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dIFIED PROGRAM CONSOLIDATED FORM TANK: TA0438304 ' J PR#: PR0234383 UNDERGROUND STORAGE TANKS - TANK PAGE 1 FAC#; m670 f J (two pages perer tank)nk) Page 4 of TYPE OF ACTION ❑ I NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑6 TEMPORARY SITE CLOSURE (O"`("nty it..*) ❑ 7 PERMANENTLY CLOSED ON SITE (Speeifyram-f«laal uedY) (Spmfytusat fa lodue uNK REMOVED 430 ❑BTAN ❑ 3RENEWAL PERMIT _ BUSINESS NAME(Stsosw FA ILITYNAMEor DBA-Doing Bwiovs As) FACILITY ID: PR#: 1 LINDEN ASSOCIATED GROWERS FA0003670 PR0234383 LOC6,TIONWITH NSITEOptioatto 14175 E HWY 26,LINDEN 431 PHONE L TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agemy.) TANK ID# Tank#: 4 43i TANK MANUFACTURER 433 CONIPARTMENTALIZED TAMC ®Yes ❑No 434 TA0438304 vYes•cpnplaaue ggeax e«b`°«p'"m°'c DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 3/1/1992 12:00:00AM 10,500 ADDITIONAL DESCRIPTION(F«lod uaeady) 438 3/13/00 CUING PE FR 2315 TO 2360 PER TISH.LBR H.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 4m ® I.MOTOR VEHICLE FUEL ® la.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (lfnukerlwmplere Pnrolcam Type) ❑ Ib.PREMIUM UNLEADED ❑ 3.DIESEL ❑6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ Ic MIDGRADE UNLEADED ❑4.GASOHOL [199.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(from HevNan Mm ,t I W n page) qql CAS#(6omnawdms Materials Io,-"page) 442 ❑4.HAZARDOUS WASTE (Wa1u6m u.odoa/ ❑ 95.UNKNOWN III.TANK CONSTRUCTION TYPEOFTANK ❑ 1.SINGLE WALL ❑ 3.SINGLE WALL WITH E:1 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Cle4kooeitemonly) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ®2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑99.OTHER TANK MATERIAL-primary tmk ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑5.CONCRETE El 95.UNKNOWN 444 (Chert ane iron ady) ❑2.STAINLESS STEEL ® STEEL CLAD W/FIBERGLASS ❑8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ I.BARE STEEL ❑3.FIBERGLASS/PLASTIC [15.CONCRETE ❑95.UNKNOWN 445 (Cnmk«mnemady) ❑ 2.STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑ a.FRP COMP 1RLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑99.OTHER [7 5.CONCRETE TANK INTERIOR LINING E:] I.RUBBER LINED El3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 OR COATING (Ch«kamitemooly) ❑ 2ALKYD LINING El4PHENOLIC LINING ®6UNLINED ❑99.OTHER F«lod ( ucadY) OTHER CORROSION ❑ I MANUFACTURING CATHODIC M 3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION ❑4IMPRESSED CURRENT ❑ 99 OTHER (Chale wait®m1Y) ❑25ACRIFICIAL ANODE (F«lad uewdy) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(local ue wty) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 451 (CMcka,,osapply) ❑ I SPILL CONTAINMENT ❑ IALARM ❑ 3 FILL TUBE SHUT OFF VALE ❑ 2 DROP TUBE ❑ 2 BALI, ❑ 4 EXEMPT ❑ 3STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(Amaiprioaortaemannarivg t<.lwl uesamaimdrotlslad aaciayJ IF SINGLE WALL TANK(Ciwrk dl dw apply) 453 E DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Cn otu,itm oety) ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑3 CONTINUOUS ATG ❑7 GROUNDWATER M 2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING ❑3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING F1 99 OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YRIMO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 ❑Yes ❑ No UPCF(12/99 revised)