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UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS-TANK PAGE 1 <br /> Poch Ot <br /> TYPE OF ACTION D 1.NEW SITE PERMIt 0 4. AMENDED PERMIT ❑S.CtIANGE OF INFORMATION) ❑ 6. T EMPORAnY Silt CLOSURE <br /> fCh.mA On*MOM anl)1 <br /> ,❑ J PERMANENTLY CLOSED ON SITE <br /> 3.RENEWAL PERMIT <br /> (Spa**mason-fof locet wa-J j (Spe;*y nnpe.br loce/Vse Orly) OfIll. <br /> 0. TANK REMOVED +JO <br /> BUSINESS NAME(Same as FACILITY NAME.or DOA-Doing Bw:wss Ash FAC0.1TY 10 F `` "' I <br /> 0.0 G YYl ani <br /> LOCATION WITHIN SfTE(Opliona6 137 <br /> 1.TANK DESCRIPTION <br /> TANK IDR TANK MANL,FACTURER C(OMPARTMENTALIZED I ANK Vas L7 No <br /> I ° 6 0. If'/'® <br /> !.tAmptrte otw page fM aacK rnmoaAmMi. <br /> I I 10DAT$11(STALLED(YEA O) TANK CAPACITY IN GALLONS NVMBLR OF COMPARTMENTS <br /> 15 5 000 3 <br /> ADDITIONAL DESCRIPTION fFm local bke oety <br /> I'.TANK CONTENTS <br /> TALN(USE 432 PETROLEUM TYPE <br /> 1. MOTOR VEHICLE FUEL ❑1a.REGULAR UNLEADED ❑ 7, LEADED ❑ 5, JET FUEL <br /> t ma/he6,cmnplolo Potrof Typo) Tb.PREMIUM UNLFilLDE.D D 3. DIESEL ❑ 6.AVIATION FUEL _ <br /> ❑ 2. NON-FUEL PETROLEUM Cl le.MIDGRADE UNLF,AOF.O ® 4, GASOHOL 1199. OTHER <br /> ❑ 3-CHEMICAL PRODUCT --- <br /> ❑4, HAZARDOUS WASTE(hrC/etdes f - <br /> COMMON NAME Timm 8-Iti mi Metedali wOntorypage) CAS R(Tmm IfalaMoes Molom+kl fmv fttory page) <br /> Used 00 <br /> i <br /> 111.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ 1. SINGLE WALL ❑ 3. SINGLE WALL WITH 0 S. SINGLE WALL WITH INTERNAL DLAOOER SYSTEM <br /> phaf.k On-item O^w VA 2. DOUBLE WAIL EXTERIOR MEMBRANE LONER Q 95. UNKNONAW <br /> ❑ 4, SINGLE WALL IN A VAULT <br /> TANK MATERIAL•Roth+ly Im* *_f I. BARE STEEL EJ 9 FmERGIASS(PLASTIC ❑ 5.CONCRETE O OS UNKNOWN <br /> fco-A one item only) ❑ 2.STAINLCSS STEEL 0 4, STEEL CTAD NOFIBERGLASS ® D. FRP COMPATIBLE WllrD%METHANOL ❑99. <br /> REINtORCED PLASTIC(FRP) _ <br /> TANK MATERIAL-SOCwWary lank ❑ 1. SARI;SIEEL D 1 F18FRGIASS I PLASUC ❑ A.FRP COMPATIBLE W100%METHANOL D 95. UNKNOIAN <br /> (Cneo one Nom only Q 2.STNNLESS STEEL ❑ 4. STEEL ClA0 W61BERGIA55 Q 9, FRP NON-COR ROOtBLE JACKET A99.OT+LERTQ+Q.I^^[[''��,,,�,,rrLL <br /> REINFORCED PLASTIC(FHP) ❑10 COATED STEEL 1 A�GAf �A ike <br /> ❑ 5.CONCRE TF. _ ty--II <br /> TANK INTERIOR LINING ❑ 1 R UDDER LINED ❑ .l. FPDXY LINING `SJ S.GLASS LINMIG O 9S, UNKNOWN433 OA IF INSTALLED <br /> OR COATING <br /> ❑ 2.ALKYp L1twPIG 4, Pr/ENOI}C LINING UPX INC, Cl D7,OTHER _ I <br /> !Check Cite dem oMyl <br /> OTHER CORROSION ❑ / MA+AJFACTURCO CATHODIC G 3. FI BERGLASS REINFORCED PLASTIC CI 9.r,LINKNOMJ 434 OA IE INSTALLED <br /> PROTECTION IF APPLICABLE PROIECTION <br /> 4, IMPRESSEDCURRENT ❑09. Down <br /> (CrmckOno Ram naw ❑ 2_ SACRIFICIAL ANODE - -� (FO,iOCAf1150enly) •_` <br /> SPILL AND OVERFILL .__._ YEAR INS iALLLD TYPE(FO,somal s.wf)1 OVERFILL PROTECT KTN EOUIPMENT.YEAR INSTALLED f <br /> ((:NCCN all mal Ippry) til <br /> 1.VI <br /> SPILL CONTAINMENT ►y1(� /�}A,Y-V9__ I. ALARM -_ L� 3. FILL-TUBI:SIfuT OFF VALVE I <br /> %2_ DROP TILDE J..[.L SP%I1° " - _ 7. BALI.FL0A1 Cl 4. EXEMPT <br /> N.'TANK LEAK DETECTION <br /> IF SINGLE WALL TANK(Checks.'INa1 apq): _ IF DOUBLE WALL TANK OR TANK xnTll 81POOER(CAecA ono dem ontY). <br /> Cl i. VISUAL JEAP05CD PORTION ONLY) K DT S. MANUAL TANGAUGING(.NTG) L I I. VISUAL(SINGLE WALL III VAULT ONLY) <br /> D {, AUTOMATIC TANK OAUGINIC,(A 1(,) I D 6, VnUO:•I:IOUF CUNIINUIJU5INi LI15tIIIAL IALIOlt( LITX, <br /> ❑ X COlsitNUOUSATG Q 7. GROUNINVATER O 3. MAUUALMOmT01T/N(3 <br /> ❑ A. STATISTICAL INVENTORY RECONCIUATION ISR)• ❑ 0. TAm usTING <br /> OtENNIAL TANK TESTING <br /> ❑99. OTHER <br /> V.TANK CLOSURE INFORMATION?PERMANENT CI.OSURE IN PLACE <br /> ESTIMATED DATE LAST USEO(YRIMOfDAY) ESTIMATEDOU.IUATVOTa1.iDStANCEAEMATMNE. 435 tANXFnIcnvNTHIKER?.fAr`n1x> <br /> 1 g0.1 OAS - _ -��-- <br /> II D vR, 0 No 11 <br />