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D PROGRAM CONSOLIDATED FO <br /> TANKS <br /> UNDERGROUND STORAGE TANKS-TANK PAGE i <br /> (two uRk) p( <br /> �Aaa Rae w•� <br /> TYPE OF ACDON ❑1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT pt 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE y1� <br /> (G3eh ❑ 7 PERMANENTLY CLOSED ON SIIE <br /> me ixm mly) /L <br /> ❑ 3 RENEWAL PERMIT (S,,6fymcm-toelmlmemy) (spacy. -fortomtmemly) ❑ 8 TANK REMOVED 430 / /� <br /> FACILITY ID: t ,,,, / <br /> BUSINESSNAME(9mr aFALTLITY NAMam DeA-Ddvg Bmioa.Aa) 3 ,j)Y <br /> Saq Toaquin RegionaLTraasfi Dis+rict y <br /> LOCATION WTIMIN SITE(Or-) <br /> a <br /> L TANK DESCRIPTION (- ! :l:1 Plot Plan witb the location of the UST systcm including buildings and lsodmerks shell be submiucd to the local agency.) <br /> TANK BI# 4s1 TANK MANUFACTURER 633 COMPARTMENTALIZED TANK Yes No 4T4 <br /> rl - TAo115813 OWang Corn Ym^.cmplme my pee rm ahmmpm mmt. <br /> ATE INSTALLED(YEAR/MO) 635 TANK CAPACITY IN GALLONS 634 NUMBER OF COMPARTMENTS 431 <br /> 6/101q2- I SIM49 jailon5 NA <br /> ADDITIONAL DESCRIPTION(Pm I .I m m1y) 638 <br /> M TANK CONTENTS <br /> TANK USE <br /> ass PETROLEUM TYPE MO <br /> ❑L MOTOR VEHICLE FUEL ❑la. REGUR.ARUNLEADED ❑2. LEADFD ❑5. JET FUEL <br /> 0fmr1e4 cmmlf Pe k.m type) ❑lb. PREMR)MUNLEADED C3 3. DIESEL ❑6. AVIATION FUEL <br /> 1W2. NON-FUEL PETROLEUM ❑Ic. MIDGRADE UNLEADED ❑4. GASOHOL ®99.OTNER Hcizw e;& 4-0 W <br /> ❑3. CHEMICAL PRODUCT COMMON NAME(f Baallous,,MamiaB In emmy pee) al CAS#(fiom HanMou�aaMatenala lnrmrory gge)Q� W= <br /> ❑4. HAZARDOUS WASTE Moor 6L 4-o W CAS W`'4741-St/ -+ <br /> (Mluaa Umd fag <br /> ❑95.UNKNOWN <br /> Ill. TANK CONSTRUCTION <br /> TYPE OF TANK 0 1. SINGLE WALL Lj 3, SINGLE WALL WITH Ll 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 40 <br /> (Geek om mm oxy) EXTERIOR MEMBRANE LINER 095. UNKNOWN <br /> 0(2. DOUBLE WALL ❑4. SIGNLE WALL IN VAULT ❑99. OTHER <br /> TANK MATERIAL-p.iemry lmkU 1. BARE STEEL 3. FIBERGLASS/PLASTIC S. CONCRETE U 95.UNKNOWN 4K <br /> (clerk me n®oay) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FTBERGLASS ❑8. FRP COMPTIBLE W/10D METHANOL ❑W.OTHER <br /> REINFORCED PLASTIC(FRP) <br /> TANKMATERIAL-.m ,t L BARESTEEL pd 3. FIBERGLASS/PLASTIC M 5. CONCRETE LJ 95.UNKNOWN 445 <br /> (Chrek me hem may) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS 08. FRP COMPTIBLE W/1(10°.6 METHANOL 1199.OTHER <br /> REINFORCED PLASTIC(PRP) ❑10.COATED STEEL <br /> ❑5. CONCRETE <br /> TANK INTERIOR LINING EILRUBBERLINED 3.EPDXY LINING 115.GLASS LINING EI 95.UNKNOWN 4b DATE INSTALLED 4n <br /> OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ❑6 UNLINED ❑99 OTHER <br /> (Ll & hanmaY) (P"b Iommly) <br /> OTHER CORROSION ❑1 MANUFACTURED CATHODIC PC 3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN M8 DATE INSTALLED 4n <br /> PROTECTION W APPLICABLE PROTECTION [14 IMPRESSED CURRENT ❑% OTHER <br /> (Cheekmei Iy) ❑2 SACRIFICIAL ANODE (Fartmdm mty) <br /> SPILL AND OVERFILL YEARINSTALLED 450 TYPE(mot.remtY) 45I OVERFILL PROTECTION EQUIPMENEYEAR INSTALLED 2.wL 451 <br /> (Cheek.0 tfw apply) %I SPILL CONTAINMENT ❑1 ALARM ye 3 FILL TUBE SHOT OFF VALVE <br /> ®2 DROP TUBE ❑2 BALL FLOAT ❑4 EXEMPT <br /> 00 3 STRIKER PLATE <br /> IV.TANK LEAK DETECTION(A mrmamaofum mmw Im.gmm A.a x whmtffw to m.mmi.aemy) <br /> IF SINGLE WALL TANK(chat all thn.pply) 451 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 <br /> ((3rckme hem mty) <br /> ❑I VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) ❑1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE TONE 2 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑3 CONTINUOUS ATG ❑7 GROUNDWATER. ❑3 MANUAL MONITORING <br /> [:14 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING <br /> (SIR) BIENNIAL.TANK TESTING ❑99 OTHER <br /> IV.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTDMATen DA7Er e5T USED(YR/MO/DAY) lss ESTIMATED QUANTITYOFSUBSTANCE REMAINING 45g TANK FILLED WITH INERT MATERIAL? 451 <br /> gallons ❑Yes ❑ No <br /> UPCF(12/99 revised) 10 Fo)Tnerly SWRCB Form B <br />