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....... GRWVCONSOEWXTED-FO <br /> UNDERGROUND STORAGE TANK <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION(one form per tts-i) <br /> TYPE OFACTION (Check one item only. For=UST permanent c=or removal,completeonly this section and Sections I,11,1H,IV,and DC below) 430 <br /> © 1.NEW PERMIT 0 3.RENEWAL PERMIT Zj 5.MANGE OF INFORMATION <br /> El 6.TEMPORARY UST CLOSURE 0 7.UST PERMANENT CLOSURE ON SITE 0 8.UST REMOVAL <br /> DATE UST POWANM47LY CLOSED: DATE MSTWGUST DISCOVEM., 430b <br /> 4 <br /> FACILITY IV W(AWCY We 0*) <br /> S NAM!(Same as FACUXTY NANO or DBA Dowg Business As) 3 <br /> CS SL3vslsrra REss CITY 104 <br /> y <br /> TANK ID-9 432 TANK MANUIFACTrUMER 41MI TANTCCONFIGMIATION.'THISTANKIS 434 <br /> 701.A STAND-ALONE TANK <br /> G <br /> 5-(S 2.ONE INA COh0ARTMZM2D UNIT. <br /> F, <br /> DATE UST S TANK, GALLONS <br /> NUM]g 91, 107 437 <br /> qAP.ACrTY IN GALLONS NUN(B COMPARTMENTS IN THE UNIT <br /> t';A <br /> f TANK USEI&MOTOR VMUCLE FUELING) L) lb.MARINA FURLINO Lj le,AVIATION FUELING 439 <br /> 11RCHEM1CAL PRODUCT STORAGE Ej 4.HAZARDOUS WASTE Wuch.thm On) Ll 5.EMERGENCY GENERATOR FUEL UBC§2529I-5(c)l <br /> 0 6-OTHERGENERATOR.FUEL [:1 95.UNKNOWN . 0 0.OTHER(Specify); 4394 <br /> CONTENTS PETRot-Eum-. la.REGULAR UZ41XADED 0 1c,MWGPLADE UNLEADED 13 lb-PREMIUM UNLEADED 440 <br /> 3.DIESEL El 5.ff;-7 FUEL rD 6.AVIATION GAS <br /> ❑ 6.PETROLEUM BLEND 111151. [1 9.OTHER PETROLEUM (Spedty)! 440a <br /> NON-PETROLEUM;El 7,USED OIL [3 10.11THANOL <br /> 11.OTM!R NON-PRMLEUM 2acm 440b..1 <br /> • I <br /> 1. 1:`t- -.`7 L <br /> -7- ;L-11", <br /> TYPEOIFTANK --.LJ J.-SINOL)SWALL 1 3 2.DOUBLE WALL El 95-UNKNOWN 443 <br /> PRIMARY CONTAINNMNT 1.S= U 3.FIBERGLASS 11 6.IN-MMAL BLADDER 444 <br /> 7.STEEL+INTERNAL LINING [I 95.UNKMWN [j 99.OTHER 444& <br /> 0 <br /> PRIMARY <br /> CONTAINMENT ❑ I.STEEL .07 FIBIEWLASS 06.EXTERIOR MEMBRANE LINER EfTIACKET., 4411 <br /> Q 90,NONE 6 95.UNKNOWN [199,OTHER(SpKify) "56 <br /> PREVENTION _Z��LAUDIBLE&VISUAL ALARMS fW2.BALL FLOAT h 3.FILL TUBE SHUT-OFF VALVE <br /> [14.TANK WM, REQUIREMENTS FOR ExEMYMN FROM OVERFILL PREVENTION EQUIPMENT <br /> PIPING CONSTRUCTION 0 1.SINGLE-WALLED 2.DOUHLE-WAL U 99.OTHER 460 <br /> TYPE OR 1.PRESSVXE 1.GRA 3,CONVENTIONAL SUCTION 0 4.SAFE SUCTION[23 CCP 626WX3)] 458 <br /> ZF_ <br /> PRIMARY CONTAINMENT Ll I.STEEL 08 MMS 8-FLEXIBLE, 0 10.R10M PLASTIC 464 <br /> 0 <br /> PIP0-'C <br /> Ir <br /> PRI MARY <br /> E3 90 NONE 0 95.U�"Owx 13 99,OTHMSpocily). 464 <br /> SECONDARY <br /> c 1), <br /> ECONDARY CON:FA-U-qaNT I.STEEL [14-IMERGLASS 8,FLEXIBLE 10.RIGID PLASTIC 464b <br /> Ll M NONE 95.UNKNOWN El 99.OTHER(Specify); 464. <br /> PEPINOfrURBINE CONTAINIAENT SUMP TYPE I.SINGLE WALL 2.DOUBLE WALL, 90-NOM 464d <br /> AND <br /> VENT PRIMARY CONTAINMENT El I.STEEL IF 4:FIBERGLASS 0 to,MID PLASTIC 0 00.NONE Q 99.OTHER(Spea*) 464� <br /> 46 <br /> VENT SECONDARY CONTAINMENT L] 1.STEEL 1�4.FIBERGLASS10.RIGID PLASTIC IK90,NONE Lj 99.OTHER(Spmify) '4LL <br /> 4642 <br /> VR PRIMARY CONTAINMENT Ll 1.STEEL fp 4.FIBERGLASS 0 10.R10113 PLASTIC EF90.NONE 0 99,OTHER(Specify) 4641 <br /> 464 <br /> VR SECONDARY CONTAINMENT El 1.STEEL 1$[4,FIBERGLASS [I 10,RIGID PLASTIC90.NONE Ej 99,OTHER(Specify) 464h <br /> ly, . 464h1 <br /> VENT PIPING TRANSITION SUMP TYPE 1,SINGLE WALL 2 DOUBLE WALL Eg 90.NONE 4641. <br /> RISER PRIMARY CONTADPAEN7 Ift 1.STEEL Li 4.FIBERGLASS ❑ IO.RIGID PLASTIC F41 90.NONE-0 99.-OTHER(Specify) 464j <br /> 46ql <br /> R18ER SECONDARY CONTAINMENT 1.SIT�El. 0 4.FIBERGLASS 10RIGID PLASTIC ,14 <br /> U900NE t] 99.OTHER(Specify) 464k <br /> I 464kl <br /> FULL COMPONEXrS INSTALLED 1.SPILL BUCKET Ll 3.STRIKER PLATE/BOTTOM PROTECTOR. LXA-CONTAMIENT SUMP 4011 <br /> `777 <br /> CONSTRUCnON TYPE 1.SINGLE WALL 1 NO DISPENSE" 0 90.NONE 469. <br /> [3 4.FIBERGLASS 469b4 <br /> CONSTRUCTION MATERIAL ❑ I. 010RIMIDEPLASTIC 99.OTHER(Sped&) <br /> NIT&L COMPONENT PRDTECTION Q 7-SACRMCLALANODES) [3 4.00RESSED CURRENT E3 6.!SOLATION 44 <br /> 7,. <br /> C9RT0.711CATION.I certify that this UST system Is compadbb With the hazardous substance stared Aad that do Infer.pudion provided herein In 61%ace-rak <br /> aw In fug vi >t uitnuteats. <br /> APPLICANT SIGNATURE <br /> DATE, <br /> 0 -z> <br /> APPLICANT NAM(prinO 471. APPM TITLE r 4n <br /> UPCF UST-D-1/2 Rov.(12fAn <br /> L00 'd 901099860ZI 'ON XVJ H SSE1 WGOO� Yid 85:ZO NOW/600NOMW <br />