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FEB-23-2007 09 : 13 AM _ P. 11 <br /> 143riau rmUciKAM WNDULIDA'PED FORM TANK: TA02M801 <br /> 9'l PRN: PR02323I19 <br /> UNDERGROUND STORA AN -TANK P GE� 1l�l FAC N: FA0003607 <br /> �(J (two pages per wk) <br /> ME OF ACTION INEW SITE PERMIT ❑4AMENDED PERMIT S CHAN GE OF IN FO RMATIDN PWc1af7 <br /> (CAed a.�Y n4ni onh) ❑ ❑eTEMPoRARY SITE CLOSURE <br /> ❑T PERMANENTLY CLOSED ON SITE <br /> ❑3RENEWAL PERMIT mow ❑STANK REMOVED 430 <br /> J 13USMM NAME IS.n FACILITY NAME a DBA- 'enA.) FACILITY ID'. PRA'. I <br /> A�08* W001 AI ' FA0003607 PRO232388 <br /> LOCATICrN WITHIN SITE IOplbn4B 18006 N LOWER SACRAMENTO RD.WOODBRIDGE 4J1 <br /> PHONE <br /> LIANK DE&CRIPTION(A Scaled plot p en with the loca0on of the UST system including udd..g.and landmarks shall be submitted tote foul agency.) <br /> TANK ID# Tank N'. 2 432TANK MANUFACTURER 431COMPARTMENTALIZED TANK ❑ Yee ❑No 414 <br /> TA0238902 XERXE$ it"va",eemdao ono a„a..naamp.mw. <br /> DATE fNSTALLED(YP.AR/MO) 455 I TANK CAPACITY IN UAL 434 NUMBER OF COMFARTMIENTS 47 <br /> 10/1/1991 12:00:OOAM 17,000 <br /> ADDITIONAL DEC (Fai .I wally) sss <br /> R TANK CONTENTS <br /> TANK USE 439 PETROLEUM TYPE <br /> HU <br /> 1,MOTOR VEHICLE FUEL ❑ Is REGULAR UNLEADED �❑�2.LEADED ❑ 5.JET FUEL <br /> (IJmmyvd�Ioi.Pemolaaa Yypa) ❑ Ib.PREMIUMLNLEADED 1.DIESEL ❑ 6.AVIATION FIISL <br /> ❑ 1.NON-PUEL PETROLEUM <br /> Ic.MIDORADB UNLEADED ❑ a.GASOHOL El 99,OTHER <br /> ❑3.CHEMICAL PRODUCT ON NAME(rmm HeeMw MnmiY.mwmerypar) u A (tea H..�ma.Mae4.b Is,.,page) <br /> ❑A.HAZARDOUS WASTE <br /> aa0 8006.61-9 <br /> ❑ 95,UNKNOWN <br /> IR TANK CONSTRucnON <br /> TYPE OFTANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (Chmis.aa .N EXTERIOR MEMBRANE LINER ❑95.UNKNOWN <br /> ©2.DOUBLEWALL ❑ 4,SINGLE WALLIN VAULT ❑99.OTHER <br /> TANK MATERIAL-MMWY&A ❑ I.BARE STEEL ® FIBERGLASS I PLASTIC ❑ S.CONCRETE ❑95.UNKNOWN 444 <br /> (LYmk a ae Mrs 4Nv) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD WIFIRBROLASS ❑ S,FRP COMPTIBLE W/IWM METHANOL <br /> REINFORCED PLASTIC(PRP) ❑ %,OTHER <br /> TANK MATERIAL.mowdmy W k ❑ I.BARE STEEL M 3.FIBERGLASS I PLASTIC ❑ S.CONCRETE ❑95.UNKNOWN 443 <br /> (Tau oa aaiar4r) ❑2.STAINLESS STEEL ❑ 4.STEEL CLAD W/MBPRGLASS ❑ 8.FRP COMPTIBLE W/I Doli METHANOL <br /> RE3 ORCBD PLASTIC(FRP) ❑ 10.COATED STEEL ❑99.OTHER <br /> p 5 CONCRETE <br /> TANK INTERIOR LMINO ❑ I.RUBBER LINED ❑ 5,EPDXY LINING ❑ 5.DLAEE LINING ❑95,UNKNOWN Na DATE INSTALLED 07 <br /> OR COATINO <br /> (L —bss Wy) ❑ 2 ALKYD LININO ❑4 PNENDLM LININO ® 0 UNLINED ❑�'��' <br /> (FaslmlwwJy) <br /> OTHERCORROSION ❑ I MANUFACTURING CATHODIC ❑ 3 FIBERGLASS MINPORCED PLASTIC ❑ 93 UNKNOWN 410 DATEINSTALLED N9 <br /> PROTECTION IF APPLICABLE PROTECTION <br /> (Cnaes ens ltW mly) 23ACRIFICIAL ANODE L)4 IMPRESSED CURRENT [I"OTHER <br /> ❑ (Parlm.lwaeyJ <br /> SPO.LANDOVERFILL YEAR INSTALL210 TYPB(IeWW.6) 451 OVERFILL PROTECTION EQUIPMENT.YEAR INSTALLED 01 <br /> (Cw.sro+ypy) ❑ I SPIU CONTAINMENT ❑ IALARM ®3 PILL TUBE SHUT OFF VAL, <br /> ❑Y 2DROPTUBE ❑ 2 FALL ❑4EXEMPT <br /> ❑ ISTRIKER PLATE FLOAT <br /> IV.TANK LEAK DETECTION(ACeaMpbn 4I SR mealtannswavam shn1l no4nnm11ml lot.Ioml.Imsy) <br /> IF SINGLE WALL TANK(Chak ahiMV*) 411 IF DOUBLE WALL TANK OR TANK WITH BLADDER 414 <br /> ❑ 1 VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK OAUOINO(MTG) <br /> ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ 6 VADOSE ZONE <br /> ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑3 CONTINUOUS ATO ❑ 7OROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ ITANKTESTING ❑3 MANUAL MONITORING <br /> (SIR)SUR.TRAL TANK TESTING ❑ 99 OTRBR <br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YR/MQMAY) 415 1 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 414 TANK FILLED WITH INRRT MATERIAL? 437 <br /> (]Yea ❑Na <br /> UPCF(12/99 revised) <br /> '11111100, fin/ <br />