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UNRUD PROGRAM CONSOLIDATED FO L,/�/63 <br />UNDERGROUND STORAGE TANKS - TANK PAGE 1 <br />11J- (two pagestpff) <br />hae_d _ <br />TYPE OF ACTION 0 1 NEW SITE PERMIT 4 AMENDED PERMIT 0 5 CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE <br />( a.e Yee eeb) 0 7 PERMANENTLY CLOSED ON SITE <br />0 3 RENEWAL PERMIT (Spviry1-blool.ealy) Owcffra -fa toed wa1r) 0 STANK REMOVED <br />430 <br />BUSR7FSSNAME(Sa�wPAmnYNAMEI MA-D.*3"i. A.) <br />5 <br />FA BIIY ID: <br />i <br />7 U A^ <br />VIC <br />LOCATTWILi201 <br />4]1 <br />1. TANK DESCRIPTION (A Scaled plot plan with the lDcation of the UST rysLm including buildings and landmarks shall be ivbmittcd to the local agency.) <br />TANK ID <br />TANK MANUFACNRER ��� <br />COMPARTMENTALIZED TANK N Yes 0 No <br />4M <br />O 'L <br />IM a'L, EPL Af Vj <br />..Q m <br />DATE STAIIFn EADAIM 455 <br />TANK CAPACITY M GALLONS <br />NUMBER OF COMPARTMENTS <br />4n <br />GZ- O� <br />5,000 <br />ADDMONAL D RIPTION (F'a .*) <br />452 <br />IL TANK CONTENTS <br />TANK USE 430 <br />PETROLEUM TYPE <br />M0 <br />I. MOTOR VEIBQE FUEL <br />O la REGULAR UNLEADED 0 2. LEADED 0 5. TET FUEL <br />(If..A.I,?w w.a Ty�) <br />lAIb. PRamm UNEADED 0 3. DISE. - 0 6. AVIATION FUEL <br />0 2. NON4UEL PETROLEUM <br />0 It. bIDCRADE UNLEADED 0 4. GASOHOL 0 99 <br />lim <br />COMMON NAME(6® do M+e+r.b—Is <br />CASA 6w Imdoa Mrvvb �7 page) <br />U2 <br />01 C7EMICALPRODUCT <br />04. HAZARDOUS WASTE <br />(ydtle toed Ch1) <br />0 95. UNKNOWN <br />m. TANK CONSTRUC110N <br />TMOFTANK L SINGLE WAIL 5. SIN(dLEWs.SIIJGLRWAILWITHINTFRNALBLADDERSYSCEM <br />443 <br />(pet. h. y') FJCTERIORIAEMERANELINER 095. UNKNOWN <br />til DOU13LEWALL 04. SMILE WALLIN VAULT 099. OTHER..... <br />TANMArERIAL-pnvyg.k Mi. BARESTEEL Q 0.PLASTIC S. MRaTffi 0 95. UNKNOWN <br />(pgtae y®ay.) 0 2. STAINLESS STEEL 0 4. SIEELC AD W/F®EWLASS 0 L FRP CoMPTIBLE W/100% METHANOL 0 99. OTHER.... <br />. <br />REINFORCED PLASDC VRP) <br />-.ea6�y rt0 1. BARESTEEL K --CONCRETE El 95. WN <br />u5 <br />(pet aeefeaa ay) 02. STAIHIM STEEL 0L SCPE.(7AD W/FIBECGIASS OL FRPOOMP IBLEW/100%METHANOL 099.0THER..... <br />REINIMCED PLASTIC(FRP) 010. COATED MM <br />0 S. CONCRETE <br />GLASS L[N]NG 0 95, D7ATnIER4SrLIED <br />TARKDRUJORT11:1 FE, 1 (3 1. <br />OR ODATINC 0 2 ALKYD LINING 0 4 PHENOLIC LOM40 �6 Uradd� ❑ 99 OTFIDt ..... .(� 1. W e. ay) <br />(pd eae d aly) <br />4u <br />OTHERCORROSION 0 1 MANUFACTURED CATHODIC 0 5 FIBERGLASS RPOE'OR®PL.ASCIC 0 95 UNKNOWN Iva <br />PROTECTION E APPLICABLE PROTBCTION 0 4IMPRESSED CURRENT ❑ 99 OTEM <br />(F" LXWOar) <br />(cb.k a bm.lw 02 SACRIFICIAL ANODE <br />El7«�e. aM I R N MEM: Si <br />(pet i"Agy) W 1 SPI L OOTITAINMENT _ Q Z ..... %I ALARM _ . �:Z- 0 3 FILL TUBE SING OFF VALVE ..... <br />2 DROP TUBE _ . _ _ . R2 BALL FLOAT . O_ - 0 4 0MMPT <br />® 3 STRIKER PLATE , 1). .. . . <br />N. TANK LEAK DL"CECTTON (A dauipria er d,e malt <br />opo'" tdl � -6-k d n � loal 7--) <br />455 <br />IF DOUBLE WALL TANK OR TANK WITH BLADDER <br />451 <br />IF SINGLE WALL TANK (� alba odr) <br />(cc ae ime aly) <br />O I VISUAL (EXPOSED PORTION ONLY) 0 5 MANUAL TANK GAUGING (MTG) <br />0 1 VISUAL (SINGLE WALL IN VAULT ONLY) <br />C] I AUTOMATIC TANK GAUGING (ATG) 0 6 VADOSE ZONE <br />'K2 CONTINUOUS Un ERS (TIAL MONITORING <br />O 5 CONTINUOUS ATG 0 7 GROUNDWATER <br />Cl 7 MANUAL MONITORING <br />I] 4 STATISTICAL INVENTORY RECONCILIATION 0 6 TANK TESTING <br />(SIR) BIENNIAL TANK TESTING 0 99 OTHER _ ... . <br />N. TANK CLOSURE INFORMATION /PERMANENT CLOSURE IN PLACE <br />FSTa.(ATED DATE LAST USED (YR/MO/DAY) ESTIMATED QUANT' OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? <br />4si <br />gallons ❑ Ya ❑ NO <br />1 <br />UPCF (1/99 revised) 10 Formerly SWRCB Form B <br />