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IFIED PROGRAM CONSOLIDATED FORNE ..O C 9„ B TANK: TA0504862 �(/` �( PR#: PRO231173 UNDERGROUND STORAGE TANKS - K PG1E �a FAC#: FA0006423 7,Q r V U (mo pages pe tank) �( Page 2 of] TYPEOFACTION ❑ INEW SITE PERMIT ❑ 4AMENDED PERMIT W 5 CHANGE OF INFORMA ZION ❑ 6 TEMPORARY SITE CLOSURE (Clackonly iron only) /�' ❑7 PERMANENTLY CLOSED ON SITE (Sprdfy m4sm-!-b ttmtonly) (SP�h'®°o°.� 1C0ntrl; ❑STANK REMOVED 430 ❑ 3RENEWAL PERMIT FACILITY ID: P A: 1 BUSINESS NAME(same.a FACR.nv NA DBA-Doiagxwines as) 3 UNITED GAS FA0006423 PR0231173 LOCATION WITEDN SITE(opiiaw) 3440 E MAIN ST,STOCKTON m1 PHONE 1L,TANK DESCRRMS(A scaled plotlan pwith rhe location of the UST system including buildings and landmarks shall be submitted[o the local agency.) TANKIDN Tank#: 4 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [:]Yes ❑No 434 TA0504862 TRUSCO X-Y®.caaplecawpger«ra DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10/21/1993 12:0Q.- OAM 10 000 ADDITIONAL DESCRIPTION(F«I«il a.eoNr) sag H.TANK CONTENTS TANK USE439 PETROLEUM TYPE 4d0 ® I.MOTOR VEHICLE FUEL ❑ IS.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (xne a,an,lec Perokam Type) ® Ib.PREMIUM UNLEADED ❑ 3.DIESEL [j 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ Ic.MIDGRADEUNLEADED ❑ 4.GASOHOL ❑ 99.OTHER ❑3.CHEMICAL PRODUCT COMMON NAME(6om H.vrdme Mateiils lnveaaypaga) 44 CAS#(from x.>a.mas Mmei.le m mtey page) a2 ❑4.HAZARDOUS WASTE oa,a mu.adoo) ❑ 95.UNKNOWN III.TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑ EXTERIOR MEMBRANE LINER E] 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM U3 (CI kweir®a�Jy) ❑ 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 944 (Ch A« irony) ❑2.STAINLESS STEEL M STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑99.OTHER TANK MATERIAL-ucondary tank ❑3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑95.UNKNOWN 445 ❑ 1.BARE STEEL (Clink em pen only) ❑2.STAINLESS STEEL ®4.STEL _ S.FRP _ORCED PLASTIC(FRP) S ❑ to.COATED STEEL IBLE W/1 ❑METHANOL OTHER ❑ 5.CONCRETE 447 TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED OR COATING ❑99.OTHER (LTukaaeiteady) ❑ 2ALKYD LINING ❑4PHENOL[C LINING 916 UNLINED (F«bd ueaply) 449 OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ® 3 FIBERGLASS REINFORCED PLASTIC [:195 UNKNOWN d48 DATE INSTALLED PROTECTION IF APPLICABLE PROTECTION ❑4 IMPRESSED CURRENT ❑99 OTHER ( koma roianly) ❑2 SACRIFICIAL ANODE C (F«lo«I ueoah) YEAR INSTALLE850 TYPE(b«I as wy) 51 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 SPILL AND OVERFILL W0 3 FILL TUBE SHUT OFF VAL�e0 (Cherkill det.ppty) ® 2 DROP ISPILLCONTAINMENT ..{;99990 SMI p� 1 ❑❑ 'BALLALARM ❑4EXEMPT I ?V3 X❑ 2DROP TUBE I `1;993+00 [.(�/3 /V\� ❑ 3STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A dcKfi do t oft6emoaitedng pmpenslWlbesubdned w ds lad age's'') 453 IF DOUBLE WALL TANK OR TANK WTI H BLADDER 454 IF SINGLE WALL TANK(C6«k all det.pply) (Chekaneima oaly) ❑ 1 VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) ❑ 1 VISUAL SINGLE WALL M VAULT ONLY) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ❑ 3 CONTINUOUS ATG ❑7 GROUNDWATER 1912 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8 TANK TESTING [:13 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑99 OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIA-? 457 ESTIMATED DATE LAST USED(YR/MO/DAY) Q ❑Yes ❑No UPCF(12/99 revised)