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ED PROGRAM CONSOLIDAMEDMOPW <br /> TANKS <br /> UNDERGROUND STORAGE TANKS -TANK PAGE i <br /> (TWO pBgeS IBIIY) <br /> P. �of <br /> TYPE OF ACTION ❑1 NEW SCFE PERMIT ❑ 4 AMENDED PERMIT ® 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SUE CLOSURE <br /> (mea-eilmlmM ❑ 7 PERMANENTLY CLOSED ON SITE <br /> ❑ 3 RENEWAL PERMIT (Spedfymmme-fmlmeio mly) (SPedfymmm-ftImetteemly) ❑ S TANKREMOVED lIo I �IOy <br /> B INESS NAME(Smea PAOLITYNAME-DBA-Odle,BPtlnmaAa) FACILFFY ID: 1 <br /> n Joaquin RtjionaLTran511-DiS1riC+ 3 <br /> LOCATION WITILIN SFCE(oppoeq 431 <br /> L TANK DESCRIPTION (A scaled plot plan with the location of the US7 system including bBildings and landmarks shall be submitted to the local agency.) <br /> T IDN 432 TANK MANUFACTURER 453 COMPARTMENTALIZED TANK Yes No 434 <br /> G - FA 115815• OWans cornin lf"Y6",tmplee me page Ame hwee, ml. <br /> DATE INSTALLED(YEAR/MO) 415 7ANK CAPACITY IN GALLONS NUMBER OF COMPARTMENTS C7 <br /> 5111 A <br /> ADDITIONAL DESCRIPTION(Fm Imel me mly) 438 <br /> I.TANK CONTENTS <br /> TANK USE 439 PETROLEUM TYPE <br /> 440 <br /> ®1.MOTOR VEHICLE FUEL Eli.. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL <br /> (Ifineele4 mmme Pmule.Type) 01b. PREMIUM UNLEADED <br /> 03. DIESEL 06.AVIATION FUEL <br /> ❑2. NON-FUEL PETROLEUM ❑Ic. MIDGRADE UNLEADED ❑4.GASOHOL ❑99.OTHER <br /> ❑3. CHEMICAL PRODUCT COMMON NAME (fmm Heamoea Mm*naa i mmy pege) 441 CAS#(ft.Haallow M...Ii l.,m,page) 442 <br /> El4.HAZARDOUS WASTE <br /> Dmleam DUM aq 1 P-seL F'ueL CAS -W 68476- 3¢-6 <br /> ❑95.UNKNOWN <br /> M. TANK CONSTRUCTION <br /> TYPE OF TANK El 1. SINGLE WALL 0 3. SINGLE WALL WITH LJ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (mmt me itml mdy) EXTERIOR MEMBRANE LINER ❑95. UNKNOWN <br /> IpM 2 DOUBLE WALL ❑4. SIGNLE WALL IN VAULT ❑99. OTHER <br /> TANKMATERW.-mme,ymek U 1. BARE STEEL 3. FIBERGLASS/PLASTIC 0 5. CONCRETE Ll 95.UNKNOWN 444 <br /> (mea om nm.omy) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS 118. FRP COMPTIBLE W/100Y.METHANOL ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) <br /> TANKMATERIAL-ammarytent LJ L BARE STEEL R3. FIBERGLASS/PLASTIC U 5. CONCRETE 95.UNKNOWN 445 <br /> (CTed me nem omy) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS E18. FRP COMPTIBLE W/IwA METHANOL ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) ❑10.COATED STEEL <br /> [15. CONCRETE <br /> TANK INTERIOR LINING ffLIOUBBERLINED 0 3.EPDXY LINING S.GLASS LINING 0 95.UNKNOWN dad DATE INSTALLED M <br /> OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LMM ❑6 UNLINED ❑99 OTHER <br /> (meal om aetn omyj <br /> (Pmbml moody) <br /> 4ae 4e, <br /> OTHER CORROSION 131 MANUFACTURED CATHODIC pJ 3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN DATE INSTALLED <br /> PROTEC710N IFAPPLICABU PROTECTION ❑4IMPRESSED CURRENT ❑99 OTHER <br /> (CTeame Ten-y) ❑2 SACRIFICIAL ANODE (Fmlmdmemly) <br /> SPILL AND OVERFILL YEAR INSTALLED 459 TYPE(ro ..t,) 451 OVERFILL PROTECTION EQUIPMBNT:YEAR INSTALLED 1 B 452 <br /> (mea ml at"VOY) N I SPILL CONTAINMENT ❑1 ALARM X 3 FILL TUBE SHUT OFF VALVE <br /> CK 2 DROP TUBE ❑2 BALL FLOAT ❑4 EXEMPT <br /> C93 STRIKER PLATE <br /> IV.TANK LEAK DETECTION(A desmiption ofAe modronng yrogmm a8all ix edxvittea rose Ioml opwy,) <br /> IF SINGLE WALL TANK(mtam Attappy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 <br /> ei <br /> ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING betody) <br /> (MIG) 0 1 VISUAL UAL(SINGLE WALL M VAULT ONLYI <br /> ❑2 AUTOMATIC TANK GAUGING(Am) ❑6 VADOSE ZONE )a 2 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑3 CONTINUOUS ATG ❑7 GROUNDWATER Cl 3 MANUAL MONITORING <br /> ❑4 STATISTICAL INVENTORY It ❑8 TANK TESTING <br /> (SIR) BIENNIAL,TANK TESTING ❑99 OTHER <br /> IV.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL] 451 <br /> gallons ❑Yes ❑ No <br /> UPCF(17199 revised) 10 Formerly SWRCB Form B <br />