My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING_PRE 2019
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
E
>
ELEVENTH
>
95
>
2300 - Underground Storage Tank Program
>
PR0522044
>
BILLING_PRE 2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/19/2024 10:19:23 AM
Creation date
11/4/2018 4:50:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0522044
PE
2381
FACILITY_ID
FA0015011
FACILITY_NAME
PANETTA PROPERTY
STREET_NUMBER
95
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23313027
CURRENT_STATUS
02
SITE_LOCATION
95 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\95\PR0522044\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
12/18/2012 8:00:00 AM
QuestysRecordID
79958
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
z o <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE I <br /> ' - (Two page pa tank) <br /> - <br /> Page-of <br /> TYPE OF ACTION ❑ 1.NEW PERMIT ❑ 4.AMENDED PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY TANK CLOSURE 430. <br /> (Ltrt^m itmvadY) ❑ 3.RENEWAL PERMIT <br /> ❑ 7.PERMANENTLY CLOSED ON SITE <br /> (Speedy inn) (Spec*-) 8.TANK REMOVED <br /> BUSINESS NAME,q.ee F TY NAME er DBA-Drigg Bu,aw,As) 3. PACILTIY m: 1. <br /> F 5 <br /> LOCATION WITHIN SITE(opeAod) 431. <br /> L.TANK DES01UPTION <br /> (A scaled blot plan with the location of the USTsuseem including buildings and laaliinarks shall be submmedto The local agency.) <br /> COMPARTMENTALIZED TA <br /> TANKID» 432_ TANKMANUFACTURER 433 <br /> NK L]Yes :10 a3a. <br /> I!"Yea"wnglemom PaBc br evcd corgtumem. <br /> DATE INSTALLED 435. TANK CAPACITY IN GALLONS 4M. NUMBER OF COMPARTMENTS <br /> (YEAR/MO) <br /> W ✓l _n <br /> ADDITIONAL DESCRIPTION(For lod om oray) v438 <br /> II TANK CONTENTS- <br /> TANK USE 439. PETROLEUM TYPE <br /> ❑ I. MOTOR VEHICLE FUEL ❑la. REGULAR UNLEADED4ao <br /> ❑2. LEADED ❑5. JET FUEL <br /> Bfmrkaq cevpYae PenokumTypel ❑ Ib. PREMIUM UNLEADED 03. DIESEL <br /> ❑ 0.6. AVIATION GAS <br /> 2. NON-FUEL PETROLEUM <br /> ❑Ic. h�GAADE UNLEADED ❑4. GASOHOL C1 99.OTHER: <br /> ❑ 3. CHEMICAL PRODUCT COMMON NAME CAS#(ftea to Meeaae evcnmrypege) 442. <br /> ❑ 4. HAZARDOUS WASTE <br /> (torJuEee UedoiO <br /> ❑ 95.UNKNOWN <br /> W.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ I. SINGLE WALL ❑3. SINGLE WALL WITH EXTERIOR ❑5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (Check one item ooly) MEMBRANE LINER 95. UNKNOWN <br /> 2. DOUBLE WALL 4. SINGLE WALL IN A VAULT 99. OTHER <br /> TANK MATERIAL-Pnmvy uct ❑1. BARE STEEL 3. FBERGLASS/PLASTIC 5. CONCRETE 095.UNKNOWN 4a4. <br /> (Deck om hem eky) [12. STAINLESS STEEL ❑4. STEEL CLAD W/FIRERGLASS [IS. FRP COMPATIBLE ❑99.OTHER: <br /> REINFORCED PLASTIC FRP W/100%METHANOL <br /> TANK MATERIAL-secondary tmk C]1. BARE STEEL ❑3. FIBERGLASS/PLASTIC 0 8. FRP COMPTIBLE W/100%METHANOL 95.UNKNOWN a5. <br /> (Check one hem oNy) ❑2. STAINLESS STEEL[14. STEEL CLAD W/FBBERGLASS ❑9. FRP NON-CORRODABLE IACKEL <br /> [199.OTHER <br /> REINFORCED PLASTIC(FRP) ❑10. COATED STEEL5. CONCRETE <br /> TANK INTERIOR LINING I.RUBBER LINED 3.EPDXY LINING C3 5.GLASS LINING 95.UNKNOWN 446. DATE INSTALLED 447. <br /> OR COATING [12.ALKYD LINING ❑4.PHENOLIC LINING El 6.UNLINED ❑99.OTHER <br /> Check one item only) <br /> OTHER CORROSION 0 1.MANUFACTURED CATHODIC 0 3.FIBERGLASS REINFORCED PLASTIC 95.UNKNOWN 44& DATE INSTALLED W. <br /> ROTECTION PROTECTION ❑4.IMPRESSED CURRENT ❑99.OTHER <br /> P <br /> II Ibabk 2.SACRIFICIAL.ANODE <br /> SPILL AND OVERFILL YEAR INSTALLED 45g. TYPE 451. 1 OVERFILL PROTECTIONEQUIPMENT: YEAR INSTALLED 452 <br /> (Check all that aPPly) ❑1.SPILL CONTAINMENT ❑I.ALARM <br /> ❑2.DROP TUBE _ [13.FILL TUBE SHUT OFF VALVE _ <br /> ❑3.STRIKER PLATE ❑2.BALL FLOAT_ ❑4.EXEMPT <br /> IV.TANK LEAK.DETECTION'. <br /> - '. .(A description of the monitoring progratn&hall be sub mvice to the local agency.) <br /> IF SINGLE WALL TANK 153- iF DOUBLE WALL TANK OR TANK WITH BLADDER 454, <br /> (Check all that apply) (Check one Item oWy) <br /> ❑I.VISUAL(EXPOSED PORTION ONLY) ❑S.MANUAL TANK GAUGING(MTG) ❑1.VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑2.AUTOMATIC TANK GAUGING(ATG) ❑6.VADOSE ZONE ❑2.CONTINUOUS INTERSTITIAL MONITORING <br /> ❑3.CONTINUOUS ATG ❑7.GROUNDWATER ❑3.MANUAL MONITORING <br /> ❑4.STATISTICAL INVENTORY RECONCILIATION ❑S.TANK TESTING <br /> (SIR)i BIENNIAL TANK TESTING ❑Y9.OTHER <br /> V.TANK.CLOSURE.INFORMATION./ PERMANENT CLOSURE.€W,'PLAICE <br /> ESTIMATED DATE LAST USED(YR/MO/pAY) 455. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456. TANK FILLED WITH 04ERT MA .1 157, <br /> Q`S <br /> gallons ❑yes ❑ No <br /> UPCF hwlwre-b(1/99)-1/4 http://www,uniducs.org <br /> Rev.02/16/00 <br />
The URL can be used to link to this page
Your browser does not support the video tag.