UNIFIED PROGRAM CONSOLIDATED FORM
<br /> a. TANKS
<br /> UNDERGROUND STORAGE TANKS — TANK PAGE 1
<br /> (two pages per tank)
<br /> Page—of
<br /> TYPE OF ACTION Ll I NEW SITE PERIV11-F 4 AMENDED PERMIT L] 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE
<br /> (Cheakore. lem ,,p [j 7 PERMANENTLY CLOSED ON SITE
<br /> C1 3 RENEWAL PERMIT jSpfiraFasofi fni �r use cm/1 (Specify reason-fot:real use only) C3 8 TANK REMOVED 430
<br /> _7
<br /> NELLA Oil CompanV 427
<br /> —F,AGILITY 0
<br /> -Doing Bi- 7
<br /> BUSINESS�IAME i Same as I NAPAEor DGA jsir�r,�,AS) ACIL
<br /> 1, --- --_ -'-"___ �_�_. L_ _L_ El.
<br /> LOCATION WJif—HIN SITE_,_O_000Lra,; 431
<br /> Undergrourd-Storage Tanks south of building
<br /> 1.TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local
<br /> ag,!nq.)
<br /> TA I TANK MANUFACTURER 4j1 COMPARTMENTALIZED TANK 0 Yes Z No 434
<br /> 42702 unknown If'YPS -(;17P!Pip(,'rF pagP'Cl(each:CrnpadMent.
<br /> 47-1fTANK CAPAC'flY IN G ALLbNS NlJA4BER OF COMPARTMENTS 437
<br /> unkI
<br /> own 10000 11
<br /> ADDITIONAL DESCRIPTION!F�x iocaiuse.only) 438
<br /> 11.TANK CONTENTS
<br /> PETROLEUM TYPE 440
<br /> 1 IVOTOR VFH:(,_,LE FUEL 0 la REGULAR UNLEADED 2 LEADED 5 JET FUEL
<br /> Ilfrlari,pd comp eIe Type) M Ir PREMIUMUNLEAULD ❑3 DIESEL Lj C AVIATION FUEL
<br /> M 2 NON-FIJEL PETROLEUM,
<br /> 1: MIDGRADE UNt-LABED C3 4 GASOHOL [3 99 OTHER
<br /> 713 CHEMICAL PRODUCT COMMON NAME (`,on,Hazardos ma(errais inventory page) 441 1 CAS#(from Hazardous materials Inventory Papa 442
<br /> 04. HAZARDOUS 1,1JASTE Premium Unleaded Gasoline 92 Octane 86290-81-5
<br /> L',96 UNKNCWN
<br /> III, rANK.CONSTRUCTION
<br /> rTYPEOF SYSTEM_
<br /> TANK S�NGLEWALL I '�INGILIE WALL VVITH SINGLE 101ALL WITH INTERNAL'fTLWl(,T,CiR 443
<br /> iCherk cne dery iri-i EXTERIOR MEMBRANE LINER Cj 95, UNKNOWN
<br /> 0 2. 00L.1311 WALL Cj 4 SIGNIR WALL IN VAULT C1 99 OTHER
<br /> LI �AR:_STEEL ;�16EPAASS PL -,TIC [7 CONCRETE Cj�5 UNKNOWN I C -A 1. _j 5 ' I
<br /> '71 _IP
<br /> 0MLIESSS STFEI S'rF-F- ".','FIF;E9GLASS L7,3 l:Pr'0OMPA'1 LEW1 C] 99 OTHER
<br /> R E I N.1-0 NIE71HANOL
<br /> -RCED BLASTIC(FRP`.
<br /> TANK n P7 L
<br /> Drury tart Q BARF' FFEI
<br /> PC LASS i DLA-ST:C Fj?b ,NKNOWN
<br /> 2FRP
<br /> S_AINLlt-��S Sli i-E_ r�pgF4T'BLF 99 OT ii_R
<br /> REINf,.)RCED PLASTIC(.FRP) A..'!C,0%VF;HANOI
<br /> CONCRETE 10 COATED S-,EE!
<br /> TANK INTERIOR LINING ❑ R(�B�4FF ❑L!NED Lj F-Fr"O(Y iNINIG ❑5 GLASS LINING n 9. UNKNOWN 14jDA7E INSTALLED "7�
<br /> OR COATING L) ALKYU L;.N(NG 0 4 PHENCL:C, !NING 6,)N_INFO
<br /> )9 0 1 HER
<br /> (Fcr tical use only)
<br /> 446 DATE INSTALLED 449
<br /> 1 V,,I`,JFA.CT'.jQED CATHODIC 3 FIRE R ,NFORCED 0I F- UNKNOWN
<br /> PRC-ECT nN lF:Ar"'I ',:ABLE PROTECTION IMPRESSED CURRENT 0 99 OTHER
<br /> (ChocH one'(em:1y D 2 SACRIFICIAL ANODE (Forocal use only)
<br /> SPILL AND OVERFIL_ vEAR INSTALLED lii() "(PE ise oj,, 451 OVERFILL.PROTECTION EQUIPMI YEAR—INS—TAL-CttT 462
<br /> (C")e-k al SPII CONTA NNIEN7
<br /> thal arDl?' yt. I AU�PM ® 3 FILL FURF S1iU1 OFF VALVE
<br /> US 2 F)R,F TUBE \j el S ❑2 BALL=COAT 4 EX F`41 P r
<br /> -,STRIKER PLA
<br /> IVprojrF tall be uLrriittpd In the locai agency)
<br /> ,TANK LEAK DETECTION fA ciesc,-iVon aflho
<br /> IF SINGLE WALL 6�TB
<br /> TANK:C,eek a4ma;jr:�,1 453 Jr 5LEWALL TKr*bR-FANK WITH BLADDER `464
<br /> �Cheek one I—)orilv)
<br /> ❑ I VISUAL(EXPOSED PORTION.ONLY; C 5 MANUAL TANK GAUGING(MTG) [3 1 V:SUAL(SINGLE WALL IN VAULT ONLY)
<br /> ❑2 AUTOMATIC 74ANK GAiGe NG(ATG'I 0 6 VADOSE ZONE 0 2 CONTINUOUS INTERSTITIAL MONITORING
<br /> L-3 CONTINUOUS ATG (:j 7 GROLJNDvVATr:P, E]3 MANUAL MONITORING
<br /> ❑4 STA71ST CAL INVF,N-CRY FEC,)NCiLIATI0N C]8 TANK TESTING
<br /> 92 77HER
<br /> V.TANK CLOSUR_ C
<br /> PLACE
<br /> 7, T6,1�,,r
<br /> AN jB� CE
<br /> ANK W _-7 NFRT MA_E_RiAL-
<br /> Yes
<br />
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