BILLING 1998-2006 - Laserfiche WebLink

Home Browse Search

`rdFIED PROGRAM CONSOLIDATED FO%EA OZ TANKS UNDERGROUND STORAGE TANKS TANK GE 1 0 (two pages per tank) Page 1 of 6 TYPE OF ACTION ❑1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ® 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (Chock one nem only) ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT (Specifyrcason-forlmalusemly) (Speeifyrcason-for Imal use only) ❑ 8 TANK REMOVED 430 BUSINESS NAME(SarmuFACILITY NAME or DBA-Wing Business As) 3 FACILITY ID: o a Q o o o Q 0 Q 0 Chevron Station#98264 LOC 431 3775 Trac lvd.,Tracy,CA 95376 F/f"37i5 TAN with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# 432 TANK MANUFACTURER 635 COMPARTMENTALIZED TANK El Yes ® No i 434 7 XERXES i If"Yee',complete oat page for each conganmrnt. DATE INSTALLED(YEA O) 035 TANK CAPACITY IN GALLONS 436 1 NUMBER OF COMPARTMENTS 437 1/1/96 1 12000 0 ADDITIONAL DESCRIPTION(For weal ase only) 438 IL TANK CONTENTS TANK USE 639 PETROLEUM TYPE 440 ®1. MOTOR VEHICLE FUEL ®Ia. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL (Ifmatked corsPlda Petroleum Type) [I lb. PREMIUM UNLEADED 03. DIESEL ❑6. AVIATION FUEL ❑2. NON-FUEL PETROLEUM ❑lc. MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER ❑3. CHEMICAL PRODUCT COMMON NAME (6om Hazardous Materials Inve aes,page) 041 CA$#(6om Haaardom Materials Inventorypage) 442 ❑4. HAZARDOUS WASTE (Imludesusedoi0 REGULAR UNLEADED 800-61-9 ❑95.UNKNOWN IH. TANK CONSTRUCTION TYPE OF TANK [11. SINGLE WALL ❑3. SINGLE WALL WITH 0 S. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check oat nem only) EXTERIOR MEMBRANE LINER ❑95. UNKNOWN ®2. DOUBLE WALL [14. SINGLE WALL IN VAULT [199. OTHER TANK MATERIAL-primary tank ❑1. BARE STEEL ®3. FIBERGLASS/PLASTIC ❑5. CONCRETE 095. UNKNOWN 4u (Check one hem Doty) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE WIIWI.METHANOL [199.OTHER_ REINFORCED PLASTIC(FRP) TANK MATERIAL-secondary tank ❑l. BARE STEEL ®3. FIBERGLASS/PLASTIC 0 5. CONCRETE 0 95. UNKNOWN 45 (Check one nem only) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE W/100%METHANOL ❑99.OTHER REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL [15. CONCRETE TANK INTERIOR LINING ❑1.RUBBER LINED ❑3.EPDXY LINING S.GLASS LINING 0 95.UNKNOWN 446 DATE INSTALLED 447 OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ®6 UNLINED ❑99 OTHER ((1eck om item only) (For local use mty) OTHER CORROSION ❑1 MANUFACTURED CATHODIC ®3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 44' 448 PROTECTION IF APPLICABLE PROTECTION ❑4IMPRESSED CURRENT ❑99 OTHER (Check one kern only) ❑2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEARINSTALLED 450 TYPE(]mat uss,only) 451 OVERFILL PROTECTION EQUIPMENTNEAR INSTALLED 452 (Check all that apply) ®1 SPILL CONTAINMENT ®1995 FILL TUBE SHUT OFF VALVE 1995 ®1 ALARM OPW 61-SO-4 ®2 DROP TUBE 1998 OPW 61-SO4 ❑2 BALL FLOAT ❑4 EXEMPT ®3 STRIKER PLATE Tank Mf _ IV.TANK LEAK DETECTION(A dmcriptwn ofthe monitoring Manson al Ire suunkted to the weal agency.) IF SINGLE WALL TANK(check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (aack oat nem only) ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) ❑1 VISUAL(SINGLE WALL IN VAULT ONLY) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 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 ❑99 OTHER IV.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 gallons ❑Yes ❑ No UPCF(1/99 revised) 173 Formerly SWRCB Form B f ,.