BILLING_1997-2003 - Laserfiche WebLink

Home Browse Search

r PROGRAM CONSOLIDATED FORMgo TANK: TA0506489 PR#: PRO506488 UNDERGROUND STORAGE TANKS - TANK PAGE 1 FAC#: FA0007458 (two pages per tank) Page 2 TYPE OF ACTION ❑ 1 NEW SITE PERMIT E]4 AMENDED PERMIT El5 CHANGE OF INFORMATION El6 TEMPORARY SITE CLOSURE (Chale only hear any) ❑ 7 PERMANENTLY CLOSED ON SITE 3 RENEWAL PERMIT ❑ 8TANK REMOVED 49 I -Ila BUSINESS NAME(Sarre as FACILITY NAME m DBA-Doing Bmiiws Aa) FACIITTY m: PR#: I II 7-ELEVEN* #32190A 3 FA0007458 PR05D6488 LOCATION WffHIN SITE(Optimeq 4943SHWY99,STOCKTON 431 ' PHONE 1.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# Tank#: 1 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ❑No 434 TA0506489 TOTAL CONTAINMENT x^Ym•,wvPleeonepngefmcacheonganmmt. ^�U� DATE INSTALLED(YEAR/MO) u6 TANK CAPACITY IN GALLONS 456 NUMBER OF COMPARTMENTS 433 4/1/1997 10 000 ADDITIONAL DESCRIPTION(Fmlmal me w,) 438 II.TANK CONTENTS TANK USE 439 PETROLEUM TYPE "a ® I.MOTOR VEHICLE FUEL M Is,REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL ffmakdeompklc Petalemn Typc) ❑ Hr PREMIUM UNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑2.NON-FUEL PETROLEUM ❑ le.MIDGRADE UNLEADED ❑4.GASOHOL ❑ MOTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(aom Hmrdoas Materials mvmwrylwge) 441 CAS#(fiam xanrmm MmaiaB imentury page) 442 ❑4.HAZARDOUS WASTE (Include Used Oil) ❑95.UNKNOWN HI.TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Clrkam nen aNy) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ®2.DOUBLE WALL ❑4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-primary tank ❑ 1.BARE STEEL ❑ FBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (Chale om iron only) ❑ 2.STAINLESS STEEL ® STEEL CLAD W/FIBERGLASS ❑8.FRP COMPTBLE W/I00%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ 1.BARE STEEL ❑3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (Ch .imn only) ❑ 2.STAINLESS STEEL ❑4.STEEL CLAD W/FBERGLASS ❑ 8.FRP COMPTIBLE W/IDD%METHANOL REINFORCED PLASTIC(FRP) ❑ ID.COATED STEEL 0 99.OTHER ❑ 5.CONCRETE K TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑ 3.EPDXY LINING ❑ S.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED a17 OR COATING (Checkarritdy) 2ALKYD LINING 4PHENOLIC LINING ®6UNLINED E]99OTHER . enm ❑ ❑ (Forlomlmeonly) OTHER CORROSION ❑ I MANUFACTURING CATHODIC M3 FIBERGLASS REINFORCED PLASTIC E] 95 UNKNOWN Hs DATE INSTALLED d49 PROTECTION IF APPLICABLE PROTECTION ❑ 4IMPRESSED CURRENT ❑ 99 OTHER (Chale oneimn anlY) ❑ 2SACRIFICIAL ANODE (Far tical me only) SPILL AND OVERFILL YEAR rNSTALLE45D TYPE(lomlmeaWy) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Chakall0utappy) I SPILL CONTAINMENT 1,997.61 (ALARME] 3 FILL TUBE SHUT OFF VAL` 2 DROP TUBE X551 2 BALL I [:] 4 EXEMPT 3 STRIKER PLATE FLOAT 11A IV.TANK LEAK]DETECTION(A dmaiprmn ortnemnNwtinePmgr.m smn 6eswmisudto mel�laem yJ IF SINGLE WALL TANK(CMah all dut apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Cook maims only) ❑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 ❑3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑ 99 OTHER 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? 457 ❑Yes ❑No UPCF(12/99 revised)