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UNIFIED PROGRAM CONSOLIDATED FORM .i <br /> ---- - -- __- - TANKS <br /> UST Tank-1 <br /> (one form per tank) <br /> Peg, 5 a 8 <br /> TANK PERMIT STATUS ❑1 NEW PERMIT ❑3 RENEWAL PERMIT ®5 CHANGE OF INFORMATION ❑7 PERMANENTLY CLOSED ON SITE <br /> Check as many as apply ❑2INTERIM ❑4 AMENDED PERMIT ❑6 TEMPORARY SITE CLOSURE ❑STANK REMOVED 429 <br /> PERMIT <br /> DBA OR FACILITY NAME 3 FACILITY ID 1 <br /> Chevron#90557 006437 <br /> LOCATION(OptlonaR <br /> 139 So Center St., Stockton, Ca., 95202 <br /> TANK ID 430 TANK MANUFACTURER 431 <br /> 3 JOOR <br /> DATE INSTALLED(YEARRkO) 432 TANK CAPACITY IN GALLONS 433 <br /> 111190 10,000 <br /> II.TANK CONTENTS <br /> A TANK USE 434 8 STORAGE TYPE 435 C VEHICLE FUEL TYPE F-14 GASOHOL 436 <br /> ®1 MOTOR VEHICLE FUEL ®1 PRODUCT ❑is REGULAR UNLEADED ❑5 JET FUEL <br /> (RA-1 is marked,complete Rem C.H ❑2 WASTE ®It,PREMIUM UNLEADED <br /> not marked,complete❑2 PETROLEUM Rem D) ❑6 AVIATION GAS <br /> ❑I.MID-GRADE UNLEADED ❑7 METHANOL <br /> ❑3 CHEMICAL PRODUCT ❑2 LEADED ❑8 M85 <br /> ❑4OIL ❑3 DIESEL ❑99 OTHER(desaibe in item D below) <br /> ❑80 EMPTY D.ENTER NAME OF SUBSTANCE STORED(N Al is not marked) 437 <br /> ❑99 UNKNOWN CAS N 208 <br /> UST TANK <br /> III-TANK CONSTRUCTION <br /> A TYPE OF SYSTEM ®1 DOUBLE WALL ❑3 SINGLE WALL WITH EXTERIOR LINER ❑5INTERNAL BLADDER SYSTEM <br /> ❑2 SINGLE WALL ❑4 SINGLE WALL IN A VAULT ❑95 UNKNOWN 438 <br /> Check one dem only El <br /> 99 OTHER <br /> B.TANK MATERIAL(primary lank) ❑1 BARE STEEL ®4 STEEL CLAD W/FRP ❑7 ALUMINUM ❑10 GALVANIZED STEEL <br /> ❑2 STAINLESS STEEL ❑5 CONCRETE ❑8100%METHANOL COMPATIBLE W/FRP ❑95 UNKNOWN <br /> Check one item only ❑3 FIBERGLASS ❑6 POLYVINYL CHLORIDE ❑9 BRONZE ❑99 OTHER <br /> 439 <br /> C.INTERIOR LINING OR COATING ❑1 RUBBER LINED ❑3 EPDXY LINING ❑5 GLASS LINING ❑95 UNKNOWN <br /> ❑2 ALKYD LINING ❑4 PHENOLIC LINING ®6 UNLINED ❑99 OTHER <br /> Check one item only 440 <br /> Is lining material compatible with 100%methanol? ®Yea 0 No 441 <br /> D.CORROSION PROTECTION ❑1 POLYETHYLENE WRAP ❑3 VINYL WRAP ❑5 CATHODIC PROTECTION ❑95 UNKNOWN <br /> ❑2 COATING ®4 FIBERGLASS REINFORCED PLASTIC ❑91 NONE ❑99 OTHER <br /> CMG as many as apply 442 <br /> E.SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED(YEAR 1990 443 <br /> Check as many as apply OVERFILL PROTECTION EQUIPMENT INSTALLED(YEAR) 1998 440 <br /> DROP TUBE ®Yes ❑No STRIKER PLATE ®Yea ❑No DISPENSER CONTAINMENT [:]Yes ®No <br /> 045 446 447 <br /> 5 <br /> Formerly SWRCB Form 8 <br />