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UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UST Tank-1 <br /> (one form per tank) <br /> page 7 of 6 <br /> TANK PERMIT STATUS ❑1 NEW PERMIT ®3 RENEWAL PERMIT ❑5 CHANGE OF INFORMATION ❑7 PERMANENTLY CLOSED ON SITE <br /> Check as many as appy ❑2 INTERIM ❑4 AMENDED PERMIT ❑6 TEMPORARY SITE CLOSURE ❑8 TANK REMOVED 429 <br /> PERMIT <br /> DBA OR FACILITY NAME 3 FACILITY ID <br /> Chevron #90557 006437 1 <br /> LOCATION(Opbona0 <br /> 139 So Center St., Stockton, Ca., 95202 <br /> TANK ID 430 TANK MANUFACTURER 431 <br /> 1 JOOR <br /> DATE INSTALLED(YEARIMO) 432 TANK CAPACITY IN GALLONS 433 <br /> 1/1/90 1,000 <br /> II.TANK CONTENTS <br /> A TANK USE 434 B STORAGE TYPE 435 C VEHICLE FUEL TYPE ❑4 GASOHOL 436 <br /> ❑1 MOTOR VEHICLE FUEL ❑1 PRODUCT ❑1.REGULAR UNLEADED ❑5 JET FUEL <br /> (h A-1 is marked,complete item C;H ®2 WASTE ❑1b PREMIUM UNLEADED <br /> not marked,complete hem D) ❑ ❑6 AVIATION GAS <br /> 1c MID-GRADE UNLEADED <br /> ❑2 PETROLEUM ❑7 METHANOL <br /> ❑3 CHEMICAL PRODUCT ❑2LEADED ❑8M85 <br /> ®4 OIL ❑3 DIESEL ❑99 OTHER(describe in item D bebw) <br /> ❑80 EMPTY D.ENTER NAME OF SUBSTANCE STORED(h At is not marked) 437 <br /> ❑N UNKNOWN CAS# 208 <br /> UST TANK <br /> III.TANK CONSTRUCTION <br /> A TYPE OF SYSTEM ®1 DOUBLE WALL ❑3 SINGLE WALL WITH EXTERIOR LINER ❑S INTERNAL BLADDER SYSTEM <br /> ❑2 SINGLE WALL ❑4 SINGLE WALL IN A VAULT ❑95 UNKNOWN 438 <br /> Check we barn only <br /> 990THER <br /> B.TANK MATERIAL(primary tank) ❑1 BARE STEEL ®4 STEEL CLAD W1 FRP ❑7ALUMINUM ❑10 GALVANIZED STEEL <br /> ❑2 STAINLESS STEEL ❑5 CONCRETE ❑8 100%METHANOL COMPATIBLE WIFRP ❑95 UNKNOWN <br /> Check one hem 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 Rem only 440 <br /> Is lining material compatible with 100%methanol? ®Yes ❑No 441 <br /> 0.CORROSION PROTECTION ❑1 POLYETHYLENE WRAP ❑3 VINYL WRAP ❑5 CATHODIC PROTECTION ❑95 UNKNOWN <br /> Check as many as apply ❑2 COATING ®4 FIBERGLASS REINFORCED PLASTIC ❑91 NONE ❑%OTHER <br /> 442 <br /> E.SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED(YEAR 1990 443 OVERFILL PROTECTION EQUIPMENT INSTALLED(YEAR) 1996 444 <br /> Check as many as apply - <br /> DROP TUBE ®Yes ❑No STRIKER PLATE ®Yes ❑No DISPENSER CONTAINMENT ❑Yes ❑No <br /> 445 446 447 <br /> 7 <br /> Formerly SWRCB Form B <br /> �/ 1/ <br />