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UNIFIED PROGRAM CONSOLIDATED FORM <br /> JsKSUNDERGROUND STORAGE TANKS -TANK PAGE 1 <br /> fans) 1 <br /> e9a of _ <br /> TYPE OF ACTION ❑1.NEW SITE PERMIT ❑ A. AMENDED PERMIT ❑ 5. CHANGE OF INFORMATION) ❑ 6. TEMPORARY SITE CLOSURE <br /> (CMCNOm lem omy ❑ T. PERMANENTLYCLOSED ON SITE <br /> ❑3.RENEWAL PERMIT (Sprats reason-/orbcal ute only ($peo/y Gange-brlocM uaa ontyl gfpp <br /> B. TANK REMOVED A30 <br /> SOSINESS NAME(Same as FACILITY NAME or OSA-Do+S Business Aa) FACILITY ID a I <br /> Redevelopment Agency of Stockton M <br /> LOCATION WITHIN SITE(OplwnaB N1 <br /> st n ora <br /> L TANK DESCRIPTION <br /> TANK 10 TANKMANUFACTURER COMPARTMENTALIZED TANK ❑ Yea _p <br /> by NO <br /> II-Yea,rumPlaM ANI PageW eual PaawmnenL <br /> Unknown Unknown <br /> PATE INSTALLED(YEMUMO) TANKCAPAGIYINUALLONS NUMBER OF COMPARTMENTS <br /> Unknown 1,000 Gallons Not applicable <br /> ADDITIONAL DESCRIPTION(Fwlor 1 uv 0NA <br /> 11.TANK CONTENTS <br /> TANK USE A32 PETROLEUM TYPE <br /> ❑ L MOTORVEHIOLEFUEL ❑1., REGULAR UNLEAOEO ❑ 2. LEADED ❑ S. JETFUEL <br /> (I mahel,Pnmpla'e PWrOlaum TTPO) ❑19. PREMIUM UNLEADED ❑ 3. DIESEL ❑ 6. AVIATIONFUEL <br /> ❑ 2 NON-FUELPETROLEUM ❑Ic MIDGRAOEUNLEAOEO ❑ s. GASOHOL ❑99. OTHER <br /> ❑ 3. CHEMICALPROOUCT <br /> [3 a. HAZARDOUS WASTE(LIChdea COMMON NAME Thom Naisr00ua MNenata Imanlarypyal GS a(/qm HaxaNOui MMamla <br /> /maMOry Pa9a1 <br /> Uai°OB Tank is now clean and inert <br /> 111.TANK CONSTRUCTION <br /> TYPE OF TANK XM I SINGLEWALL ❑ 3. SINGLE WALL WITH ❑ S. SINGLE WALL`MTM INTERNAL BLADDER SYSTEM <br /> (CAecN.,Mm ONy) ❑ 2. DOUBLE WALL EXTERIOR MEMBRANE LINER 095. UNKNOWN <br /> ❑ e. SINGLE WALLIN A VAULT ❑99. OTHER <br /> iANN MATEfIAAI-pnmary mN X0 I BARE STEEL ❑ 3. FIBEHGLASSIPLASTIC ❑ i CONCRETE 095. UNKNOWN <br /> (CTI kone Ram OMy ❑ 2. STAINLESS STEEL ❑A. STEEL CLAD WIFSERGLASS ❑ S. FRPCOMPAT19LEWII0 METHANOL Cl%. OTHER <br /> REINFORCED PLASTIC(FRP) <br /> TANK MATERIAL-fa Ms taa ❑ 1 SAKE STEEL ❑ 3. FIBERGLASS I PLASTIC ❑ B. FRPCOMPATIBLEWMO METHANOL 095. UNKNOWN <br /> (CIIacNamlem.." ❑ 2. STAINLESS STEEL ❑ a, STEELCLAOw/FISERGLASS ❑ 9. FRPNONLORROOIMEJACKET 099. OTHER <br /> REINFORCED PLASTIC(FRP) ❑10. COATED STEEL <br /> Not applicable ❑ 5. CONCRETE <br /> TANK INTERIOR LINING ❑ 1. RUBSER UNEO ❑ 3. EPDXY LINING ❑ i CLASS LINING ❑9s. UNKNdfM W DATE INSTALLED <br /> OR COATING ���I <br /> ❑ 2. ALKYD LINING C31. PHENOLIC LINING xAil e. UNLINED 1399. OTHER <br /> MCN Ana lam (Fa'bwl uaa oWo <br /> OTHER CORROSION ❑ 1. MANUFACTURED GTHODIC ❑ 1 FIBERGLASS REINFORCED PLASTIC ❑95. UNKNOWN a3A DATE INSTALLED <br /> PROTECTION IF APPLICABLE PROTECTION <br /> (Cllerk one lerll *4 ❑ 2 SACRIFIGALANOpE ❑ A IMPRESSED CURRENT ❑99. OTHER <br /> (Farlowl uas mlly) <br /> SPILLANOOVERFILL YEAR INSTALLED TYPE(ForbcM use aryl OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED <br /> (CMGs NIMfappyJ ❑ 1 SPILL CONTAINMENT ❑ 1. ALARM ❑ 3. FILL TUBE SHUT OFF VALVE <br /> ❑ 2- DROP VIBE ❑ 2 BALL FLOAT ❑ a. EXEMPT <br /> ❑ 3. STRIKER PLATE <br /> IV. TANK LEAK DETECTION <br /> IF SINGLE WALL TANK CM4 N MN apply: IF DOUBLE WALL TANK OR TANK WITH BLADDER(CnePR am Hem Omy' <br /> ]MI. VISUAL(EXPOSED PORTON ONLY) ❑ S MANUAL TANK GAUGING INTO) ❑ 1. VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ S. VADOSEZONE ❑ 2 CONTINUOUSINTERSTIT1ALMONITORING <br /> ❑ 1 CONTINUOUS ATG ❑ T. GROUNDWATER ❑ ] MANUALMONITORING <br /> ❑ a. STATISTK:ALINVENTORY RECONCILIATTON(SIR). ❑ S. TANKTESTING <br /> BIENNIAL TANK TESTING C3 N. OTHER <br /> V.TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE <br /> ESTIMATEODATELASTUSEO(YRrAg10AY) ESTIMATED QUANTITY OF SUBSTANCE REMAININGV5 TANKFILLEOWrtR INERTMATERIALT <br /> Not recently -0- 9Mbna ❑Yea ❑Na <br /> �g- .sus yY� <br /> CUPAFORM(,199) `� `/ Formerly SWRCB Form E <br />