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WED PROGRAM CONSOLIDATED FORW TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 (two pages per tank) Page__4 of Sy, TYPE OF ACTION ❑1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION O 67TEMPORAERMANY SITE CLOSED RE SITE (Check one item only) [1TANK REMOVED 430 3 RENEWAL PERMIT (specify reason-tor local use only) (specify reason-for local use only) ® 8 1 BUSINESS NAME(Same as FACILITY NAME or DBA Doing Business As) 3 FACILITY ID: Tosco#256981-Pacific 76 431 LOCATION WITHIN SITE(Optional) south side of site 4707 Pacific Avenue & March Lane, STOCKTON . 1.TANK.DESCRIPTION (A scaled plot plan with the location of the LIST system including buildings and landmarks Shall be submitted to the local agency. 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ® No 434 TANK ID# Modern Weldin If"Yes',complete one page for each compartment. 2 436 NUMBER OF COMPARTMENTS 437 DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 1988 12,000 436 ADDITIONAL DESCRIPTION(For local use only) 440 II.TANK CONTENTS TANK USE 039 PETROLEUM TYPE ❑ta. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL ®1. MOTOR VEHICLE FUEL 6. AVIATION FUEL (impl t marked coete Petroleum Type) ®ib. PREMIUM UNLEADED [13. DIESEL ❑99 OTHER ❑2. NON-FUEL PETROLEUM [31c. MIDGRADE UNLEADED ❑4. GASOHOL ❑ 442 ❑3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS#(from Hazardous Materials Inventory page) ❑4. HAZARDOUS WASTE (Includes Used 010 ❑95 UNKNOWN _... III..TANK DONSTRUCm iO i GLE WALL ER SYSTEM 443 TYPE OF TANK [31. SINGLE WALL ❑3.SINGLE WALL WITH 5. SiNWITH INTERNAL BLACD (Check one item only) EXTERIOR MEMBRANE LINER ❑95. UNKNOWN ®2. DOUBLE WALL ❑4. SIGNLE WALL IN VAULT ❑99. OTHER ECONCRETE ❑95. UNKNOWN 444 TANK MATERIAL-primary lank 1. BARE STEEL ❑3. FIBERGLASS/PLASTIC (Check one Item only) [3 2. STAINLESS STEEL ®4. STEEL CLAD WIFIBERGLASS [18. FRP COMPATIBLE WI ❑ 99.OTHER REINFORCED PLASTIC(FRP) 100%METHANOL TANK MATERIAL-sewnde onk ❑1. BARE STEEL 3. FIBERGLASS/PLASTIC [15. CONCRETE ❑95. UNKNOWN 445 (Check one Item only) ❑2. STAINLESS STEEL ®4.STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE ❑ 99.OTHER REINFORCED PLASTIC(FRP) W/100%METHANOL ❑5. CONCRETE ❑10.COATED STEEL 146 DATE INSTALLED 447 TANK INTERIOR LINING ❑1.RUBBER LINED ❑3.EPDXY LINING ❑5.GLASS LINING ❑99 OTHER UNKNWN OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ®6 UNLINED ❑ (For local use only) (Check one item only) 448 DATEINSTALLED 445 OTHER CORROSION ❑1 MANUFACTURED CATHODIC ❑3 FIBERGLASS REINFORCED PLASTIC ❑99 OTHER UNKNOWN PROTECTION IF APPLICABLE PROTECTION ❑4 IMPRESSED CURRENT ❑ (For local use only) 2 SACRIFICIAL AN a62 (Check one item only) ❑ 460 TYPE local use only a51 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED SPILL AND OVERFILL YEAR INSTALLED (Check all ®1 SPILL CONTAINMENT 1988 ❑1 ALARM ❑3 FILL TUBE SHUT OFF VALVE that apply) ❑2 BALL FLOAT ❑4 EXEMPT ®2DROP TUBE 1988 ®3STRIKER PLATEIV.TANK LEAK DETECTION(A description of the monuohrig program DOUBLE WALL oche localegency:) p 54 453 L TANK OR TANK WITH BLADDER IF SINGLE WALL TANK(Check an that apply) (Check one Item only) ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) ®2 CISUAL ONTINUSOUSLE WALL IN VAULT ONLY) INTERSTITIAL MO ITORING ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING +(SIR) BIENNIAL TANK TESTING ❑99 OTHER 1V.TANK CLOSURE INFORMATION'/PERMANENT CLOSURE IN PLACE:: 457 455 ESTIMATED QUANTITY OF SUBSTANCE a55 TANK FILLED WITH INERT MATERIAL? ESTIMATED DATE LAST USED(YR/MO/DAY) REMAINING p gallons ❑Yes ® No 3 2000 • Formerly SWRCB Form B UPCF(1/99 revised)