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IFIED PROGRAM CONSOLIDATED FO /� TANK: TA0438303 PR#: PRO234383 UNDERGROUND STORAGE TANKS - TANK PAGE I FAC#: FA0003670 ( o pages per tank) TYPE OF ACTION C� Page2of5 TYPE FACTIO ❑ I NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSU(Clseki� ❑ 7 PERMANENTLY CLOSED ON SITE (Speayrtmae-F«local ueeody) (Spadfy maoe-!«total iae wdY) ❑ 3RENEWALPERMIT ,..,._. ❑STANK REMOVED 430 BUSINESS NAME(Santem FACILD7NAME«DBA-DomsBacu=sA,o FACHJTYID: PR#: I LINDEN ASSOCIATED GROWERS FA0003670 PR0234383 LOCATION WITHIN SITE(opn eeh 14175 E E R'Y 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 agency.) TANK IDN Tank#: 3 412 TANK MANUFACTURER 413 COMPARTMENTALIZED TANK ® Yes ❑ No 454 TA0438303 ff Y.-.wmpletewiep,gem,eaehw,«pemK,. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 416 NUMBER OF COMPARTMENTS 437 1,500 ADDITIONAL DESCRIPTION(F«led use my) 438 3/13/00 CHNG PE FR 2325 TO 2360 PER TISH.LBR H.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 00 ® I.MOTOR VEHICLE FUEL ® la.REGULAR UNLEADED ❑2.LEADED ❑ 5.JET FUEL (Bmvkei omryme Petmluvn Type) ❑ Ib.PREMIUM UNLEADED ❑ 3.DIESEL ❑fi.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ Ic.MIDGRADE UNLEADED ❑4.GASOHOL ❑99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(bmn ttavNm s mwcna sweeu me) 441 CAS#(5wn Ha a m Mateo h I mto,,page) 714.HAZARDOUS WASTE a2 (oesu&e Daedap ❑ 95.UNKNOWN DL TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Chat.item oely) EXTERIOR MEMBRANE LDER ❑95.UNKNOWN ® 2.DOUBLE WALL ❑4.SINGLE WALL IN VAULT ❑99.OTHER TANK MATERIAL-primary tavk ❑ LBARESTEEL ❑FIBERGLASS/PLASTIC ❑5.CONCRETE ❑ 95.UNKNOWN 444 (Chale oecimn ewy) ❑ 2.STAINLESS STEEL ® STEEL CLAD W/FIBERGLASS ❑8.FRP COMP'I'BLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ I.BARE STEEL ❑3.FIBERGLASS/PLASTIC ❑ 5-CONCRETE ❑ 95.UNKNOWN 445 (C ooeitwaNy) ❑ 2.STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑ S.FRP COMETIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑99.OTHER ❑ S.CONCRETE TANK INTERIOR LINING ❑ I.RUBBER LINED ❑3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED �7 OR COATING (Qu kam se tonl,o ❑2 ALKYD LINING ❑4 PHENOLIC LINING ®6 UNLINED ❑99.OTHER (Por laaliaeaNy) OTHER CORROSION ❑ I MANUFACTURING CATHODIC ® 3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION (Ch «..senony) ❑4 IMPRESSED CURRENT E] 99 OTHER ❑ 2SACRIF[CIAL ANODE (F«lo«I mewdy) SPILL AND OVERFILL YEAR INSTALLEI50 TYPE(loed secaly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (CTak VI that appy) ® I SPILL CONTAINMENT ❑ I ALARM ❑3 FILL TUBE SHUT OFF VAL3 X❑ 2 DROP TUBE M 2 BALL ❑4 EXEMPT ❑X 3 STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(Ad.v14ni..O]ee mxmlamlpaaramalull besubminM.me I-Ie .) IF SINGLE WALL TANK(Cherka0 met apply) 433 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MFG) (Cha Lunn o"b) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑b VADOSE ZONE ❑ 1 VISUAL(SINGLE WALL IN VAULT ONLY) ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8 TANK TESTING ❑3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑99 OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 ❑Yes ❑ No UPCF(12/99 revised)