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NEMED PROGRAM CONSOLIDATED FCV <br /> UNDERGROUND ! ► ' <br /> ^ .w:.per n <br /> TYPE OF ACTION 0 1 NEW SITE PERMIT [3 4 AMENDED PERMIT 19 5 CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE <br /> (Check one*w o*) 0 7 PERMANENTLY CLOSED ON srm <br /> ■' 3 LL PERMIT ■ STANK REMOVED 430 <br /> BUSINESS E(same as FAcury NAmF or•: •. _ <br /> Circle K#2705448 <br /> L TANK DESCRIPTION plot plan with the location ofthe UST system including buildings and landmarksh: be r,. :d to the"scge <br /> 436 NUMBER OF CoNpARTMENTS <br /> DATE INSTALLED(YEAR/mo) 435� TANK cAzAicrry IN GALL#.NS 437 <br /> TANK MANUFACTURER 433 COWARTWENTALIZED TANK Y 434I� 10,000 <br /> ADDITIONAL DESCRIPTION <br /> c r <br /> TANK USE 439 <br /> PETROLELTMTYPE 440 <br /> 1. MOTOR VEHICLE FUEL 0 Ia. REGULARUNLEADED 0 2. LEADED 135. JET FUEL <br /> 13 Ib. PREMIUM UNLEADED C9 3. DIESEL [36. AVIATION FUEL <br /> 0 2. NON-FUEL PETROLEUM 0 ic. mnxv.ADE UNLEADED [34. GASOHOL 0".017HER <br /> ■3. CHEMICALyy <br /> M 4. HAZARDOUS <br /> • <br /> ■95. JNKNOWN <br /> TYPE <br /> OF if =I orWALL -S-]N-G-:-E--WALL SINGLE r x*, BLADDER <br /> (Check, , _y) EXTERIOR MEMBRANE1 ; = ■95. UNKNOWN <br /> t, ■ 1. BARESTEEL *1 3. FIBERGLASS ■'5. CONCRETE <br /> (Check one item only) 0 2. STAINLESS STEEL 1:14. STEEL CLAD W/FIBERGLASS 0 8. FRP COMnIBLE W110W.METHANOL [199.OTHER <br /> REINFORCED .,, <br /> TANKMATER1AL-ecx=dwytn& 0 1. BARE STEEL 0 3. FIBERGLASS E3 5. CONCRETE [3 95.UNKNOWN 445 <br /> STAINLESS 04 STEEL CLADWc: 'r ■ 8. FRP COMPTIBLE00METHANOL ■99.OTHER <br /> REINFORCED PLASTIC(FRP) 0 10.COATED STEEL <br /> ■I 5. CONCRETE <br /> TANK DITERIOR LB41NG U 1.RUBBER LINED [3 3.EPDXY LINING 0 5.-GLASS 1,11ANG 0 95.UNKNOWN 446 DATE INSTALLED 447. <br /> ORCOATING 0 2 ALKYD LINING [3 4 PHENOLIC LR-RNG [16 UNLINED 0 99 OTHER <br /> ■ 161, Cl I ALARM 1998 0 3 FILLTUDE SHUT OFF VALVE <br /> : •►; <br /> OVERFILL PROTECTION EQUIPMENT YEAR INSTALLED <br /> I . .., jr r • 1 1 1 1 <br /> yF • {1'. :�2 BALL FLOAT2003' ■4 EXEMPT <br /> . I i <br /> 1 _..su er.at v*) 4,33 1 EF DOUBLE OR BLADDER <br /> ■ I VISUAL(EXPOSED PORi •: ■5 MANUAL TANK GxuGiNG(mrG) ■ (SINGLE I VAULT ONLY) <br /> 0 2 AUTOMATIC TANK GAUGING(ArG) 0 6 vADosE ZONE 2 CONTINUOUS INTERnTnALmowroRiNG <br /> ■ .STATISTICAL INVENTORY REC• 1 " • ■ STANKTESTING <br /> (SIR) BIENNIAL TANK TESTING 0 99 OTBER <br /> IV.TANK CLOSURE INFORMATION CLOSURE <br /> . <br /> ESTIMATED <br /> S 't DATE LAST USED III IIS i ►. %L 7 '.. r QUANTITY• I •., REMAINING <br /> N LE 1 Y�, II MATERIAL? I,5. <br /> T , 1gallons0 Yes 0 <br />