Laserfiche WebLink
'�_TNIFIED PROGRAM CONSOLIDATED FOR <br /> TANKS <br /> UNDERGROUND STORAGE TANKS-TANK PAGE 1 ��C� <br /> 'J ( pages Pe,tank) <br /> Papa _ of <br /> TYPE OF ACTION ❑L NEW SITE PERMIT D 4.AMENDED PERMIT 0 5. CHANGE OF INFORMATION) 8. RY SITE CLOSURE <br /> (Check one dem onl» <br /> PER NENTLY CLOSED ON SITE <br /> 113.RENEWAL PERMIT ISpedryrwson-rorb uaa ordy) (SpeyNoriIos-fi%, Muu onp9 B:TAN REMOVED 430 <br /> BUSINESS NAME((Sarna as,F,ACIUTYONAME <br /> or DBA-Dain BBuw u,A,$) 1b 1� S- FACILITY 104 `0 1 <br /> lMly✓ Plcl.)l- l�tJ�.1(�a/Vly/) Alr(.�or4 <br /> LOCATION WITHIN SITE(OpffiDW 431 <br /> -,yav/(iY53 <br /> I.TANK DESCRIPTION <br /> TANK IDN TANK MANUFACTURER <br /> COMPARTMENTALIZED TANK ❑ Yes o <br /> If'Yee,ranplNe one papa br eeUi cmnpar9renl. <br /> DATE INSTALLED(VEARMO) TANK CAPACITY IN GALL NUMBER OF COMPARTMENTS <br /> UACMW, 1500 <br /> ADDITIONAL DESCRIPTION(For bcal uu 0*) <br /> S.TANK CONTENTS <br /> TANK USE 432 PETROLEUM TYPE <br /> Xt MOTOR VEHICLE FUEL 01a. REGULAR UNLEADED 0 2. LEADED 0 5. JET FUEL <br /> fMmMnM,compute PN .Type, 0tn PREMIUM UNLEADED 0 3. DIESEL 0 e. AVIATION FU L <br /> 0 2. NON-FUELPETROLEUM 01c MIDGRADE UNLEADED 0 1. GASOHOL )10.. OTHER <br /> 0 3. CHEMICALPRODUCT <br /> CAS M(M1Pm N <br /> 0 4. HAZARDOUS WASTE fln s COMMON NAME(Isom Nezartlous MateMla Inventory pays) azartloua Materials Inwnpapa) <br /> USM Or)) <br /> In 95 UNKNOWN <br /> III.TANK CONSTRUCTION <br /> TYPE OF TANK tED. SINGLE WALL 03 SINGLE WALL WITH 0 5. SINGLE WALL WITH INTERNAL BUDDER SYSTEM <br /> (CMak one dem only) 02, DOUBLE WALL EXTERIOR MEMBRANE LINER 095. UNKNOWN <br /> 04. SINGLE WALL IN A VAULT 0 99. OTHER <br /> TANK MATERIAL-pknary tank evoBARE STEEL 03, FIBERGUSS/PLASTIC 0 5. CONCRETE 0%. UNKNOWN <br /> (Chso*.lbmow 02. STAINLESS STEEL 04. STEEL CUD WIFISERGLASS DB. FRPOOMPATIBLEW/100%METHANOL Ll m, OTHER <br /> REINFORCED PUSTIC FRP <br /> TANK MATERIAL-somrd"Is l 0 1 BARE STEEL D 3. FIBERGLASS I PLASTIC 06, FRP COMPATIBLE WI100%METHANOL X�0�-99L5�, UNKNOW��NN�M�T3/��/�� <br /> (Conk ore Msm ordy) 0 2. STAINLESS STEEL 0 4, STEEL CUD WNIBERGUSS 09, FRP NON-CORRODIBLE JACKET /�. OTHER ILS <br /> REINFORCED PLASTIC(FRP) E310 COATED STEEL <br /> 0 5. CONCRETE <br /> TANK INTERIOR LINING 0 1. RUBBER LINED 03. EPDXY LINING 1:15. GLASS LINING ❑95. UNKNC%N433 DATE INSTALLED <br /> OR COATING 13 2. <br /> 2. ALKYD LINING 111. PHENOLIC LINING ❑ 8. UNLINED Are. OTHER Yl <br /> (CMck one item o Forbral uu <br /> OTHERICN 0 1. MANUFACTUREDCATHODIC 0 3. FIBERGLASS REINFORCED PLASTIC 095. UNKNOWN 431 GATE INSTALLED <br /> PROTECTION NON IF IF APPLICABLE PROTECTION ❑ 4. 7 <br /> IMPRESSED CURRENT ,�9e. OTHER V1Ey/ <br /> y-Ly,ZFyQ <br /> (Check onsdem aMy) ❑ 2. SACRIFICIALANODE I (Fwbcel nae orrM ' <br /> SPILL AND OVERFILL YEAR INSTALLED TYPE(For local uu onry) OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED <br /> (Check Wthalapow D 1 SPILL CONTAINMENT rpyw D 1, ALARM 0 3, FILL TUBE SHUT OFF VALVE <br /> D 2, DROP TUBE ADW D 2. BALL FLOAT 0 4. EXEMPT <br /> 0 3. STRIKER PLATE AC)AV- <br /> W. TANK LEAK DETECTION. <br /> IF SINGLE WALL TANK Checkad Mt a IF DOUBLE WALL TANK OR TANK WITH BUDDER Check one dem o )' <br /> ❑ 1, VISUAL(EXPOSEDPORTIONONLY) 0 S. MANUAL TANK GAUGING(MTG) D 1. VISUAL(SINGLE WALLIN VAULT ONLY) <br /> ❑ 2. AUTOMATIC TANK GAUGING(ATG) 0 B. VADOSEZONE 0 2. CONTINUOUSINTERSTITIALMONITORING <br /> D 3. CONTINUOUSATG 0 T. GROUNDWATER 0 3. MANUALMONITORING <br /> 0 4. STATISTICAL INVENTORY RECONCILIATION(SIR)+ aD.5�S. TANKTESTING <br /> I <br /> BIENNIAL TANK TESTING AWw. OTHER VIM 0. <br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YRMO//DLA/YL) ESTIMATED QUANTITYMOIF SUBSTANCE REMAIN _ 435 TANK FIL WITH INERT MAT RIAL? <br /> I�Y.�IJ FV r\ ,1. oallone as <br /> GhL�vl-c� acL-+n�/n <br /> Ct�'� - q <br /> I' V la-aa/9 y� <br /> CUPAFORM(4/99) l 2 `�(SS I ( �l vv QI.ZV I ov Formery SWRCB Form B <br />