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fD PROGRAM CONSOLIDATED MW <br />TANKS <br />UNDERGROUND STORAGE TANKS -TANK PAGE 1 <br />Page -of <br />TYPE OF ACTION 1 NEW SITE PERMIT 0 4 AMENDED PERMIT [1 5 CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE <br />(Chcck ow item only) 0 7 PERMANENTLY CLOSED ON SITE <br />3 RENEWAL PERMIT W,,�,7:ffrwwm-fbrlocalu9cenlv) (S�-�*-,tf-iF,�TT-f���,�l�mettI -9 RT611Y�_ 44r'�* AIR <br />UPC,F (12/99 reviqed) I n <br />-r4 ® 5155N <br />r..,,, A., ClIrDe'D 17-- 0 <br />07 �T, I "Mrri7w, <br />DATE INSTALLED (YEAR/Mo) 435 <br />TANK CAPACITY IN GALLONS <br />2000/09 <br />15,000 :ILIA, <br />ADDITIONAL DESCRIPTION (For hKal use only) 438 <br />TANKUSE 439 <br />PETROLEUMTYPE 440 <br />1. MOTOR VEHICLE FUEL <br />0 1& REGULAR UNLEADED [12 -LEADED, [15. JET FUEL <br />(if marked cono- P -W- Type) <br />0 1b. PREMIUM UNLEADED 3. DIESEL 6. AVIATION FUEL <br />0 2. NON -FUEL PETROLEUM <br />D Ic. MIDGRADE UNLEADED 4- GASOHOL D 99. OTHER <br />LJ 3. CHEMICAL PRODUCT <br />0 4. HAZARDOUS WASTE <br />(hicludes U -d Oil) <br />0 95. UNKNOWN <br />III. TANK CONSTRUCTION <br />TYPE OF TANK 0 SINGLE WALL 0 3. SINGLE WT% -u wrrff [1-5. SINGLE WALL WITH INTERNAL BLADfiER S_Y_SMM "3 <br />(Chockowitomonly) EXTERIOR MEMBRANE LINER 0 95. UNKNOWN <br />19 2. DOUBLE WALL [3, SIGNLE WALLIN VAULT 0 99- OTHER <br />TANK MATERIAL - pdroary took 0 1. BARE STEEL El 3. IERGLASS / PLASTIC 5. CONCRETE 0 gs. UNKNOWN 444 <br />(Check one dom only) 2. STAINLESS STEEL 0 4. STEEL CLAD W/FIBERGLASS N 9. FRP COMPTIBLE W1100% METHANOL [] 99. OTHER <br />REINFORCED PLASTIC (FRP) <br />TANK MATERIAL - mcmdamy tank 0 1. BARE STEEL 3. FIBERGLASS I PLASTIC 0 5. CONCRETE 0 95UNKNOWN 445 <br />(Check one mcm mly) D 2- STAINLESS STEEL 0 4. STEEL CLAD WIFIBERGLASS 09. FRPCOMPT[BLEW1I00%AWM4LNoL 099.OTHER <br />REINFORCED PLASM (M) 0 10. COATED STEEL <br />[35.CONCRETE <br />TANK iRTER]OR. LINING [II.RUBBERLii&b 0 5. GLASS LINING 0 95. UNKNOWN 446 DAME INSTALLED 447 <br />OR COATING 0 2 ALKYD LINING 0 4 PHENOLIC LINING 19 6 UNLINED 099orrm <br />(Chockencitmordy) (F- kxw me 0*) <br />OTHER CORROSION 0 1 MANUFACTURED CATHODIC 0 3 FIBERGLASS REINFORCED PLAS17C 0. UNKNOWN "s DATE INSTALLED 449 <br />PROTECTION IF APPLICABLE PROTECTION 0 4 IMPRESSED CURRENT 0 99 OTHER <br />(Check one iters coly) 0 2 SACRIFICIAL ANODE W." local use 0*) <br />SPILL AND OVERFILL YEAR INSTALLED Z5_0 Tyjig (lcaj 451 <br />OVERFILL PROTECTION EQUIPMENTNE" INSTALLED 452 <br />(Check all dW apply) 1 SPILL CONTAM&NT 2000 <br />aILL TUBE SHUT OFF VALVE <br />2 DROP TUBE 2000 <br />■2 BALL FLOAT 4 EXEMPT <br />3 STRIKER PLATE 20M <br />A7M C10,J P WA, )J3V1X4##L*J <br />IF SINGLE WALL TAM (Check A that apply) 453 <br />I bl, <br />0 1 VISUAL (EXPOSED PORTION ONLY) 0 5 MANUAL TANK GAUGING (MTG) <br />2 AUTOMATIC TANK GAUGING (ATG) [16 VADOSE ZONE <br />■ 3 CONTINUOUS ATG 0 7 GROUNDWATER <br />■ a <br />0 4 STATISTICAL INVENTORY RECONCILIATION 0 8 TANK TESTING <br />(SIR) BIENNIAL TANK TESTING 0 99 OTHER <br />MOM <br />MPAVI�IhNv <br />UPC,F (12/99 reviqed) I n <br />-r4 ® 5155N <br />r..,,, A., ClIrDe'D 17-- 0 <br />