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UNIFIED PROGRAM CONSOLIDATED FORM
<br /> TANKS
<br /> UNDERGROUND STORAGE TANKS - TANK PAGE 1
<br /> (two pages per tank)
<br /> P age—of
<br /> TYPE OF ACT;C-N F1 1 NF'IVSITE PERMIT 4 AMENDED PERMIT 5 CHANGE OF INFORMATION Lj C TEMPORARY SITE CLOSURE
<br /> (CheCK Or Ij 7 PERMANENTLY CLOSED ON SITE
<br /> C3 3 RENBIVAL PERMIT (5pe(�qy r,, 430
<br /> �spec,fvreasor.-fotiowliseonly*i ❑E] 8 TANK REMOVED
<br /> ,SS_�A (Same T-1
<br /> BUSINESS or DSA-Doing Businem Al ACILITY NAME
<br /> NELLA Oil Company 427 7-1
<br /> LOCATION VYITHIN SITE iopt,ora,) 431
<br /> Underground Sloraqe Tanks south of building
<br /> 7F_TAWK DESCRIPTION (A scaled pot plan with the location of the LIST system including buildings and landmarks shall be submitted to the focal
<br /> agenry.)
<br /> 433 COMPARTMENTALIZED TANK F1 Yes N No 434
<br /> �NK I C '�T3_2 _Tc�N_j�MAN UF/�C�T U RE R
<br /> 42703 unknown comoletE one-,aqp for each comparimpnt
<br /> ! TANK CAPACITY IRI G NUMBER OF COMPARTMENTS 437
<br /> DATE INSTALLED (YtA VMOF
<br /> unknown 12000
<br /> '77-7
<br /> It.TANKCONTENTS
<br /> 739 _PE T I LEUM ff_MTT� 440
<br /> 1 MOTOR VE41CLE FUEL 0 la, REGULAR UNLEADED r 2 LEADED 0 1 JET FUEL
<br /> (if rnarkpd complete Type) I
<br /> 0 lb PREMIUM UNLECADED 0 3 DIESEL C;6 AVIATION FUE;,
<br /> 0 2 NON-FUEL-FTROLEW, C] Ic M I D(7,RA r,I-UNI L EAD E L-) j 4 GASOHOL C1 99 OTHER
<br /> ----------
<br /> : - -arw,us
<br /> n ,. CHEMICAL PRODUCT 60VIMON'NiRE lfrcm Ntl.ltl�';RlS �,-D,tory pal 441 CAS# f,,jn
<br /> n 4. 14AZARDOITS VVASTE Diesel #14 68476-34-6
<br /> (11clucles ised Oil
<br /> C]95 UNKNOWN
<br /> 11I TANK CONSTRUCTION
<br /> V 7INTERNALg-A(56 51 EM 4b33 _5 �1_NGLT A,L'P1 H
<br /> TFP_EQFANK
<br /> Ex-,! RKDR 1v1FiMLR;-NE LINER C1 1.95 UNKNOWN
<br /> 72
<br /> DOURLP V,At L Ej 4 S'GNLE 1,NALl- IN IvALl—
<br /> CoNi�_P�_7t------ 9:-, uNKNC1WN
<br /> 3A,7`- �7EFL 3 _Tlc�
<br /> 1 TANK%VL/�S
<br /> :
<br /> 444
<br /> Cher e 57A1Ni_!755 STEr�.,. 1- -.AD'A�-"IBERGLASS ❑8 `-R"'CC?IAPATILI,�F vNl; -,ig OTHER' ,
<br /> BARF
<br /> _TANP 3 '_._5_5_�C
<br /> 45
<br /> 'v1-
<br /> Fl_(�z..A�l `FIBERGLASS E]S FRP CONIPATI,
<br /> R_LE El 99 OTHER Ii
<br /> (Che�.k,-,Ie ter—Y'!, 2 STAINLESS S-.Er-l- R 4 S7E
<br /> PE!NFOR(-,ED'-LASTIC W:100'/o METHANOL
<br /> 5 CONCRE7F C]10.COATED STEEL
<br /> —------- DATE INSTALLED 44.,
<br /> TANK INTERIORNING L, 1 R11.11113-FIR LINED 1-13 EPDXYLINING 01-ASS LINING L 95 1JNKNOVJN
<br /> OR COATING 7]2 ALKYD LINING ❑
<br /> 4 PHENOLIC 6 UNLINED Lj 99 OTHER Fcr mzi use only)
<br /> TTE INSTALLED 44`9l
<br /> OTHER 1 MANUFACTURED CATHODIC E 3 FIBLP0,1LA,3S REINFORCED PLASTIC ❑95 UNKNOWN
<br /> PROTEC710N 4Fn1,1CA11-E PROTECTION 11 4 IMPRESSED CURRENT C]99 OTHER
<br /> (C`•ecK or,, i?i r 7 n y, El 2 SACRIFICIAL ANODE �Fcr local use cnIV)
<br /> _�_5_2
<br /> YEAR INSTALLED 4 11. 7N P P c,caL:se or yl 1
<br /> �RFI[EPROTIECTION :Q(JIPMEN7YEARINSIALLED
<br /> �
<br /> SPILLµNi
<br /> (Check a'. SPILL CONTAINNIFNT
<br /> es 1 1 ALARM 2]:3 Plil TUBE SHUT OFF VALVE
<br /> that wplv�
<br /> ERTP TUBE yes 1 ❑2 BALLFLOAT ❑4 EXEMPT'
<br /> E 3 STRIKER PLAFF
<br /> IV.TANK LEAK DETECTION+A uesa'nl,nn cf the mctiBo ng program shall be submitted to the lot-Al agency.
<br /> IFi
<br /> IF E WALL TANK(CLlPr,an:rat apply) ANK WITH BLADDER A
<br /> (Check one:rem Only)
<br /> C]1 VISUAL(E,,:POSED PORTION ONLY) 0 5 MANUAL TANK GAUGING(MTG) 1 VISUAL(SINGLE WALL IN VAULT ONLY)
<br /> CONTINUOUS INTERSTITIAL MONITORING
<br /> C12 AU70WAT I-,TANK GAUGING(ATG) 0 ZONE I-
<br /> F1 3 CONTINUOUS ATG 0 GRCUND11VATER Q 3 MANUAL MONJTORING
<br /> 0 4 STATIST!l 1N\/ENTC-,RY RECONCILIA-1 ION C]&-,-\NK T F:S7 N(-
<br /> 1\1 K F5 N
<br /> +
<br /> IV.TANK CLOSURE JNF�ORMATICN!PERMANENT CLOSURE IN PLACE
<br /> 5 7 "r$USSANCE
<br /> ES71itj
<br /> No
<br />
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