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12/03/2003 09:52 2094533433 <br />FIFTH FLOOR, <br />UNMED PROGRAM CONSOX,MATED FORM <br />UNDERGROUND STORAGE TANKS - TANK PAGE 1 <br />PAGE 02 <br />TANKS <br />(tlVrl rnlves ner r�k1 <br />rage_er— <br />TYPE OP ACTION D i NE W SITE P£XMIT p 4 Aivi1;NDF,D PERMT ❑ s C A.14GE OF :NF0jU4ATION p e 7u iXRARY SITE CLOSuftE <br />4neiicsn'BAY) Q 7 PERMANENTLY CLOSED ON SITE <br />33 RE.'IiIALPERAUT E c.o <br />BUSINESS NAME Mmc as M- ILITY NAME nr - Deus Bmii=im A.) <br />FACILITY ID: <br />I <br />J <br />LOCATION W1717IN WE (:Optimal) 431 <br />L TANK DESCRIPTION (A Scaled plot plan vnth tha 10436on of the UST system including buildings and landmarke a call be submitted to tie local a¢eecy.; <br />TANK 1D IP 432 TANL>IANUFA+CTURER 433 <br />COMPARTMENTALIZED TANK Ej Yea 2Mo CIL <br />/ i % Y 4j <br />if -Ye.", anVIele one pnge Ax each cem:)�- <br />DATE IND MO) TJ TANK CAPACITY Rei GALLONS 43+ <br />JTA <br />NUMBER OF COMPARTMEIRTS 43 i <br />O DUB <br />/ <br />ADDITIONAL. DESCRIPITON (Fee local nae only) d38 <br />11. TANK CONTENTS <br />TANK USE 439 <br />PETROLEUM TYPE 444 <br />I . MOTOR VPJCCLE FUEL <br />1913, REGULAR UNLEADOD p 2. LEADED l:.t` s, JET FUEL f <br />(UnwkedcanV1c%*NvIemTlve) <br />01b, PRMZUMUYLEADED Q3. DIESEL ❑6, AVIATION FUEL <br />❑ L NON.FITELPETROLEUM <br />0 lc. MIDGRADJ3'UNLEnDBD p 4, GASOMOL ❑ 99. OTHER <br />Cl 3. CHEMICAL PRODUCT <br />COMb1oN NAME (hen Hm.4.3e,w Mraia)s la,m=y pep) 441CASi:(feem <br />Haa»a)ww Mntsrale Ia•ont4 yLage) 442 <br />❑ 4. FL ZARDOUS WASTE <br />(Iu Udes'0ae4ca) <br />❑ 91.v.1'yLIOWs( <br />M. TAN7<CONS'T'RUCTION <br />TYPE OP TANK tj 1. SINGLE WALL T SINGLE WALL WITri 5. SIW<T . AL 9,LADOTR SY; TZ A 441 <br />(C>te4144ne iumerly) EXTSALORMEMBRANTELMR 093. UNKNOWN <br />i92. DOUBLE WALL 0 4. SiGNLE WALL TN VAT,= ❑ 99.0711rett <br />TAMC MATEXAL - p imn Wnk L HARE STM [33. FIBe &OLASS I PLASTIC J. CONCRETE 95. UNK2tOWIV 4�+ <br />(Check = item only) Q a. STAIN( MS STEEL❑ 4, T EEL CLAD W/FIBERGLASS ❑ iL FRP COM9TI3II,g w, t 90"5 METHANOL C199.OTHER <br />REI F9RCED PLASTIC (PRP) <br />TANILMATCRIAL-uamd.=w,2k U L SAP.ESTEGL RGLASS iPLASTIC U 5. C.UNCRS712 Lj 95. UNSNDWN us <br />(Check an:;t4r xa>� [:12. STAINLF$$ ST E STEEL CLAD WlP1flERGLASS ❑ E. FRa C010TIBLE W(tW/ Mlh`TMANOL ❑ 39. OTHER <br />REINFORCED 71,XSTIC (FRP) ❑ 14. COATED6-rEEL <br />D 7. GONCkm <br />TANK rn Iz LINTNG L RUBBER LINED LJ 3. EPDXY LINTVG ❑ 5. aASS LINING 055. UN KNOWN 446 DATE DaTALLED 44, <br />OR COATING ❑ 2 ALKYD LDiNG ❑ 4 PHENOLIC .LOdNO _J5.6 LT' .IN7,D ❑ 99 OTHER. <br />(Cheok eae hem ally) (rcr 1=i m.e only) <br />OTMER CORROSION D 1 MANUFACUR21) CATHODIC FIBERGLASS REINFORCED PLASTIC 0 95 UNIC:N0W N DAT[ METALLED 449 <br />T <br />PRCT RCITOTI IFAPPIJCA3L1 PROTLCTION ❑ 4 D.IPRESSED CURRZNT [) 99 OTHER <br />(Chetkone Tem only) ❑ 2 SACRIFICIAL ANODE (For txn� t.ec onl.) <br />SPILL AND OVERFILL f 0 YEAR INSTALLED 421) TYPE (Iced eseonly) 451 I OVEtTTLL?ROTECTION R INSTALLED ri 432 j <br />(ChreYallUtnt:tpplY) �iSPiLLCOl+'TAIVpE6I�*I' DIALARV. IAS 3FI JBE3FPLTOFF VALTV.E <br />IN DROP TU$E [32 BALL FLOAT JGiMPT <br />3 S i 1R 1'K AR PLATE <br />W. TANK LEAK DETEC1iON (A da*wrlim or ft mcwwray pr.&T m Awl tv sibcitud w the Ictal agency.! <br />IF SINGLE WALL TANK (checkdi ftapply) 401 <br />IE DOUBLE WALT, TANK OR TANK WIT?( BLADDER 4S4 <br />(CaeCL+me item bah') <br />D 1 VISUAL (F =SED PORTION ONLY) C3 5 MANTUA.L TANX GAUGING (MT'G) <br />❑ 1 VISUAL (SINGLE WALL IN VAULT ONLY) <br />1 ❑ 2 AUTOMATIC TAw. GAUOLNa (ATO) ❑ o YADOSE ZONE <br />jjj:' CON7I`7UOUS INTBRSTlnAL MONJTORJNG <br />0 3 CONTINUOUS ATO D 7 GROUhmWATER <br />❑ 3 MANUAL MONITORING <br />❑ 4 STATISTICAL INVENTORY RECONCILIATION ❑ 3 TANK TESTWO <br />(SIR) BIENN1,41 TANK T3ST1NG Cl 99 OTFER <br />ITV. TANK CLOSURE INFORMATION I PEkMANFNI CLOSURE IN PLACE <br />:STIMATED DATE LAST USED (YR1M0'OAY) 455 ESTIMATED QUANIITY OF SUBST.4INCE REMATNTNG � TANK?II LID WITH INERT ALorl=1t A1'? {�� <br />gallow ❑ Yea Q No <br />UPC.(~ (12/99 miS4 <br />10 <br />Formerly SWRCB FOrn 8 <br />