNKNOWN <br /> III TANK CONSTRUCTION <br /> TYPE OFTANK ❑ 1.SINGLE WALL ❑3.SINGLE WALL WITH ❑5.SINGLE WALL WITHINTERNAL BLADDER SYSTEM 443 <br /> (CReeam lmmmly) 6KiER10R MQ4BRANEIJNER ❑95,UNK NGWN <br /> ®2 DOUBLE WALL ❑6.SINGLE WALL N VAULT ❑9R OTHER <br /> TANK MATERIAL-Pt mumk ❑ 1.BARE STEEL ❑FIBERGLASS/PLASTIC ❑5.CONCRETE ❑ M.UNKNOWN 444 <br /> (Chmlmroiimv mty) ❑2-STAIIJLESS STEPI '�SI'BELCIADW/FIBEROLASS ❑2,PRP COI"TIRLR W/100%METHANOL <br /> REINFORCED PLASTIC(FRP) ❑9R OTHER <br /> TANKMATERIAL-secondary aloe ❑ I,RARE STEEL ❑3.FIBERGLASS/PLASTIC ❑S.CONCRETE ❑95.UNKNOWN 445 <br /> ((3aekmmhmnunlP) ❑2 STAINLESS STEEL ®4.STSB[.CIAD.W/AIRBROLASS ❑ B.PRPComFmLRwnm%METHANOL <br /> REINFORCED PLASTIC(FRP) ❑ Io.COATED STEEL ❑W OTHER <br /> ❑5:CONCRETE <br /> TANKINTpUDR LNNO RUBE <br /> I. ER I1NED 447 <br /> OR COATING ❑ ❑3.EPDXY LINING ❑ S.GLASS LINING ❑95.uNKNow 4ad OATENSTAILBD <br /> (O�mw ❑2ALKYD LINING ❑4PHENOLIC LR41NG [TJ 6UNLINED ❑W.OTHER 4/27/2 <br /> (Tarbes meetly) <br /> OTHER CORROSION ❑ I MANUFACTURING CATHODIC 3.FIBERGLASS REINFORCED PLASTIC <br /> PROTECTICNIPAPP1d�kELE PROTECTION ® ❑95 UNKNOWN aa6 DATENSTALLED <br /> tmmd:eac iumary) El4 NJPRMSED CURRENT ❑99 G'TRER <br /> ❑3 SACRIFICIAL ANODE (Ferwdu meaMl <br /> SPILL AND OVERFILL YEAR INSTALLE)SO TYPE a.i.eamM 4sl OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 4sa <br /> (Chmkdl N+tappy) ® I SPILL CONTANMSNT 2,001.00 <br /> ❑ ]ALARM ❑3 FILL TUBE SHAT OFF VAL1 <br /> © 2DROPTVBE 2,001.00 R9 2BALL 2,001.00 ❑4EXEMPT <br /> ❑X 3STRIKER PLATE 2,001.00 FLOAT <br /> IV-TANK LEAK DETECTION(A dmmiNimalthnmmillmtMk ales tombeoilad la Ihalml em l <br /> IF SINGLE WALLTANK iC dl Not apply) 453 0 DOUBLE WALL TANK OR TANK WITH BLADDER 44 <br /> ❑ I VISUAL WEPOSEDPORTION ONLY) ❑5 MANUAL TANK OAUGING(Mm) (amok..ilama.ly) <br /> ❑2 AUTOMATIC TANK OAUGNG(ATG) ❑6VADOSEZONE ❑ 1 VISUAL(SINGLE WALLIN VAULT ONLY) <br /> ❑3 CONTNUOUSATG ❑?GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑(S� 16NNIALTNJKTESTNGCONPLIATIW.' ❑un TANK <br /> OTREESrNG ❑3 MANUAL MONITORING <br /> ❑990THER <br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YRNO/DAY) 455 ESTIIdATED QUANTITY OF SUBSTANCE REMAINING 4M TANK PILLED WrrHNBRTMATERIALY J457 <br /> 4/27/2001 12:00:OOAM 0.00 gallons ❑Yea ❑No <br /> J <br /> UPCP(12/99 revised) <br /> 600 'd BOi0998601i 'oH M 'HM SS21 803 0003 WV D:90 KOULOOl/61/92d <br />