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10/30/2003 11:41 2094683u", FIFTH FLOOR PAGE 19 <br /> L'YOUD PROGRAM CONSOLIDATED FORM <br /> TANM <br /> UNDERGROUND STORAGE TANKS-TANK PAGE I <br /> E (Two Mcs <br /> TYPE OF ACMON__:k 1.NEW PERMIT Q4,AMENDFDPERMIT 05,CHANGEOFTNFORMATION L3 6.TEMPORARY TANK CLOSURE - 430. <br /> IQ.&act,am vow 0 3,RENEWAL PERMIT 0 7.PEIM-NENnY cwsm ON SITE <br /> BUSINESS NA�E Winm AS) FACLLl!Y ID: i <br /> (39" ACILITYNAMCo� T_ 1. <br /> TANK ID 0 <br /> 4M. COMPARTMENTALEZED TANK d34. <br /> DATETNSTAL= TANK CAPACITY IN GALLONS 436- NUMBER OF COMPARTMENTS <br /> ADDITIONAL DESCRIPTION qw).a only) 438. <br /> TA 439 <br /> Llr-=OTOR VEHICLE FUEL PMOLEUM TYPE <br /> 4a. REGULARLINLEADED Ll 2- LEADED 0 5. JET FUEL <br /> (rr LA vapLde Peum4wm Typo) 0 lb. PREMIUM UNIZADED 0 3. DIESEL jj 6. AVIATION GAS <br /> 7- NON-FUPL PETROLEUM D 1c.MIDGRADE UNLEADED 0 4. GASOHOL 0 99.OTHER: <br /> 3- CHEMICAL PRODUCT COMMON NAMP_(ftrA qudo,.mwo,�kvwLmy vow) 441, CAS#(k.H..dow mmqob 442, <br /> 4. HAZAPMUS WASTE <br /> 95.UNKNOWN <br /> TYPE OF TANK 0 1. SINGLI!WALL [13. SINGLE WALL WITH EXTERIOR U 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443. <br /> (Chock am it.-only) MIMSRANE LDER El 95,UNKNOWN <br /> �112. DOUBLE WALL SINGLE WALL IN A VAULT El L9. OTfeR <br /> TANK MATERIAL-priorory tw* L2 1. BARE STEEL )W3, FIBERGLASS/PLASnC R S. CONCRETE Cl 95,UNKNOWN 444. <br /> (Ou-k oft am o,*) 0 2. STAINLESS NrEEL L]4, MM CLAD W/FIBERGLASS Cl 8. FRP COMPATTBLE L]99.OTHER: <br /> TANK MATERIAL-secoadaTy took []1. IlAkE STEEL Al-nBERGLAIS��) -ng-. I"C0MFTTBLE W/100%METHANOL 0 95.UNKNOWN 445, <br /> (Cbmk om it�-m 9*) Ej 2, STAINLESS STEEL L]4. FIVEL CLAD WIFIBERaLASS El 9, PRPNON-CORRODABLE JACKET C]99.OTHER <br /> REINFORCED?LAs-nc(FRP) Ej I o. COATED STEEL <br /> 5. CONCME <br /> TANK INTERIOR LININO 0 1-RUBBER UNED El 3.EPDXY LINING Cl�.GLASS Lymwrj a9l,UNKNOWR___ 446, DATEINSTALLED 447. <br /> OR COATING El Z ALKYD LININO El 4--PHENOLIC IlYiNG _K6-UNLINED 99.OTHER <br /> (Cmck Qm item only) <br /> OTHER CORROSION El 1.MANUFACTURED CATHODIC 0 3.FIMRGLASS REINFORCED PLASTIC f15,UNKNOWN 44& DATEINSTALLED 449. <br /> '=IC ALANODE <br /> SPLLL AND OVERF)LL YEAR INSTALLED 450, 451. OWFI 4 PROTECTION EQUIPMENT! YEARINSTALLED 4M <br /> pleckallthmappty) Y)I.SPILL CONTAINMENT 1.ALARM 3.FILL TUBE SHUT OFF VALW <br /> fit STRIKER PL&TE 14"101 <br /> Mil <br /> IF SJNGLE WALL TANK 453. IF DOUBLE WALL TANK.OR TANK WITH BT <br /> Ej 3.VISUAL="SED PORTIDN ONLY) 0 5.MANUAL TANK GAUGING(MTO) F_j I V15VkL(SINGLE WALL IN VAULT ONLY) <br /> El 2.AUTOMATIC TANK GAU(;TNG(ATG) 0 6.VADOSE ZONE i(2.CONTINUOUS INTERSTITIAL MONITORING <br /> Ll 3.CONTINUOUS ATQ 0 7.GROUNDWATER 3.mANljAL MONITORING <br /> 4.STATISTICAL INVENTORY RECONCILIAT]ION 0 S.TANK TESTING <br /> (SIR),131ENNIAL TANK TESTING El 99.OTHER <br /> ESTIMATED DATE LAST USED(YRIMO/DAY) 4"' ESTIMATED QUANTITY OF SUBSTANCE REMAINING TANXFJLLEDwyrHDmTmATERiAL? 451. <br />