BILLING 1994 - 2009 - Laserfiche WebLink

Home Browse Search

4PNIFIED PROGRAM CONSOLIDATED FOI t 23l TANK: TA0505045 L 04 PR#: PR0231459 UNDERGROUND STORAGE TANKS - TAN P lav yl�AC#: FA0003677 lG /,(ttwo pages per tank) Page 6 of] TYPE OF ACTION ❑ 1 NEW SITE PERMIT ❑4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (Gnat my item mly) ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3RENEWAL PERMIT ® ❑8TANK REMOVED 430 BUSINESS NAME(s,nx a4 FAcamNAme aDBA-Doo,Bminess A<) FACILITY HI: PR#: I GAS DEPOT 3 FA0003677 PR0231459 LOCATION WITHIN SITE(opfi W) 824 E YOSEMITE AVE,MANTECA 431 PHONE 1.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANKID# Tank#: 7 432 TANKMAhlLFACTURER ! 433 COMPARTMENTALIZED TANK Yes No 434 TA0505045 F V SW v^Ya^.mmtarwte page fm®m mryannem_ DATE INST D(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 2 6,000 ADDITIONALD SCRIPTION(Fm tod use my) 438 H.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 44o ® I.MOTOR VEHICLE FUEL �E] I a.REGULAR UNLEADED E] 2.LEADED ❑ 5.JET FUEL ([fmtkNomplem Pm°i`mn Type) Ib.PREMIUM UNLEADED ❑ 3.DIESELr❑ &AVIATION FUEL E] 2.NON-FUEL PETROLEUM [-] Ic.MIDGRADE UNLEADED E] . 4.GASOHOL ipJ 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(f HaaaNme met.&Nvrnmrypage) 44l CAS#(fimt Hamtdan Maenals b=n,page) 442 ❑ 4.HAZARDOUS WASTE (behmm Ua 01) PREMIUM ❑ 95.UNKNOWN M.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ S.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 EXTERIOR MEMBRANE LINER ❑95.UNKNOWN ®2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑99.OTHER TANK MATERIAL-primary tank ❑ 1.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (LT .itcnmly) ❑ 2.STAINLESS STEEL ® STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(1") ❑ ".OTHER TANK MATERIAL-secondary tank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑95.UNKNOWN 445 (C .itemmty) ❑2.STAINLESS STEEL 4.STEEL CLAD W/FIBERGLASS ❑ S.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(PRP) ❑ 10.COATED STEEL ❑99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ L RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED M7 OR COATING (Oadwcitanmy) ❑2ALKYD LINING ❑ 4PHENOLIC LINING ❑ 6UNLINED ❑ 99.OTHER (Paled uK my) OTHER CORROSION ❑ I MANUFACTURING CATHODIC ®3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN 48 DATEINSTALLED M9 PROTECTION IF APPLICABLE PROTECTION (merle mrfmn adY) ❑ 2SACRIFICIAL ANODE E]4 IMPRESSED CURRENT ❑ "OTHER (Pm but�o^N) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(Isofl.mly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (a attatwy) I SPILL CONTAINMENT ❑ IALARM 93 FILL TUBE SHUT OFF VAL` 2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT 3 STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A dmdp&n of0emdtodm pm®amaha8heaubdncd to the loml aeacy.) IF SINGLE WALL TANK(CMtall thu appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (tlrzdt me uanody) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑ 6 VADOSE ZONE ❑ I 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 1 ESTIMATED QUANTITY OF SUBSTANCE REMAINING u6 TANK FILLED WITH INERT MATERIAL? 417 ❑Yes ❑No UPCF(12/99 revised)