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FEB-23-2007 09 : 12 RM 1 P. 08 <br /> It ILD PROURAM CONSOLIDATED FORM TANK: TA0239801 <br /> *Ad 1 PR#: PRO232388 <br /> UNDERGROUND STORAGE A -TANK PAGE 1 PAC#: FA0003607 <br /> (t"I-gcs per lank) <br /> P&3e 2 of <br /> TYPE OF ACTION <br /> ICLs1m03ltan ssl51 [3 KNEW SITE PERMIT ❑ aAMENDED PERMIT SCHANGE OF INFORMATION ❑ 6TEMPORARY SITE CLOSURE <br /> ❑ 7 PERMANENTLY CLOSED ON SITS <br /> ❑3RENEWAL PERMIT ❑STANK REMOVED Do <br /> BUSINESS NAME(Ssrm FACMITYNAMSm ORA.DN a,we"•,A.) FACILITYIDPR <br /> W bUQVj- FA0003607 PR0232388 <br /> LOCATION WTTHIN SITEMomw) 18506 N LOWER SACRAMENTO RD,WOODBRIDGE 431 <br /> PHONE <br /> 1.TANK DESCRIPTION(A icalid plot plan with the location Df the UST system including buiWng5 ja landmarks&hall be submitted to the toml hammy. <br /> TANK 04 Tnk#: 1 M3 TANKMANUFM3 CO ZEDTANK ❑Y. ❑No 04 <br /> TA023UOI XERXES If^Ym oa. em om p06e lm akch eempmvnmk <br /> DATE INSTALLED( A 435 TANK CAPACITY M GALLONS 136 NUhIDER OP COMPA 437 <br /> 10/1/1991 12:00:00AM 12,000 <br /> i N(I«beN w.my) 4ah <br /> IL TANK CONTENTS <br /> TANK USE 439PETROLEUM TYPE me <br /> ® 1,MOTOR VEHICLE FUEL I4.REGULAR UNLEADED ❑2LEADED ❑5,JET FUEL <br /> (UmmWd pWPe0,ti eType) ❑ Ib.PREMIUM UNLEADED ❑ ].DIESEL ❑6.AVIATION ELM, <br /> ❑ 2.NON•PUEL PETROLEUM 1 .MIDGRADB UNLEADED ❑4.GASOHOL ❑ 99.OTHER <br /> ❑ 3.CHEMICALPRODUCT NAME <br /> ( <br /> E]4.HAZARDOUS WASTE (ft.H.a.Nmw MkMah lnvmtary mm) 44I CAS#(spm HMkHTIMetrid.lmmmry pa84) 111 <br /> 0mwakk Od) 8006-61.9 <br /> ❑ 95.UNKNOWN <br /> Ill TANK CONSTRUCTION <br /> TYP80FTANK ❑ I.SINGLEWALL ❑3.SINGLE WALL WITH [:1 S.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (Chmkan<Mm mO,) EXTERIOR MEMBRANE LINER ❑-t95.UNKNOWN <br /> 2.DOUBLE WALL ❑ 4.SWOLE WALL M VAULT L.I 99.OTHER <br /> TANK MATERIAL,Pdmerymh ❑ I.BARE STEEL M FIBERGLASS I PLASTIC ❑ 5.CONCRETE ❑95.UNKNOWN 444 <br /> (ekeek.n hvn6) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD WIFIBEROLA$$ ❑ 8.FRP COMPTIBLE W/I tXM METHANOL <br /> RETNPORCSD PLASTIC(FRP) ❑ 99 OTHER <br /> TANKMATERIAL-s&eoftfty Wk [] 1.BARE STEEL (M3PIBERGLASS/PLASTIC ❑5.CONCRETE ❑95.UNKNOWN W <br /> 9%wk mo Has mly) ❑ 2.STAINLESS STEEL ❑4.SrULCLADWMBERGLASS ❑ 8.FRPCOMPTIBLEW/100%METHANOL <br /> REINFORCED PLASTIC(PRP) ❑ 10,COATED STEEL ❑99.OTHER <br /> ❑ 5.CONCRETE <br /> TANK INTERIOR LINING ❑ f RUBBER LINED ❑ LINING93.UNKNOWN 416 DATE INSTALLED <br /> 3.EPDXY ❑S.GLASSLINING H7 <br /> OR COATING ❑ <br /> (ChRk an ire ml') ❑2 ALKYD LINING ❑4 PHENOLIC LINING Q 6 UNLINED ❑ 99,OTHER <br /> (Pm kmlu.omlyl <br /> OTHER CORROSION ❑ 1 MANUFACTURING cATHODIC ❑3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN wk DATE INSTALLED <br /> PROTECTION IPAPPLICABLE PROTECTION <br /> (Chskmmitmnmb) ❑2 SACRIFICIAL ANODE C]4 IMPRESSED CURRENT []99 OTHER <br /> (P>bW asdy) <br /> SPILL AND OVERFILL YEAR INSTALLEMO TYPE(W.Iuwonly) 451 OVERFILL PROTECTION EQUIPropMENT.YEAR INSTALLED 02 <br /> (�htlk111mW 3DDIY) ❑ I SPILL CONTAINMENT L] IALARM L^13 FILL TUBE SHUT OFF VALI <br /> ❑x 2DROP TUBE ❑ 29ALL ❑4EXEMPT <br /> ❑ 3STRIKER PLATE FLOAT <br /> IV.TANK LEAK DETECTION(A Dano mmOtminp M,.A.II W r hhWAr pe bml4&vRYJ <br /> IF SINGLE WALL TANK(Cr fill Ont.pply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 451 <br /> ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (CMek am rm mM <br /> ❑2 AUTOMATIC TANK GAUGING TATO) ❑6VAOOSE ZONE ❑ 1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ 3CONTIN000SATG ❑ 7GROUNDWATER 3 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑4STAMSnCAL INVENTORY RECONCILIATION ❑S TANK TESTING ❑3 MANUAL MONITORINO <br /> (61 R)BIENNIAL TANK TESTING ❑"OTHER <br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> 85TIMATfib DATE LAST USED(Y'Ra1CVDAY) 155 ESTIMATED QUANTITY OF SUBSTANCE REMAINING M& TANK PILLED WITH INERT MATERIAL? 437 <br /> ❑Yu ❑ No <br /> UPCF(12/99 revised) <br /> Vftw \� <br />