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1410 PROGRAM CONSOLIDATED FO _n r� Q ANK: TA0170703 <br /> (J� ! PR#: PRO231707 <br /> UNDERGROUND STORAGE TANKS -TAN IF FAC#: FA0003948 <br /> ([wo pages per tank) <br /> Page 2 of 5 <br /> TYPE OF ACTION ❑ 1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE <br /> (Geek anlY llanadY) i t P <br /> � ❑ 7 PERMANENTLY CLOSED ON SITE <br /> ❑3RENEWAL PERMIT 8TANK REMOVED 430 <br /> Tg <br /> BUSBNESSNAME(Sarno.FAC'LLffY EmDBA-Doi,B.i.s As) FACILI I'Y IU: PR 9: l <br /> P G&E(TRACY MAINTENANCE STATION) FA0003948 PR0231707 <br /> LOCATION WITHIN SITE(Optional) 24081 S MOUNTAIN HOUSE PKWY,TRACY 431 <br /> PHONE <br /> I.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) <br /> TANK ID# Tank#: 3 411 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ❑No 434 <br /> TA0170703 GLASTEEL-MODERN WELDING 11Y.^,muplos'noopoge 000m con none t- <br /> DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 <br /> 3,000 <br /> ADDITIONAL DESCRIPTION(For Inial sae only) 433 <br /> H.TANK CONTENTS <br /> TANK USE 439 PETROLEUM TYPE 00 <br /> ® I.MOTOR VEHICLE FUEL ® to.REGULAR UNLEADED [12.LEADED ❑ 5.HU FUEL <br /> (nlreh "lnepomleam-rp) ❑ Ib.PREMILIMLINLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL <br /> ❑2.NON-FUEL PETROLEUM ❑ Ic MIDGRADEUNLEADED ❑4.GASOHOL ❑ 99.OTHER <br /> ❑3.CHEMICAL PRODUCT COMMON NAME Bunn Hrsar9an Metaiels to ooloypa3c) 441 CAS#Bonn Hamtdmv Mnlc lnrmmry page) 442 <br /> El 4.HAZARDOUS WASTE <br /> uusW swo,i Oil) <br /> ❑ 95.UNKNOWN <br /> M.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (c octmnmy) EXTERIOR MEMBRANE LINER ❑ 95 UNKNOWN <br /> 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER <br /> TANK MATERIAL-primary tank ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 <br /> (Cl .imnmly) ❑ 2.STAINLESS STEEL ® STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL <br /> REINFORCEDPLASTIC(FRP) [199.OTHER <br /> TANK MATERIAL-secondary lank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 <br /> (C -Rona.*) ❑2.STAINLESS STEEL E]4.STEEL CLAD W/FIBERGLASS ❑ S.FRP COMPTIBLE W/100%.METHANOL <br /> REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑ 99.OTHER <br /> ❑ 5.CONCRETE <br /> TANK INTERIOR LINING ❑ L RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 147 <br /> OR COATING <br /> (Lt kenoiummly) ❑2 ALKYD LINING ❑ 4 PHENOLIC LINING ❑ 6 UNLINED ❑ 99.OTHER <br /> (Porkd uaemly) <br /> OTHER CORROSION ❑ I MANUFACTURING CATHODIC ® 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN 443 DATE INSTALLED 449 <br /> PROTECTION IF APPLICABLE PROTECTION <br /> (LTeckmcitemmly) ❑ 4IM RESSED CURRENT ❑ "OTHER <br /> ❑ 2SACRIFICIAL ANODE (Fa lad ivemly) <br /> SPILL AND OVERFILL YEAR INSTALI.L450 TYPE(lodasedy) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 <br /> BC dldotopply) ❑ I SPILL CONTAINMENT ❑ IALARM ❑ 3 FILL TUBE SHUT OFF VAL` <br /> ❑ 2 DROP TUBE ❑ 2 BALL ❑4 EXEMPT <br /> ❑ 3 STRIKER PLATE FLOAT <br /> IV.TANK LEAK DETECTION(A 4eaipdm ofdK do Iaml a3oxyJ <br /> IF SINGLE WALL TANK(O dl dm appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 <br /> ❑ 1 VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTD) (� .tmu.*) <br /> ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ 6VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8TANK TESTING ❑3 MANUAL MONITORING <br /> (SIR)BIENNIAL TANK TESTING ❑ 99 OTHER <br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST ISED(YR/MOMAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 <br /> II /1 �'�- ❑Yes ❑No <br /> UPCF(12/99 revised) <br />