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i �,NIFIED PROGRAM CONSOLIDATED FOR I (( 0 TANK: TA0160405 PR#: PR0231604 UNDERGROUND STORAGE TANKS - TAN E FAC#: FABOOB717 O �y Utwo pages pertank) TYPEOFACTION ❑ 1NEW SITE PERMIT ❑4 AMENDED PERMIT ❑ 5CHANGE OF INFORMATION PUg 2of7 1' ❑ 6TEMPORARY SITE CLOSURE ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT MEOW ❑8TANK REMOVED 430 BUSINESS NAME(S.u FAMITY NAME m Dew-Doss ammo.Aa) d FACILITY ID: PR#: t HMCO TRUCK PLAZA* FA0000717 PR0231604 LOCATION WITHIN SITE(000a a0 1022 E FRONTAGE RD,RIPON 431 PHONE 1.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmrks shall be sobnutted to the local agency.) TANK ID# Tank#: 5 4R 433 COMPARTMENTALIZED TANK ❑Yea ❑No 4M 32 TANK MANUFACTURE TA0160405 If YM",a^ a 9Ver am mngwtmL DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 1,000 ADDITIONAL DESCRIPTION(Fa 439 H.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 9 ❑ 1.MOTOR VEHICLE FUEL ❑ I a.REGULAR UNLEADED ❑2.LEADED ❑ S.IEf FUEL (ifmmeim^P1e1e Pe6oMon Type) ❑ Ib.PREMIUM UNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ Ic MIDGRADEUNLEADED ❑ 4.GASOHOL ❑ ® 99.OTHER 3.CHEMICAL PRODUCT COMMON NAME(6vntWmdou,Mueruh m.mw,rws<) wt CAS#(6wn xuwmu:MarmaE m.e,n.y page) a4z ®4.HAZARDOUS WASTE mom aa,) WASTE OrL ❑95.UNKNOWN M.TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (��zuaaonh) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ® 2.DOUBLE WALL ❑4.SINGLE WALL IN VAULT ❑ 99.OTHER TANKMATERIAL-,nant,tank ® I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.13NKNOWN 444 (Csak arc item WS') ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/10056 METHANOL REINFORCED PLASTIC(PRP) ❑ ".OTHER TANK MATERIAL-secondary o nk ❑ I.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (C>nk 6¢imnady) ❑2.STAINLESS STEEL ® 4.STEEL CLAD WNIDERGLASS ❑ S.FRP COMPTIBLE W/IWA METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑ 99.OTHER ❑ S.CONCRETE TANK INTERIOR LINING ❑ L RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED H7 OR COATING ((brt me ilenady) ❑ 2 ALKYD LINING ❑ 4 PHENOLIC LINING ® 6 UNLINED ❑ 99.OTHER (Pa low la4adrl OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC 95 UNKNOWN 448 DATE INSTALLED u9 PROTECTIONIFAPPLICABLE PROTECTION ❑ (�aacn,aaonty) E] 41MPRESSED CURRENT ❑ 990THER F1 2 SACRIFICIAL ANODE (Po 1m1 we Wy) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(lo ..*) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (C J1mrta0yy) M I SPILL CONTAINMENT 1,991.00 ® I ALARM ❑ l FILL TUBE SFIU'1'OFF NAL` FYI 2 DROP TUBE 11991.00 ❑ 2 BALL ❑ 4 EXEMPT ❑X 3 STRIKER PLATE 11991.00 FLOAT IV.TANK LEAK DETECTION(A dae,o ofdla namtodnx Fn,�n,b.ube,a6n:naa tome 1oa1 axe r.) IF SINGLE WALL TANK(O lull mu pqy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Oxkmeiun mlY) ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ 6VADOSE ZONE ❑ I VISUAL.(SINGLE WALL IN VAULT ONLY) ❑3CONTIN000S ATG ❑ 7GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ STANK TESTING ❑3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑99OTHER V.TANK CLOSURE]INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 1 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 453 ❑Yea E]No UPCF(12/99 revised)