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IED PROGRAM CONSOLIDATED FOR TANKS UNDERGROUND STORAGE TANKS - TANK PAGE l pages per tank) Page 4 of 5 TYPE OF ACTION ❑1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE ❑ 7 PERMANENTLY CLOSED ON SITE (Check one item only) C1430 3 RENEWAL PERMIT (Specify reason-for/awl use only) (Specify reason-/ar local use only) ® 8 TANK REMOVED 1 BUSINESS NAME(Same as FACILITY NAME or OSA-Doing Business AS) FACILITY ID: ' 1 �J r., `v 3 [ / Tosco#256981-Pacific 76 431 LOCATION WITHIN SITE(optional) South side of site 8 4707 Pacific Avenue & March Lane, STOCKTON -I.TANK DESCRIPT :l ION (A:scaled Plot plalthe location of theUST system including bulldings and'landmarks shall be submitted to the local TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ® No 434 2 Modern Weldin If'Yes,complete one page for each compartment. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 1988 12,000 438 ADDITIONAL DESCRIPTION(For local use only) "- TANK.CONTENTS ,.... rt, .460 TANK USE 439 PETROLEUM TYPE 01. MOTOR VEHICLE FUEL [Ila. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL (It marked complete Petroleum Type) Sib. PREMIUMUNLEADED ❑3. DIESEL ❑6. AVIATION FUEL ❑2. NON-FUEL PETROLEUM ❑1c. MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER 442 ry page) 441 CAS#(from Hazardous Materials Inventory Page) [13. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Invents a e ❑4, HAZARDOUS WASTE (Includes Used Od) 095 UNKNOWN IIL..SANK CONSTRUCTION ' TYPE OF TANK ❑1. SINGLE WALL ❑3.SINGLE WALL WITH ❑5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) EXTERIOR MEMBRANE LINER [195. UNKNOWN ®2. DOUBLE WALL E]4. SIGNLE WALL IN VAULT [199. OTHER 444 TANK MATERIAL-primary tank ❑1. BARE STEEL ❑3. FIBERGLASS/PLASTIC ❑5. CONCRETE ❑ 95. UNKNOWN (Check one Item only) [12. STAINLESS STEEL 0 4. STEEL CLAD W/FIBERGLASS [18. FRP COMPATIBLE W/ ❑99.OTHER REINFORCED PLASTIC(FRP) 100%METHANOL TANK MATERIAL-secondary lank ❑1. BARE STEEL ❑3. FIBERGLASS 1 PLASTIC ❑5. CONCRETE ❑95. UNKNOWN 445 (Check one Item only) ❑2. STAINLESS STEEL ®4R STEEL CLAD PLASTIC(FRP)RPS [18. FRP COMMETPATIBLE [199.OTHER OL NFORCE [IS. CONCRETE ❑10.COATED STEEL TANK INTERIOR LINING ❑1.RUBBER LINED ❑3.EPDXY LINING ❑5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ®6 UNLINED ❑99 OTHER (For local use only) (Check one Item only) 448 DATE INSTALLED 449 OTHER CORROSION ❑1 MANUFACTURED CATHODIC ❑3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 4 IMPRESSED CURRENT ❑99 OTHER PROTECTION IF APPLICABLE PROTECTION ❑ (Far local use only) (Check one item only) ❑2 SACRIFICIAL ANODE 452 SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(jowl use only) 451 OVERFILL PROTECTION EQUIPMENT: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 ®3 STRIKER PLATE 1988 1: IV.TANK LEAK DETECTION(A description of the monitoring programshall be submitted to the local agency) 454 IF SINGLE WALL TANK(Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) ❑1 VISUAL(SINGLE WALL IN VAULT ONLY) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑5 VADOSE ZONE ®2 CONTINUOUS INTERSTITIAL MONITORING ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING +(SIR) BIENNIAL TANK TESTING ❑990THER IV.TANK CLOSURE INFORMATION 1 PERMANENT CLOSURE„IN'PLACE - 't?; 457 ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE 656 TANK FILLED WITH INERT MATERIAL? REMAINING 3/2000 0 gallons El Yes ® No Formerly SWRCB Form B UPCF (1/99 revised)