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A � NIFIED PROGRAM CONSOLIDATED FORM TANK: TA0257301 r PRN: PR0232573 UNDERGROUND STORAGE TANKS - TANK P E i AC N: FA0003941 0 o pages per tank) Page 2 of 3 TYPE OF ACTION ❑ INEW SITE PERMIT ❑ ; \�\IL]UED YfR\tll ❑ 5CIIAcf�L'OF I NFORSI.ATION' ❑ 6TEMPORARY SITE CLOSURE (Ch .1,h se.,J) ❑ 7 PERMANENTLY CLOSED ON SITE ISIx. n -ssai-brla.il wanly) lett l�m"I Nmo°"I±J E] STANK REMOVED 430 ❑ 3RENEWAL PERMIT BUSINESS NAME(Sane u FACILITY NAMEer DBA-Doing Business As) FACILITY IU: PILI. 1 ORCHARD SUPPLY HARDWARE#1570 FAO003941 PR0232573 LOCATION WITHIN SITE(opuma0 2650 MACARTRUR DR,TRACY 431 PHONE 1.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and l;,ndmarks shall be submitted t0 the local agency.) TANK IDN Tank#: 1 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑ Yes ❑No 434 TA0257301 OWEN CORNING vvo.^.enmpinem.:vaser«ba.nwmamt_ DATE INSTALLED(YEAR/MO) 43s TANK CAPACITY M GALLONS 436 NUMBER OF COMPARTMENTS 437 6/24/1991 12:0O:OOAM 750 ADDITIONAL DESCRIPTION(Fonowl ux only) 439 U.TANK CONTENTS TANK USE 43y PETROLEUM TYPE 440 ❑ L MOTOR VEHICLE FUEL ❑ la.REGULAR UNLEADED F] 2.LEADED ❑ 5.JET FUEL (IrmakW mmpl¢e PeWk Tpa) ❑ Ib.PREMIUM UNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ I c.MIDGRADE UNLEADED ❑ 4.GASOHOL ® 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME Aran Flazardow Masnals Inwnwry page) 441 CASH Tr Ilvallous Mmcdals by Oorc page) 442 ® 4.HAZARDOUS WASTE (Liclu Uaed Oil) ❑ 95.UNKNOWN ILL.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑ 3,SINGLE WALL W ITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 EXTERIORMEMBRANE LINER C]95 UNKNOWN (CIe k oa ilcm ady) ® 2.DOUBLE WALL ❑4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-primary tank ❑ 1,RARE STEEL ® FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (Chale ea:ixm mly) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FBERGI.ASS ❑ 8.FRP COMPTIBLE W/I00%METHANOL REINFORCED PLASTIC(FRP) ❑ 99,OTHEK TANK MATERIAL-secondary tank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (Cheek euc imn only) ❑ 2.STAINLESS STEEL ❑ 4.STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ IO.COATEDSTEEL ❑ 99.OTHER ❑ 5.CONCRETE 447 TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED ORCOATING ❑ 99.OTHER (Clerk one imm oNy) ❑ 2ALKYD LINING F14PHENOLIC LINING ❑ 6UNLINED (Forbmle.ealy) 449 OTHERCORROSION ❑ I MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN "S DATEINSTALLED PROTECTION IF APPLICABLE PROTECTION ❑ 4IMPRESSED CURRENT ❑ 99 OTHER (Chale.mm only) ❑ 2 SACRIFICIAL ANODE (For local ux mly) SPILL AND OVERFILL YEAR MSTALLE45o TYPE(Imlucmly) 451 OVERFILL PROTECTION EQUIPMENT.YEAR INSTALLED 452 (Chcd I n.apply) ❑ I SPILL CONTAINMENT ❑ I ALARM ❑ 3 FILL TUBE SHUT OFF VAL' ❑ 2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT ❑ 3 STRIKER PLATE FLOAT FV.TANK LEAK DETECTION(Ah ppe orae inceping pe am shall be submitted write keal agano) B SINGLE WALL TANK(CMekall Uar appl>) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (CMckeneiNmnuN) ❑ 1 VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑ 2 AUTOMATIC TANK GAUGING INTO) ❑ 6VADOSE ZONE ❑ 3CONTIN000S ATG ❑ 7GROUNDWATER ®2COWN000SINTERSTITIALMONITORING ❑ 4 STATISTICAL INVENTORY RECONCILIATION ❑ STANKTESTING ❑ 3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑ 990THER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YIUMO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 ❑Yes ❑ No UPCF(12/99 revised)