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IED PROGRAM CONSOLIDATED FGA UNDERGROUND STORAGE TANKS- TANK PAGE i TANKS (two pages per tank) o TYPE OF ACTION ❑1 NEW SITE PERMIT [14 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE Page 1 f 8 (Check one aem only) ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT ISpatifyreoon-f laodaeorJy)u (Spmify recon-f local uae only) X 8 TANK REMOVED 430 BUSINESS NAME(Same w wr IEYNAMS mDBA-Doing 13usbas Aa) Chevron Station#90557 ' c1117y m: 0 0 0 1 0 0 1 1 0 1 0 1 0 1 0 1 0 1 0 LOCATION WITHIN SITE(optkmd) 139 S Center SL,Stockton, CA 95202 031 L TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID#,S 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes No 434 3800 -T,46 D3905 JOOR If"Yd.wmpMeompageforeaehcompm4nnt DATE INSTALL... AR/MO) 435 IANKCAPACI I Y IN GALLONS 436 NUMBER OF COMPARTMENTS 437 1/1/90 10,000 0 ADDITIONAL DESCRIPTION(Fm ban use only) 08 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® I. MOTOR VEHICLE FUEL ®1a REGULAR UNLEADED ❑2 LEADED ❑5. JET FUEL UfmarkedwmPlete Pe6okaun Type) ❑Ib. PREMIUM UNLEADED ❑3. DIESEL 06. AVIATION FUEL ❑2. NON-FUEL PETROLEUM ❑la MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER ❑3. CHEMICAL PRODUCT COMMON NAME (6mn Hamrdcus lsh,,,b Invenmry pass) 441 CAS#(ft.Haeadoua MW.6 hnmtory page) 442 ❑4. HAZARDOUS WASTE (Inchdes Umd O'0 REGULAR UNLEADED 800-61-9 ❑95.UNKNOWN M.TANK CONSTRUCTION TYPE OF TANK UL SINGLE WALL 03. SINGLE WALL WITH 0 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one am.nly) EXTERIOR MEMBRANE LINER ❑95. UNKNOWN 102. DOUBLE WALL [14. SINGLE WALL IN VAULT ❑99. OTHER TANK MATERIAL-F.h tank N 1. BARE STEEL 0 3. FIBERGLASS/PLASTIC 5. CONCRETE Ll 95. UNKNOWN 447 (ChmkoaaanoNy) ❑2. STAINLESS STEEL 04. STEEL CLAD W/FIBERGLASS 08. FRP COMPATIBLE W/100%METHANOL 099.OTHER REINFORCED PLASTIC(FRP) TANKMATERIAL-aecandmy uak 0 1. BARE STEEL. U 3. FIBERGLASS/PLASTIC 5. COWRErE 95. UNKNOWN 445 (Check m aero mly) ❑2. STAINLESS STEEL ®4. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE W/100%METHANOL [199.OTHER_ REINFORCED PLASTIC(FRP) ❑10.COATED STEEL ❑5. CONCRETE TANK INTERIOR LINING 0 1.RUBBER LINED 3.EPDXY LINING 5.GLASS LINING 95.UNKNOWN call DATE INSTALLED 447 ORCOATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING B 6 UNLINED ❑99 OTHER (Check.aem my) (Fm ban usewy) OTHER CORROSION ❑1 MANUFACTURED CATHODIC ®3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 44s T PROTECTION I APPLICABLE PROTECTION ❑4IMPRESSED CURRENT ❑99 OTHER (Chskon aa-aay) ❑2 SACRIFICIAL ANODE (Fmkral uaewy) SPILL AND OVERFILL YF,ARINSTALLED 450 TYPES aluseony) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Chx all tlw appy) IM 3 FILL TUBE SHUT OFF VALVE ®1 SPILL CONTAINMENT' 1990 ®1 ALARM OPW 61-SO-4 ®2 DROP TUBE 1998 OPW 61-SO-4 ❑2 BALL FLOAT ❑4 EXEMPT ®3 STRIKER PLATE Tank Mf _ IV.TANK LEAK DETECTION(A desavfimi of the nxd mg Mama shall be submated mthebd agmcyJ IF SINGLE WALL TANK(Check all that appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 4% ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING (Check dm my) (MIG) ❑I VISS UAL(SINGLE WALL IN VAULT ONLY) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ®2 CONTINUOUS INTERSTITIAL MONITORING ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑STANK TESTING (SIR) BIENNIAL TANK TESTING ❑99 OTHER _ IV.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING d56 TANK FILLED WITH INERT MATERIAL? 451 12/31/02 Unknown at this time C gallons x Yes 0 No Will Be