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{ IED PROGRAM CONSOLIDATED FO �Ii2 �' NKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 O V% (two pages 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 (Specifyreason-forlocaluseonty) (Specifyreason-for local use only) ❑ 8 TANK REMOVED 430 BUSINESS NAME(Sam as FACILITY NAME or DBA-Doing Business As) 3 1 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 LIST system including buildings andlandmarks shall be submitted to the local agency.) TANK ID# 032 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yes ® No 434 ,3 - - Ofl,)SUk XERXES U It"Yes",complete ane page for each compartment. 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 II,TANK CONTENTS TANK USE 639 PETROLEUM TYPE 440 ®1. MOTOR VEHICLE FUEL Ella. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL (It marked complete Petroleum Type) I PREMIUM UNLEADED [13. 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 OAS#(ham Hazardous Materials Inventory page) 442 [14. HAZARDOUS WASTE (includes Used Oil) ❑95.UNKNOWN III:'.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 ❑95. UNKNOWN ®2. DOUBLE WALL ❑4. SIGNLE WALL IN VAULT ❑99. OTHER TANK MATERIAL-primary tank 0 1. BARE STEEL 0 3. FIBERGLASS/PLASTIC 0 5. CONCRETE 0 95. UNKNOWN 444 (Check one item only) ❑2. STAINLESS STEEL [14. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE W/ ❑99.OTHER REINFORCED PLASTIC(FRP) 100%METHANOL TANK MATERIAL-smndarytznk Ell. BARE STEEL 3. FIBERGLASS/PLASTIC 0 5. CONCRETE 0 95. UNKNOWN 445 (Check one item only) ❑2. STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE ❑99.OTHER REINFORCED PLASTIC(FRP) W/100%METHANOL ❑5. CONCRETE ❑10.COATED STEEL TANK INTERIOR LINING ❑1.RUBBER LINED ❑3.EPDXY LINING ❑5.GLASS LINING ®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 ❑4 IMPRESSED CURRENT ❑99 OTHER (Check one item only) ❑2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(local use only) 457 OVERFILL PROTECTION EOUIPMENT:YEAR INSTALLED 452 (Check all ®1 SPILL CONTAINMENT 2003 ❑1 ALARM ®3 FILL TUBE SHUT OFF VALVE that appy) ®2 DROP TUBE 2003 ❑2 BALL FLOAT ❑4 EXEMPT ®3 STRIKER PLATE 1998 IV.TANK LEAK DETECTION(A desorption ofthe monitoring program shall be submitted to the localagency) 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) ❑i VISUAL(SINGLE WALL IN VAULT ONLY) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ❑2CONTIN000S 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 455 TANK FILLED WITH INERT MATERIAL? 457 REMAINING gallons ❑Yes ❑ No UPCF(1/99 revised) Formerly$WRCB Form 13