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UNIFIRD PROGRAM CONSOLTIDAT19D 1I11DI2M
<br /> UNDERCROTJND STORAGE TAMC ,f
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<br /> TYPE M ACTI01I (C11eck a,1s tnn,only, For a[ZT
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<br /> 6.TEMPORARY UST CLOSURE 3•RBNBIYAL PERMIT
<br /> DATE USTPERMANENTLY CLOT 7,UST PBStMANENT URE,ON SITE Q #IIQE QP INFORMATION
<br /> 41oaUSI REMOVAL
<br /> `J DATHEX T NC;USTD[SCQVF.RBD:
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<br /> `. TYPE OF TAMC
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<br /> �+ 1,STEtit ❑3.PMM13LASS
<br /> - ❑ 7.STEEL+�RNALLMIkO ❑f•IRMNALBLADDER
<br /> SECONDARY COTtTAtNM$?1T - 90.uNKk4tvN 444.
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<br /> REb1EkTSfOR shimoNPROA40 I!L YBWI2gk
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<br /> PRIMARYCONTAM (.PRESSURE 94.OTSIEA
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<br /> SECONDARYCONTAINMEN? 4�UNKI(OWk yp 0 Ift 0 10.1R101DPLASTIC ,ss•
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<br /> P[PINOICUR$INE CONI �'NONE .,_C7 9s,UI4Ku0WN ❑ t0.R1OID PLASTIC 64a
<br /> ANT$UMP TYPE 1 99 OTHt1R 4ar..
<br /> SINQLII WALL Z,DOI1BLE WAL 461c
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<br /> VENT PRI'NARY C_ONTAiNMBNT 4std.
<br /> 7 FR'�r'� .PE.PIPTNG CdN$TRIJCTiON
<br /> _VETT]SEC NU AD RYCONTAINMENT Q I.STI?EL ❑4.FtdEROLA33 C? LQ•RIG1-0PLASTIC
<br /> Q 1.smm ❑4,PIBPROL---A31 90.NONE. Q 99.OTHu(Spedto: We.
<br /> VRPRIMARTCONTAINMEN'P - t] 10-MOMPLAMC 90.xbhE
<br /> vR SECONDARY CONTAiTtM$N7 t.STEFL O 4.FIBERGLASS E !0,A10m PLASTIC �'OTHER(Sped1)•)' 4
<br /> __ _- ❑ I.STEFX ❑4,FIBBROi A33 90'NO� b �•OTHER(S.W. <
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<br /> RISER PR2MARY CONTAINI+ffiNT I.StkOLE WALL (]2,DOUtlLB WALL (SDR tY) 4 ;.
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<br /> RISERSECONDARYCONTAINMENT ❑4:P18EflOLAaS [] ID.RIGID PLASTIC 90.NONA t3 94.0 8A S iN
<br /> PILL COMPONE $IO I•STEEL ❑C FIBERGLASS [I 10•RIGID PLASTIC (PKIIYJ:
<br /> NSTALLED
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<br /> 1.3P1LLBIICKBT 90.NG.. C}99.0THER(Spel
<br /> ' J. TES.lPRO CtOR 46tk),
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<br /> CONSTRUCTIQN?YPE Q •T`•�NT, D.
<br /> CONSTRUCTION MATERIA( L STEELS ALL Z.DOtUBLE WALL
<br /> ❑ 1.STEP.I, T7 f.PlJ3EROLA33 3 ___ENSERS 90 NON's 144r
<br /> Q io,ttt0>ti PLASTIC ❑M OTH811t(Sp4e1ly)
<br /> S?EELC01.ipOt4gNTPRpTECTiON VIII.'C. -I?10-��;T`ION
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<br /> APPLICANT SIONAT
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<br /> KPPLICANTNAMB(prim) APPLI
<br /> AVPI.IC+SMT1 c
<br /> r t72
<br /> UPCF UST-0 Ra•.(12n007)-112
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