Laserfiche WebLink
11/01/2001 11: 27 20995193r-? VILLAGE WEST MAPTNA PAGE 04 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> Q NTANDERGROUND STORAGE TANKS -TANK PAGE 1 A,1` <br /> Page <br /> TYPE OF ACTION ❑1.NEW SITE PERMIT ❑ 4 AMENDED PERMIT Q y CHANGE OF INFORMATION) ❑ 0. TEMPORARY SITE CLO9VRE <br /> ICn.oa OM dam OMR) Q T, PERMANENTLY CLOSED ON SITE <br /> ❑a.RENEwwI PERMIT <br /> f nraaon-W bpu va.w17Mq I'Pecan chomp-Aw We v4.onry) <br /> ❑ E. TANK REMOVED' 490 <br /> BUSINESS NAME(Sam.a FACILITY NAME Of ODA-OGnp BUSIM644 As) FACILITY 100 1 <br /> v <br /> LOCATION WITHIN SITE(OpOon.0 • 1 <br /> L TANK DESCRIVTION <br /> tzpp <br /> T•NK ION O/D ANK MANU A TU COUPARTMENTALI;ED TANK ❑ Y.4 0 No <br /> / 7 If'Y.4 COmPyN on.p.W la.aM c0mPalimonl. <br /> DATE IN TALL ) TANK CAPACITY IN IjklT01W NUMDER OF COMPARTMENTS <br /> I�- II I f.4? <br /> ADDITIONAL DESCRIPTION(For fvc.l us.aMW <br /> D,TANK CONTENTS <br /> TANK USE 422 PETROLEUM TYPE <br /> 0 <br /> 1 1 MOTOR VEHICLE FUEL �❑,^t. REGULAR UNLEADED ❑ 2 LEAQEO ❑ 5.JET FUEL <br /> ju m $cf.como afa➢alroNwn Typo) a PREMIUM UNLEAOEO 119. DIESEL ❑ 0. AVIATION FUEL <br /> Q 2 NON-FUEL PETROLEUM ❑11 MIDGRAO£UNLEADED 4 <br /> © 1 CHEMICAL PROOUCT ❑ 43-ASO-OL ❑yv. OTI,ER <br /> Cl - HAZARDOUS WASTE(Inc9ud*z COMMON NAME!from Hazadaua A4x*KNl In. f.,y p4vv) CAS a(hom HaldOui Alaf.dlla lnwAt"Pay*) <br /> Us.0 N) l ... <br /> 2-2 <br /> )1(.TANK CONSTRUCTION <br /> TYPE DIF TANK <br /> 1 SINGLE WALL ❑ 2. 151NO1,E WALL WITH ❑ 5. SINGLE WALL WITH INTERNAL E L auoDER SYSTEM <br /> (Cosi on.,*m o�y) 2. DOUBLE WALL EXTERIOR MEMBRANE LINEA ©pd. UNKNOWN <br /> O 4, SINGLE WALL IN A VAULT <br /> ❑00. OTHER <br /> TANK MATERIAL pf{rnay lank 1 BARE ETFFL Q 0 FIBERGLASS I PLASTIC ❑ 5. CONCRETE ❑05. UNKNOWN <br /> (Ce °^*"'^'°^h) ❑ 2 STAINLESS STEEL ❑4. STEEL CLAD W(FIBERGLASS Cl 1 PAP COMPATIBLE W100%METHANOL ❑oo. OTHER__ <br /> REINFORCED PLASTIC(FRPI <br /> TANK MATERIAL.tac ,y 14- ❑ 1. DARE STEEL ❑ 2. FIBERGLAS$I PLASTIC Cl a FRP COMPATIBLE W/100%METHANOL Q 95. UNKNOWN <br /> (C-eco an.u*m onfy) ❑ 2. STAINLESS STEEL ❑ 4. STEEL CLAD WIFIBERGLA9S ❑ o. FRP NON-CORRODIBLE JACKET ❑99. OTHER <br /> REINFORCED PLASTIC(FRP) 010 COATED STEEL <br /> ❑ 5. CONCRETE <br /> TANK INTERIOR LINING �-1 <br /> OR COATING ❑ I RUBBER LINED ]. EPDXY LINING Q 5 GLA55 LINING Q 95. UNKNQWN433 DATE INSTALLED <br /> (CMCk OM MM 0 ❑ 2. ALKYD LINING ❑ 4. PHENOLIC LINING PS! a UNLINED Q 04. OTHER <br /> w boll Ua1 <br /> OTHER CORROSION ❑ <br /> PROTECTION If wPP LICA♦DLg 1 MANUFACTURED CATHOO(C ❑ 2. FIBERGLASS REINFORCED PLASTIC W-6. UNKNOWM 411 DATE INSTALLEO <br /> PROTECTION <br /> !CMCk en.if..,t 0�Ky1 ❑ 4. IMPRESSED CVRREHY 69, OTHER � L <br /> ❑ 2. SACaIFICuL ANODE (Fw kxalLIN.nty) <br /> SPILL AND OVERFILL YEAR INSTALLED TYPE psile mcal ua.&I OVERFILL PROTECTION EQUIPMENT'YEAR INSTALLED <br /> fCA.c..If Ma(appo) <br /> ® Iy <br /> KI SPILL CONTAINMENT ❑ 1. ALARM Ips 7, FILL TUBE SHUT OFF VALVE <br /> ps 2. DROP TUBE - ❑ 7 SALL FLOAT Q 4. EXEMPT <br /> 2. STRIKER PLATE <br /> �� „ I IV:iANK LE11K DETEGT101� '"� <br /> tf <br /> IF SINGLE WALL TANK A4eA a1 Mala W DOUSLB WALL TANK OR TANK WITH BLADDER k ww Mom <br /> ❑ I. VISUAL 4EXPOSEO PORTION ONLY) ❑ S. MANUAL TANK GAUGING(MTG) ❑ 1. VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ 2, AUTOMATIC TANK GAUGING(AIG) ❑ 0. VADQSE ZONE 212, CONTINUOUS INTERSTITIAL MONITORING <br /> Q 7. CONTINUOUS ATG Q 7 GROUNDWATER ❑ 7, MANUAL MONITORING <br /> ❑ 4 STATISTICAL INVENTORY RECONCIUATION(S(R)• ❑ 0, TANK TESTING <br /> BIENNIAL TANK TESTING <br /> ©N. OTHER <br /> V.TANK CLOSURE INFORMATION It PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE(AST USED(YAMKkDAY) ESTIMATED OLIANTITY OF SUBSTANCE REMAINING 455 TANK FILLED WTH INERT MATERIAL? <br /> ❑Ya ❑Na <br /> CUPAFORM(4199) FDrmerty SVVRC13 FDrm 13 <br />