BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

U ED PROGRAM CONSOLIDATED FOR TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 (two pages per tank) Page _Lot 5 EMPORARY SITE CLOSURE TYPE OF ACTION ❑1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION 0 87TPERMANENTLY CLOSED ON SITE (Check one item only) REMOVED 430 ❑ 3 RENEWAL PERMIT (Specify reason-for local use only) (Specify reason-for local use only) ® 8 TANK 1 CITY ID: BUSINESS NAME(some as FACILITY NAME or DBA-Doing Business As) 3 FALI Tosco#256981-Pacific 76 431 LOCATION WITHIN SITE(Optional) South side of site 4707 Pacific Avenue & March Lane, STOCKTON I.TANK''DES CRIPTION (A scaled plot plan with the location of the`UST system Including buildings and landmarks shall be submitted to the local a enc a3z TANK MANUFACTURER 433 COMPARTMENTALIZEDTANK ❑Yes No 434 TANK ID# If"Yes',complete we page for each compartment. 1 Modern Weldin 436 NUMBER OF COMPARTMENTS d37 DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 1988 12,000 438 ADDITIONAL DESCRIPTION(For local use only) II.TANK CONTENTS 440 TANK USE 439 PETROLEUM TYPE ®1. MOTOR VEHICLE FUEL Zia. REGULAR UNLEADED ❑2. LEADED [15. JET FUEL 8. AVIATION FUEL (It marked complete Petroleum Type) ❑1b, PREMIUM UNLEADED ❑3. DIESEL ❑g9.OTHER [:12. NON•FUEL PETROLEUM [31c. MIDGRADE UNLEADED ❑4. GASOHOL [3 99. ❑3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS#(from Hazardous Materials Inventory page) ❑4. HAZARDOUS WASTE (Includes Used OII) ❑95 UNKNOWN III TANK CONSTRUCTION WITH INTERNAL BLADDER SYSTEM 443'" WAL TYPE OF TANK ❑1. SINGLE WALL ❑3EXTERIOR MEMBRANE LINER [395.SINGLE UNKNOWN L (Check one item Only) 02. DOUBLE WALL [14. SIGNLE WALL IN VAULT ❑99. OTHER 95. UNKNOWN TANK MA444 MAI -primary tank 1. BARE STEEL ❑3. FIBERGLASS I PLASTIC ❑5. CONCRETE El(Check one Item only) ❑2. STAINLESS STEEL Z 4. STEEL CLAD W/FIBERGLASS ElB. FRP COMPATIBLE W/ ❑ 99.OTHER REINFORCED PLASTIC(FRP) 100%METHANOL TANK MATERIAL-secondaryI _11. BARE STEEL EI 3. FIBERGLASS I PLASTIC ❑5. CONCRUNKNOWN 445 ETE ❑95. (Check one Item only) [12. STAINLESS STEEL Z 4.STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE ❑99.OTHER REINFORCED PLASTIC(FRP) W1100%METHANOL ❑5. CONCRETE ❑10.COATED STEEL 447 aas DATE INSTALLED TANK INTERIOR LINING ❑1.RUBBER LINED ❑3.EPDXY LINING ❑5.GLASS LINING ❑95.UNKNOWN ORCOATING [12 ALKYD LINING ❑4 PHENOLIC LINING 06UNLINED ❑ (For local use only) (Check one Item only) a48 DATE INSTALLED 449 OTHERCORROSION ❑1 MANUFACTURED CATHODIC ❑3 FIBERGLASS REINFORCED PLASTIC E399 OTHER UNKNOWN 95 PROTECTION IF APPLICABLE PROTECTION ❑41MPRESSED CURRENT ❑ (For local use only) Check one Item only) ❑2 SACRIFICIAL ANODE 452 ( SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(Ictal use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED (Check all ❑1 ALARM ❑3 FILL TUBE SHUT OFF VALVE that apply) Z 1 SPILL CONTAINMENT 1988 Z 2 DROP TUBE 1988 ❑2 BALL FLOAT ❑4 EXEMPT Z 3 STRIKER PLATE 1988 `. :IV.:TAN K LEAK DETECTION(A description of the morntoring'program shall be submitted to the IOL21 agency) ase -- 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 1 F SINGLE WALL TANK(Check ell that apply) (Check one item only) ❑5 MANUAL TANK GAUGING(Ml ®2 TCONTINUOUS IL El 1 VISUAL(EXPOSED PORTION ONLY) INTERSTITIAL MONITORING ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING +(SR) BIENNIAL TANK TESTING ❑99 OTHER IV:I: I I I; OSURE"INFORMATION?PERMANENT CLOSURE IN PLACE 457 455 ESTIMATED QUANTITY OF SUBSTANCE TANK FILLED WITH INERT MATERIAL? ESTIMATED DATE LAST USED(YR/MO/DAY) REMAINING 0 gallons ❑Yes Z NO 312000 . Formerly SWRCB Form B UPCF (1/99 revised)