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FIED PROGRAM CONSOLIDATED FO 7II per/ l TANKS UNDERGROUND STORAGE TANKS - TANK PAGE (two per tank) Page_of_ TYPE OF ACTION ❑1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ® 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (Check one item only) ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT (Specify reason-far local use only) (Specify reason-for local use only) ❑ 8 TANK REMOVED 430 BUSINESS NAME(Sam as FACILITY NAME or DBA-Doing Business As) 3 FACILITY ID: 1 ConocoPhilli s Site#2705445 LOCATION WITHIN SITE(Optional) 431 1206 E March Lane, Stockton, CA 95210 I.TANK DESCRIPTION.(A scaled plot plan with the location of the UST system including bulldings,'and landmarks shall be submitted to the local agency.) TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yes ® No 434 Z X O 11150^I XERXES It"Yes",complete one page for each comparimenl. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 01/01/1991 9728 ADDITIONAL DESCRIPTION(For local use only) 438 11.TANK CONTENTS +. ..l r •-� '*' TANK USE 439 PETROLEUM TYPE 440 Z i. MOTOR VEHICLE FUEL ❑ la. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL (if manced complete Petroleum Type) ❑1b. PREMIUM UNLEADED ®3. DIESEL '� ❑6. AVIATION FUEL ❑2. NON-FUEL PETROLEUM ❑1c. MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER_ ❑3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS#(from Hazardous Materials Inventory page) 442 [14. HAZARDOUS WASTE (includes Used Oil) ❑95.UNKNOWN 111.TANK CONSTRUCTION TYPE OF TANK ❑ 1. SINGLE WALL ❑3.SINGLE WALL WITH ❑5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one Item only) EXTERIOR MEMBRANE LINER 095. UNKNOWN ®2. DOUBLE WALL ❑4. SIGNLE WALL IN VAULT ❑99. OTHER TANK MATERIAL-primary tank 01. BARE STEEL 0 3. FIBERGLASS/PLASTIC 0 5. CONCRETE ❑95. UNKNOWN 444 (Check one item only) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE W/ ❑99.OTHER REINFORCED PLASTIC(FRP) 100%METHANOL TANK MATERIAL-secondarytank 01. BARE STEEL 03. FIBERGLASS/PLASTIC El 5. CONCRETE 95. UNKNOWN 445 (Check one item only) ❑2. STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE ❑99.OTHER REINFORCED PLASTIC(FRP) W1100%METHANOL ❑5. CONCRETE ❑10.COATED STEEL TANK INTERIOR LINING ❑1.RUBBER LINED ❑3.EPDXY LINING ❑5.GLASS LINING 0 95.UNKNOWN 446 DATE INSTALLED 447 OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ❑6 UNLINED ❑99 OTHER (Check one item only) (For local use only) OTHER CORROSION ❑1 MANUFACTURED.CATHODIC❑3 FIBERGLASS REINFORCED PLASTIC ®95 UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION ❑4IMPRESSED CURRENT ❑99 OTHER (Check one item only) ❑2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 460 TYPE(local use only) 167 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 462 (Check all ®1 SPILL CONTAINMENT 2003 that apply) ❑1 ALARM ®3 FILL TUBE SHUT OFF VALVE ®2 DROP TUBE 2003 ❑2 BALL FLOAT ❑4 EXEMPT ®3 STRIKER PLATE 1998 IV.TAN K LEAK DETECTION(A descnptlon of the monitoring program shall be subcloned to the local agency.) [u EMEMEW IF SINGLE WALL TANK(Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item 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 ❑9g OTHER IV.TANK CLOSURE INFORMATION I PERMANENT CLOSURE'IN PLACE ESTIMATED DATE LAST USED(YR/MOIDAY) 455 ESTIMATED QUANTITY OF SUBSTANCE 456 TANK FILLED WITH INERT MATERIAL? 457 REMAINING gallons El Yes ❑ No UPCF(1/99 revised) Formerly SWRCB Form B