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11/24/2009 TUE 9tl7 T&X 2096663/133 SJO RHD <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />W409RGROuND srouoe TAMC <br />OPERATING PIIRMIT ArPLICATION - TANK INPORMATIO.'4 ; tbrm New <br />TYPE OF ACTION (Check our itrm only. For UST (Hamenrat elmm ortomoveL eoopma only this sepiotl and 8ecdou 1, and U <br />1. NAW Pt'RhH(IT 3. RENEWAL PERMIT S. CHANOF OF INFORMATION <br />6. TEM_ _P_O_ RARY U$T CIASUI+.L? 7. U6T PEitMANENT CLOSURE ON SnT 8 VlIT REMOVAL <br />hw 7114 <br />wjuQ5(VIL <br />! Ill. I ANX Ubb A41:0 1W, XW J 1 <br />"ANK LISE�Wis. MOTOR VEHICLE PUBLINO 13 la. MARINA PUBLMlo, AVIATION WILLING <br />17.1 L cmamiCAL vkonuCT srntuap rl fYAiAQm1ID WA<Ta (fedrr [I...Nh ♦ IXuouneuf-v ejn uuemu mint . aan sac o. <br />6, OTHEKOENEMTOR PtIEL fa 99. U?ICNOWN 13 99.OTHER <br />L FACILITY INFORMATION a <br />1 <br />FACILITY Il) 0 (Agsecy IIx y.o <br />- <br />19L <br />BUSINESS NAME (Sane es FACILITY NAME or DBA-DoloB Bneimss As) <br />T <br />BUSINESMIrE ADDROSlC4. <br />Ir G(Y <br />q5 <br />8. PgTROL&]M BLEND R:E 9.OTNER PUTROLE(RM <br />11. TANK DESCRIPTION <br />TANK ID 0 y <br />/ <br />X11 <br />DATE UST SYS ALS <br />TANK MANUFACTURER <br />t " <br />` <br />CAPACITY IH O KS ° <br />4y 4,J <br />TANK CONPIGURAWfit TWS TAM 3 414 <br />I, A STAND-ALoNR TANK <br />2.ONS tN A WWARTMENTBD UNIT. <br />{{77 ARTMENTS N '+ <br />oU �,.iiSJD <br />! Ill. I ANX Ubb A41:0 1W, XW J 1 <br />"ANK LISE�Wis. MOTOR VEHICLE PUBLINO 13 la. MARINA PUBLMlo, AVIATION WILLING <br />17.1 L cmamiCAL vkonuCT srntuap rl fYAiAQm1ID WA<Ta (fedrr [I...Nh ♦ IXuouneuf-v ejn uuemu mint . aan sac o. <br />6, OTHEKOENEMTOR PtIEL fa 99. U?ICNOWN 13 99.OTHER <br />4509 <br />CONT2NTS f9TROLELIX <br />IL REOULAR UNL EADBO 13 :c. mioorAW- UNLEAb5D Ib PMI1LW UNLBAO6D <br />44 <br />L WIM P1il11ROLABB 6, PLS?11 <br />E3 90. N'OW VN.WOWN 99.OTHER <br />3• DtRlfe 4 E3 S. JET FUEL eG AVtATLOW CAS <br />.4 <br />nIPINO N8 CONTAINA(ENT SUMP TYPE 1. SINGLE WALL WV W <br />8. PgTROL&]M BLEND R:E 9.OTNER PUTROLE(RM <br />4401 <br />8 <br />@UM: T.156DOIL 10. ETHANOL <br />V <br />7 f1 <br />II. MIRIWON-NUOLKY4 <br />uo1 <br />'✓ENTSECON&WOONTA,L MENT 15 I.STBHBL 6_AIBERQLA 10.R[O <br />W. TANKCOINSTItUICION <br />4641 <br />1' <br />7YPE (>F TAN& <br />1.9 WALL DOUBLE WALL. 91. NK N <br />9% OTNER 430o <br />IWWARY CONTAINMENT <br />1. STM 3. FI09 tOLAW 6. INTERNAL BLADDER <br />44 <br />00 <br />90, u 99. OTRU ($11090) <br />911. <br />7 ST" IL. -1N LJNMG "I.IINK140WDt 99. 