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Afr D PROGRAM CONSOLIDATED FOR TANKS UNDERGROUND STORAGE TANKS -TANK PAGE 1 (two s taak) TYPE OF ACTION ❑I NEW srrE PERMIT ❑ 4 AMENDED PERMIT K 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SM CLOSURE (Oma i�My) ❑ 7 PERMANENTLY CLOSED ON SITE 3I\g1DV ❑ 3 RENEWAL PERMIT tspdryma -fmimdtm miy) (speirym,tn-fmltmimemly) ❑ 9 TANK REMOVED 410 BUSINESS NAAME(smem FACILITY NAME mnBA-ndna,mita,Ae) 3 FACILITY ID: T San oa uin Re ia9at ransf Dis LOCATION WITHIN SITE(opt o i) ul L TANK DESCRIPTION (A scaled plot plan with the locatioa of the UST system including buildings and landmarks shall be submitted to the lonl cy.) TANK Hr u2 TANK MANUFACTUR..E.,R,� 415 COMPARTMENTALIZED TANK ❑Yes No 4MJ r�0 N , AOIJ �jg2o Owens CoraI^ra^,comPln<mK pse rmeaeb nmranment. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 454 NUMBER OF COMPARTMENTS 437 JF/lo/92 1 614900 gallons NA ADDITIONAL DESCRIPTION(Fmtee.l me mly) a3a IL TANK CONTENTS TANK USE 459 PETROLEUM TYPE 440 ❑ 1.MOTOR VEHICLE FUEL ❑Ia. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL (If MdcmPlm Pamletm Typ) [I 1b. PREMIUM UNLEADED 03. DIESEL ❑6. AVIATION FUEL I 192. NON-FUEL PETROLEUM [I k. MIDGRADE UNLEADED Cl 4. GASOHOL 1M 99.OTHER TYIn5MIS$IDId Fid ❑3. CHEMICAL PRODUCT COMMON NAM (fmm Wa .Material,Inveamy pge) 441 CAS#(atm l.allom Makriale lnrenmry pge) 4Z- [14. 4N❑4. HAZARDOUS WASTE (6cluda heed Uil Transmission Flli(d CA5# 6471-2-65-D ❑95.UNKNOWN ID. TANK CONSTRUCTION TYPE OF TANK 0 1. SINGLE WALL 0 3. SINGLE WALL WITH U 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 40 (teen oneami Qtly) EXTERIOR MEMBRANE LINER El 95.UNKNOWN 19 2. DOUBLE WALL ❑4. SIGNLE WALL IN VAULT ❑99.OTHER TANKMATERIV.-p-m. 1. BARESTEEL 3. FIBERGLASS/PLASTIC S. CONCRETEE95-UNKNOWN 4N (Chftk .itemaly) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FBERGLASS ❑9. FRP COMPTIBLEW/IGD%METHANOL ❑99.OTHER REINFORCED PLASTIC(FRP) TANKMATERIAL-meoo ,uA Ll 1. BARESTEEL M 3. FIBERGLASS/PLASTIC U 5. CONCRETE LI 95.UNKNOWN 445 (t3aaop am Qtly) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS ❑R FRPCOMPTIBLE W/100%%ETHANOL ❑99.OTHER REINFORCED PLASTIC(FRP) ❑10.COATED STEEL ❑5. CONCRETE TANK INFERIOR LINING 0 1.RUBBER LINED 0 3.EPDXY LINING M S.GLASS LINING C1 95.UNKNOWN 446 DATE INSTALLED 40 OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ❑6 UNLINED ❑99 OTHER (CMA ote ilem only) (Fm W.l me Qtly) OTHER CORROSION ❑I MANUFACTURED CATHODIC JZ 3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 4Y DATE INSTALLED 4+9 PROTECTION N APPLICABLE PROTECTION ❑4IMPRESSED CURRENT ❑99 OTHER (0,e&mm 9m oAy) ❑2 SACRIFICIAL ANODE (Fm Im.l me mly) SPILL AND OVERFILL YEAR INSTALLED u0 TYPE(ball ate telly) 451 OVERFILL PROTECTION EQUIPMENT YEAR INSTALLED 14g2 452 (Leeck dl ma alTlY) I SPILL CONTAINMENT ❑I ALARM X13 FILL TUBE SHUT OFF VALVE Q9 2 DROP TUBE ❑2 BALL FLOAT ❑4 EXEMPT 3 STRIKER PLATE IV.TANK LEAK DETECTION(A aaenpwnoftm tl 11 be,ubmiftM tome 1491 aVwc ) IF SINGLE WALL TANK taMa al tba wiy) AD IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Chea m Nm may) ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MIG) ❑1 VISUAL(SINGLE WALL IN VAULTONLY) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE 0 2 CONTINUOUS INTERSTITIAL MONITORING ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑A TANK TESTING (SIR) BIENNIAL.TANK TESTING ❑99 OTHER IV.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED CAUMOMAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING d5o TANK FILLED WITH INERT MATERIAL? 457 gallons ❑Yes ❑ No UPCF(12/99 revised) 10 Formerly SWRCB Fowl B