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UNIFIED PROGRAM CONSOLIDATED FORM ; )TANK: TA0184806 <br /> C�1 PR N: PR0231848 <br /> UNDERGROUND STORAGE TANKS -TAN PA 1 'FACN: FA0002052 <br /> (Iwo pages per rank) <br /> r` <br /> Page2.of3 <br /> TYPE OF ACTION ❑ I NEW SITE PERMIT ❑4 AMENDED PERMIT �5I CHANGE OF INFORMATION ❑6 TEMPORARY SITE CLOSURE <br /> (Cl,c&onh Ilan onlc) <br /> ���+++ `��� `'''"' __ "i';;2 ❑ 7 PERMANENTLY CLOSED ON SITE <br /> 3RENEWALPERM lr '�: `s .— , e'; .; .• . <br /> ❑ x..c:.,az.•�;- )'ti= } az;;^;?•=A:2�':;r s ❑8 TANK REMOVED 430 <br /> BUSINESS NAME(SarocasPAC•ILUYNAMr: DBA-DingOusincssAS) FACILITY ID: PR f{: <br /> ST SERVICES 3 FA0002052 PR0231848 <br /> LOCATION WITI[IN SITE(opmw) 3.505 NAVY DR,STOCKTON 431 <br /> PHONE <br /> L TANK DESCRIPTION(A scaled plot plan wish Illc location of the UST system including buildings and fandmarks Shall be stibmitled to the local agency.) <br /> TANK IDN' Tank#, 6 432 TANK MANUFACTURER 433 COMPARTMENTALIZED'rANK ❑Yes ❑ No 434 <br /> •1'A0184806 r'Ycs,eemp ele one page for tach eompanmrnl. <br /> DAPI?INSTALLED(YEAIWO) 35 TANK CAPACITY IN GALLONS 4,6 NUMBER OF COMPARTMENTS 437 <br /> 6,000 <br /> ADDfI-ZONAL DESCRIPTION(For loud use onr.') 4J8 <br /> 3/06/00 CI4NG PE FR 2315 TO 2360 PER MK.LBR <br /> La L, i r K CONTENTS <br /> TANK USE J39 PETROLEUM TYPE 440 <br /> ❑ I.MOTOR VEHICLE FUEL: ❑ In REGULAR UNLEADED ❑ 2.LEADED ❑5.JET FU LL <br /> (Ifnurkcd complae Petrotaim Tcpe) ❑ Ib.PREMIUM UNLEADED ❑ 3.DIESEL ❑6.AVIATION FUEL <br /> ®2.NON-FUEL ITFROLEUM ❑ Ic.MIDGRADE UNLEADED ❑ 4.GASOHOL ®99 OTHER <br /> ❑ 3.CHEMICAL PRODUCT Mm-3i,ImCASE(from Ha>mdmn MalcriNs Ins'<norr page)Crom li.ardmn m�lon page) 441 P g ) 442 <br /> ❑4.HAZARDOUS WAS"f L• COMMON NAME( <br /> (Indndq"Used Oil) <br /> ❑95.UNKNOWN <br /> 111,TANK CONSTRUCTION <br /> TYPE OF TANK ❑ 1.SINGLL WALL ❑ 3.SINGLE WALL WIl"H ❑5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (Cl-kol ft—,Ql) EX'ITRIOR MEMBRANE LINER ❑95 UNKNOWN <br /> ®2.DOUBLE WALL ❑4.SINGLE_WALL IN VAULT ❑ 99 OTHER <br /> YANK MATERIAL.prnomy lank ❑ I.DARE.STEEL, ®FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑95.UNKNOWN 444 <br /> (Checkomiumonly) ❑2.STAINLESS STEEL ❑STEEL.CLADW/FIBERGLASS ❑S.FRP COMPTIBLL•W/100%METHANOL <br /> REINFORCED PLASTIC(FRP) ❑99 OTHER <br /> 'TANK MATERIAL-secondary lank ❑ I.BARE STEEL ® 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑95.UNKNOWN 445 <br /> (Chak oncimmnnly) ❑ 2.SPAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑ 8.FRPCOMPTIBLL'W/100%METIIANOL <br /> RLINFORCED PLASTIC(FRP) ❑ IO.COATED SI'LL'L ❑99.0THER <br /> ❑5,CONCRLFE <br /> TANK INTERIOR LINING ❑ I RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ®95.UNKNOWN 446 DATE INSTALLED 447 <br /> OR COAI'ING <br /> ICTmd arciran only) ❑2 ALKYD LINING ❑4 PHENOLIC LINING ❑6 UNLINED ❑99.0.1'11ER <br /> (For local me only) <br /> OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLAS 11C ®95 UNKNOWN 44a DATE INSI'ALLLD 449 <br /> PROTECTION II:APPLICABLE PROTECTION <br /> (cl-kone w. do ❑41M1'RESSEDCURRENT ❑ 990THER _ <br /> ❑2 SACRIFICIAL ANODE (For local use ah•) <br /> SPILL AND OVERFILL YEAR INSTALLE410 TYPE(local usemk) 451 OVERFILL PROTECTION EQUIPMENT YEAR INSTALLED 452 <br /> (Check all lhal aplrh") M I SPILL CONTAINMENT ❑ I ALARM ❑3 FILL TUBL SHUT'OFF VAL` <br /> ❑ 2 DROP'IUBE ❑ 2 BALL ®4 EXEMPT <br /> ❑ 3 STRIKER PLATE. FLOAT <br /> 1 V.'LANK LEAK DETECTION(A dcuoplrn aLha ngniloring proSrmn shall be submwed 10 dm band agnm.) <br /> IFSINGLEWALL TANK(ClKckall lhalapply) 453 IFDONBLLWAI.I.'IANKORTANKWfI'HBI-ADDI:R •154 <br /> 1 VISUAL.(EXPOSED POR"PION ONLY) ❑ 5 MANUAL TANK GAUGING(M"rG) (Check one . <br /> O 2 AUTOMATIC TANK GANGING(ATG) ❑6 VAUOSF.ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ 3 CONTINUOUS ATG 7 GROUNDWA TER ®2 CONTINUOUS INTERS"I I HAL MONITORING <br /> ❑4 STATISTICAL,INVENTORY RECONCILIATION ❑8 TANK'I ESI'ING ❑3 MANUAL MONITORING <br /> (SIR)BIENNIAL TANK TESTING I❑990THLR <br /> V,TANK CL0Sl1RE INFORMATION/PERMANENT CLOSURE,IN PLACE <br /> ESITMA"I'ED DATE:LAST USED(YR/MO/DAY) 455 1 ESTIMATED QUANTH Y OF SUBSTANCE REMAINING 456 TANK FILLED WITH INIERT MATERIAL? 457 <br /> ❑Yes ❑ No <br /> UPCF(12/99 revised) <br />