6 <br />Nor <br />SBCONDARYCONTAIMI-AW <br />1.ST 8L FlOUROLAS5 6 M8N[BRANE Fall 'r.0 D <br />4A <br />Pa, WOMB 9S. UNKNOWN 99.0MR <br />4451 <br />OVERFILL PRR <br />I . A[1DBL8 A VAUAL ALAXM$ 2. 7. PILL TUBE BN P <br />1. SINGLE WALL Agj4 DOUBIo WALL 13 <br />3, NO Drom B is 90. NDNS <br />C] 4. TANK MEETS RE IREMETM FOR EXEMPTION PROM OVARNLLPRBVBNTIDN urpol I4T <br />CONSTRUCTION MATGRLIL <br />L STEEL 4. FIBERGLASSH0. 001) <br />V, MDUCT-/ WASTE PIPM-CONSTWCTI011i <br />4696o <br />PkB.4ARYCONT <br />1.57881 FIRMI,AIs <br />D SO. Nola? G!- UNKNOWN 99.07 <br />464 <br />46+2 <br />SECONDARY CONTAINMENT <br />L WIM P1il11ROLABB 6, PLS?11 <br />E3 90. N'OW VN.WOWN 99.OTHER <br />:0. R101D PLASTIC4646 <br />.4 <br />nIPINO N8 CONTAINA(ENT SUMP TYPE 1. SINGLE WALL WV W <br />!b, NONE <br />Vy.. VZ;1V7','VAPOIi. REC(!V ' . AND at�Ri L,Z Pai�6 PnFINC C ln+rs'I'�TION <br />V <br />1,STEEL W4. FIBERGLASS EJ 10. RIGH) PLASTIC 0 <br />19. NONE Lj KOTHER (SOwib) <br />4GIH <br />'✓ENTSECON&WOONTA,L MENT 15 I.STBHBL 6_AIBERQLA 10.R[O <br />9, <br />4641 <br />1' <br />I WMAgir CONTAWMNKT <br />VR SECONDARY CONTAMI <br />LJ 1.ST .FLBEROLASS n IO.KIOIDPLASTICR(SWAifrl <br />l o. l <br />9% OTNER 430o <br />r <br />H <br />VENT PIFINQ TIANSITIONSUMP <br />RISER P NTAMtBNT <br />R[SERWdNDAItYC0WMNMW <br />PE/. S M R WALL 13 <br />Il 4.PIB9RQLA80 Q IQ.=MPWTIC Ll <br />Cl 1,ftuL 1p,MU0CAi% U WRI010PLAStIC 0 <br />00 <br />90, u 99. OTRU ($11090) <br />911. <br />oil <br />Fi[L__MP NTSINSTAl1ED <br />_l._.__...a _. 3_STRIMeKP49T8/SOTROTdCTID9 <br />A SUM <br />11 <br />Vn. U"ER DYSPI&Ngltk CO1VTA MMT. <br />CONSTIUJCTLON TYPE <br />1. SINGLE WALL Agj4 DOUBIo WALL 13 <br />3, NO Drom B is 90. NDNS <br />4 <br />CONSTRUCTION MATGRLIL <br />L STEEL 4. FIBERGLASSH0. 001) <br />BR <br />4696o <br />Va CORROBON-PROTEMON <br />STEEL COMPONENT PROTECTION <br />0 2. SACRIFICIAL ANODWS 0 6. IMPB@l ID CURRANT <br />C ISOLATION <br />40. <br />M APPLICANT SIGNATURE <br />CSRTifiICATIOPIt I atrlhty that dw MIST system Is catupatllde wits the ho urdous ewes saesd mad that the Ietbrmation provided dovW it true, scourAN, <br />r IoWi ow M <br />APPLICANT SIGNATUR$ <br />RATE/ <br />, try <br />4 t, <br />APPLICANT NAME (IA' <br />A. L . L, �_ .. f <br />APPLICANT TITLE <br />VPCF UST -B . 1/2 <br />Rev. (H L2007) <br />80 39Vd 0 TiNOOA -invd 690TEE660Z L5:E0 S£0Z/60/ZZ <br />