BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

LIED PROGRAPJI CONSOLIDATED FORD yj ANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 10 es per tank) Page 2 of 5 TYPE OF ACTION El1 NEW SITE PERMIT [14 AMENDED PERMIT [35 CHANGE OF INFORMATION O 67 PERMANENTLY ORA CLSED RE SITE (Check one item only) 8 TANK REMOVED 430 ❑ 3 RENEWAL PERMIT (Specify reason-for local Use only) (Specify reason-for local use only) ®� - O 1 F TOY I 2 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 Tosco#256981-Pacific 76 431 LOCATION WITHIN SITE(Optional) South side of site 4707 Pacific Avenue & March Lane, STOCKTON 'l:TANK DESCRIPTION'IAscale-plot plan witR the location of the UST system Including-bulldings and landmarks shall be submitted to the local agency.) TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ® No a3a 1 Modern Weldin If"Yes",complete one page for each compartment. DATE INSTALLED(YEAR/M0) 035 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 43T 1988 12,000 438 ADDITIONAL DESCRIPTION(For local use only) r.. 1I.TANK CONTENTS 440 TANK USE dig PETROLEUM TYPE ®1aREGULAR UNLEADED 112. LEADED ❑5. JET FUEL ®1. MOTOR VEHICLE FUEL . 6. AVIATION FUEL (if marked complete Petroleum Type) El 1b. PREMIUM UNLEADED [13, DIESEL ❑ ❑2. NON-FUEL PETROLEUM ❑1c. MOGRADE UNLEADED 1:14. GASOHOL ❑99.OTHER 442 [3 3, NAME (Rom Hazar3. CHEMICAL PRODUCT CAS#(from Hazardous Materials Inventory page)dous Mgt Inventory page) 441 ❑4. HAZARDOUS WASTE (Includes Used 011) ❑95 UNKNOWN ; 443 TYPE OF TANK ❑1. SINGLE WALL [13,SINGLE WALLANK CONSTRUCTION , WITH ❑5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM (Check one item only) EXTERIOR MEMBRANE LINER ❑95. UNKNOWN 02, DOUBLE WALL ❑4. SIGNLE WALL IN VAULT [199, OTHER 444 TANK MATERIAL-primary tank ❑1. BARE STEEL ❑3. FIBERGLASS/PLASTIC ❑5. CONCRETE ❑95. UNKNOWN 99.OTHER (Check one item only) ❑2. STAINLESS STEEL ®4. STEEL CLAD W/FIBERGLASS ❑6. 100 o METHANOL OMPATIBLE W/ ❑ REINFORCED PLASTIC(FRP) 445 TANK MATERIAL-secondary tank ❑1. BARE STEEL ❑3. FIBERGLASS/PLASTIC [j5. CONCRETE ❑ 95. UNKNOWN (Check one Item only) [:12, STAINLESS STEEL ®4.STEEL CLAD W/FIBERGLASS [18. FRP COMPATIBLE [199.OTHER REINFORCED PLASTIC(FRP) W/100%METHANOL ❑5. CONCRETE ❑10.COATED STEEL 446 DATE INSTALLED 447 TANK INTERIOR LINING ❑1.RUBBER LINED ❑3.EPDXY LINING ❑5.GLASS LINING ❑95.UNKNOWN ORCOATING ❑2ALKYO LINING 04 PHENOLIC LINING 06UNLINED 0 9 OTHER (For locaiuse only) (Check one item only) 446 DATE INSTALLED 449 OTHER CORROSION ❑1 MANUFACTURED CATHODIC [33 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN ❑4IMPRESSED CURRENT CI 99 OTHER PROTECTION IF APPLICABLE PROTECTION (For local use only) (Check one item only) ❑2 SACRIFICIAL ANODE - 452 SPILL AND OVERFILL YEAR INSTALLED 4 50 TYPE(iocai use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED (Check all ®1 SPILL CONTAINMENT 1988 ❑1 ALARM ❑3 FILL TUBE SHUT OFF VALVE thatapply) ®2DROP TUBE 1988 ❑2 BALL FLOAT ❑4 EXEMPT ®3 STRIKER PLATE 1988 � ,t: IV..TANK LEAK DETECTIONfAtlescnption of the mppitoring program shall be submwed to the local a9ency) as3 IF DOUBLE WALL TANK OR TANK 1- IF BLADDER asa I F SINGLE WALL TANK(Check an that apply) (Check one item only) ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(Ml ❑2 VISUAL CONTI (SINGLUOUS INTERSTITIAL WALLI LT ONLY) ING ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ❑3 CONTINUOUS ATG [:17 GROUNDWATER ❑3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING +(SIR) BIENNIAL TANK TESTING F]99 OTHER IV.TANK CLOSURE INFORMATION./.PERMANENT CLOSURE'IN PLACE III 455 ESTIMATED QUANTITY OF SUBSTANCE 455 TANK FILLED WITH INERT MATERIAL? ESTIMATED DATE LAST USED(YRIMO/DAY) REMAININGYes ® NO 3/2000 o gallons [I Formerly SWRCB Form B UPCF (1/99 revised)