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g D7 ,... 11FIED PROGRAM CONSOLIDATED FORM OCA p TANK: TA0515819 NV PR#: PRO231387 UNDERGROUND STORAGE TANKS - TANK PAGE 1 w,tJ,) FAC#: FA0002996 .i3.07 (two pages per tank) TYPE OF ACTIONPage 6 of 7 (CMck mhium.10 ❑ INEW SITE PERMIT [jdAMENDED PERMIT ❑ SCHANGE OF INFORMATION ❑ bTEMPORARY SITE CLOSURE ❑ 7 PERMANFNTLY CLOSED ON SITE ❑ 3RENEWAL PERMIT (BPady rtum fabwivemy) (Spadfy. sxk.mly) STANK REMOVED 430 BUSINESS NAME($amc a FACILITY NAMEa DBA-Doing Busncss As) FACILITY ID: PR#: l TRACY USD-JNT UNION HIGH FA0002996 PR0231387 LOCATION WITHIN SITE(0,1.1) 315 E 11TH ST,TRACY 431 PHONE L TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK DO Tank#: 3 432 TANK MANUFACTURER 4131 COMPARTMENTALIZED TANK ❑Yes ❑No 434 TA0515819 V"YW.wnpinea pfacachcompumims. DATE INSTALLED(YEAR/MO) 415 TANK CAPACITY M GALLONS 435 NUMBER OF COMPARTMENTS 437 1,000 ADDITIONAL DESCRIPTION(Fa low ac mN7 438 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE a4o ❑ I.MOTOR VEHICLE FUEL ❑ 1.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (1Lm cofflpl Pmdo®Typs) ❑ Ib.PREMIUM UNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ 1c MIDGRADE UNLEADED ❑4.GASOHOL ® 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(aan Hsaud mm .b un.wgel 441 CA$#(fivm x.wmw M.sai#s m.wlm page) 442 ®4.HAZARDOUS WASTE (wtala,U100) ❑ 95.UNKNOWN HI.TANK CONSTRUCTION TYPE OF TANK ® 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 'N3 (Omrk.,l ad,) EXTERIOR MEMBRANE LINER ❑95.UNKNOWN ❑2.DOUBLE WALL ❑ 4.SINGLE WALL M VAULT ❑ 99.OTHER TANK MATERIAL-prilnmy lank ® I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN au (Chwk arc i=ngy) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑8.FRP COMPTIBLE W/I00%METHANOL REINFORCED PLASTIC(FRP) ❑99,OTHER TANK MATERIA.-secondary tank ❑ I.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN u5 (CIR 1[ar iun agy) ❑2.STAINLESS STEEL ❑ 4.STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100'/4 METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑99.OTHER ❑5.CONCRETE 417 TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ®95.UNKNOWN 445 DATE INSTALLED OR COATING (Clockwciunmy) ❑ 2ALKYD LINING ❑4PHENOLIC LINING ❑ 6UNLINED ❑ W.OTHER Fabw OTHER CORROSION ❑ 1 MANUFACTURINGCATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ® 95 UNKNOWN 44g DATE INSTALLED H9 PROTECTION IF APPLICABLE PROTECTION ❑ 41MPRESSED CURRENT ❑99OTHER (Clvk orAm 4ely) ❑ 2SACRIFICIAL ANODE (Fabw.au mh7 SPILL AND OVERFILL YEAR INSTALLE450 TYPEpa.l.e ) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Cl At flu, p w) ❑ 1 SPILL CONTAINMENT ❑ 1 ALARM ❑3 FILL TUBE SHUT OFF VAL` ❑ 2 DROP TUBE ❑ 2 BALL ❑4 EXEMPT ❑ 3STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A daviO.adc mooita09 pw® Ault x sa uA mea:mw.gmey) IF SINGLE WALL TANK(Ch Al tot appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ ]VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) (C a ien Owy) ❑ 1 VISUAL(SINGLE WALL IN VAULT ONLY) ❑2AUTOMATIC TANK GAUGING(ATG) ❑ bVADOSE ZONE ❑3CONTIN000S ATG ❑ 7GROUNDWATER ❑2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8TANKTESTING ❑3 MANUAL MONITORING (SIR)BIENNIA.TANK TESTING ❑ WOTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 12/20/1993 12:00:OOAM 250.00 gallons ❑ves ®No UPCF(12/99 revised)