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IED PROGRAM CONSOLIDATED FORMTANK: TA05B6321 PH#: PR0231435 ZDES_R_1_Nq NDERGROUND STORAGE TANKS - TANK PAGE 1 FAC#: FA0000916 (two pages per tank) CTION ❑ 1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION Page 2 0 ilmi o^IY) ❑ 6TEMPORAAY 917E CLOSURE"/PERMANENTLYCLOSED ON SRE3RENEWAL PERMIT ❑STANK REMOVED 430S NAME(So .FACILITY NAME.,DBA.DoingBod.M) FACILITY ID: PR#: VEN#19976* 3 FA0000916 PR0231435N WITHIN SITE(optiore9 1399 N MAW ST,MANTECA a31PHONE I.TANK DESCRIPTION(A scaled Plot Plan with the location of the UST system including btdldings and landmarks shall be sumitted to the local agency.) Tank#: 4 433 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK TA0506321 ❑Yes ❑No 434 ALLED(YEARMIO) 435 TANKTAPAC�I7Y ICNON�T�MENTporeesoavaat.436 NUMBER OF COMPARTMENTS m7 9/20/1996 10 000ALDESCRIPTION(Fm local wcanty) la �� 438 TANK USE 439 PETROLEUM TYPE II.TANK CONTENTS ® I.MOTOR VEHICLE FUEL ® Ia.REGULAR UNLEADED ❑ 2.LEADED440 0rawkm w�leuPmolwmi iypc) ❑ S.JET FUEL ❑ Ib.PREMIUM UNLEADED [:13.DIESEL ❑ 6.AVIATION FUEL ❑2.NON-FUEL PETROLEUM ❑ Ic.MIDGRADE UNLEADED GASOHOL 4. ❑ [-13.CHEMICAL PRODUCT E]99.OTHER COMMON NAME(6om xa�amm Matcd.B la.c,toayp,ge) 441 CAS#(6mo w�,m,c Matn b m cowry page) El 4.HAZARDOUS WASTE M2 (Include Used Oil) REGULAR ❑ 95.UNKNOWN III.TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM M3 (C koreisemaNy) EXTERIOR MEMBRANE LINER El 95.UNKNOWN 912.DOUBLE WALL ❑4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-primary tank ® 1.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (Check ore it=only) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL.secondary tank ❑ t.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (C kore it.only) ❑2.STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL 99.OTHER ❑ 5.CONCRETE � �` 1 TANK INTERIOR LINING OR COATING ❑ I.RUBBER LINED ❑3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 (CMak onmtan cab) ❑ 2 ALKYD LINING ❑4 PHENOLIC LINING ® 6 UNLINED ❑ 99.OTHER (Far bowl case o*) OTHER CORROSION 29 1 MANUFACTURING CATHODIC PROTECTION IF APPLICABLE PROTECTION ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 448 DATE INSTALLED m9 (C oaciumonly) ❑ 2 SACRIFICIAL ANODE ❑ 4 IMPRESSED CURRENT ❑ 99 OTHER (Fa lural use wty) SPILL ANDOVERFIkLI YEAR INSTALLE450 TYPE(lcealascany) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Chh all tlut appy) 1W 'SPI CONTAINMENT 1,996.00 raj 2 DROP TUBEIqSO JmJ I ALARM 19Q% E] 3 FILL TUBE SHUT OFF VAL, 2 BALL 3 STRIKER PLATE It FLOAT - ❑ 4 EXEMPT TV.TANK LEAK DETECTION(q eoerr;p6on arwacmn;twing pao�aso,loll be adunind lode local agenry.) IF SINGLE WALL TANK(Chrck all that appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Cl oreitanody) ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ 6 VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ STANK TESTING (SIR)BIENNIAL TANK TESTING ❑99 OTHER ❑3 MANUAL MONITORING V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE W PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 ❑Yes ❑ No UPCF(12/99 revised)