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UN -.. IED PROGRAM CONSOLIDATED F ,,tM <br /> TANKS <br /> UNDERGROUND STORAG TANKS -TANK PAGE 1 <br /> C-e (Mn pages per tank) <br /> ,./ PNa _ p <br /> TYPE OF ACTION 01. NEW SITE PERM ffYCJ 4 AMENDED PERMIT ❑ 5. CHANGE OF INFORMATION) ❑ 6. TEMPORARY SITE CLOSURE <br /> (Cnaoa mm pan may) �\ ❑ 7. PERMANENTLY CLOSED ON SITE <br /> 0. RENEWAL PERMIT (Sr ymeson-Mkral vu onw (SPecy Napa-lb,to ma ody) ❑ 6 TANK REMOVED 430 <br /> BUSINESS NAME(Sana as FACILITY NAME Or OBA-Doap Busneu M) 3 1 FACILITY Ila <br /> `3oii 1` t` °° 'BajJ h W q ouT DRive, S-Wtq►J <br /> - SO" SiDE <br /> I.TANK DESCRIPTION (AsceNO Pbtp.n.im Or buE'ondlM VSisyalam:riW'np Willfnpr atl Wrdwkaaw na aubrtl�Mme kxal eperxy.) <br /> TANK 10 432 ARK MANU A R N 433 I COMPARTMENTALIZED TANK ❑ Yes No 434 <br /> V` IVYai mmpw.ons gage for e4C,f oanmwt <br /> DATE INSTALLED( O) 435 TANK CAPACITY IN GALL NS 436 I NUMBER OF COMPARTMENTS 437 <br /> 05 I <br /> ADDITIONAL DESCRIPTION(For kaal K "y) 436 <br /> I <br /> II.TANK CONTENTS <br /> TANK USE 439 % - PETROLEUM TYPE 410 <br /> 1. MOTOR VEHICLE FUEL ( nl. REGULAR UNLEADED ❑ 2. LEADED ❑ 5 JET FUEL <br /> (Kmaraeo.mmdem Pehaavm Type) ill. PREMIUM UNLEADED ❑ 3. DIESEL ❑ 6. AVIATION FUEL <br /> 112. NON-FUEL PETROLEUM I ❑to MIDGRADE UNLEADED ❑ 4. GASOHOL ❑Be OTHER <br /> ❑ 3 CHEMICAL PRODUCT COMMON NAME(Atm Hwa $MaW"I-V mrypa9e) 41 CAS a(MXn Halamtwa ww s Imanlay page) 42 <br /> ❑4 HAZARDOUS WASTE flntledas <br /> ❑95 UNKNO E SOUND /oclA-tw 92 <br /> II.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ppyy1. SINGLE WALL ❑ 3. SINGLE WALL WITH ❑ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 43 <br /> (CMG one Hem wmy) q�2. DOUBLE WALL EXTERIOR MEMBRANE LINER 0 9. UNKNOWN <br /> ❑ 4 SINGLE WALL IN A VAULT <br /> vv-w��.. ❑99 OTHER <br /> TANKIATERWL-pmary laM ❑ 1. BARE STEEL pp]. FIBERGLASS I PLASTIC ❑ 5. CONCRETE 0 9 UNKNOWN 444 i <br /> (LIIe1ROM Han My) ❑ 2. STAINLESS STEEL '❑`4 STEEL CLAD WIFISERGLASS ❑ B. FRP COMPATIBLE W1100%METHANOL ❑99. OTHER <br /> REINFORCED PLASTIC(FRP) <br /> TANK MATERIAL-""'y taW❑ 1 BARE STEEL ` irl FIBERGLASS I PLASTIC ❑ B FRP COMPATIBLE W100%METHANOL 095. UNKNOWN 45 <br /> (CMG orre Hem aryl ❑ 2 STAINLESS STEEL ❑ 4 STEEL CLAD WMIBERGLASS ❑ 9 FRP NON-CORRODIBLE JACKET ❑99 OTHER <br /> REINFORCED PLASTIC(FRP) ❑10 COATED STEEL <br /> j ❑ S. CONCRETE <br /> .TANK INTERIOR LINING ❑ 1 RUBBER LINED ❑ 3. EPDXY LINING ❑ 5. GLASS LINING ❑95 UNKNOWN DATE INSTALLED 47 <br /> 'OR COATING A ///,,,��� <br /> I(CnKk On W,)9 ❑ 2 ALKYD LINING ❑ 4. PHENOLIC LINING ❑ 6 UNLINED ZS9 OTHER ff 19GS <br /> lFp kK.a oryyl <br /> 1 OTHER CORROSION ❑ 1 MANUFACTURED CATHODIC '�,b. FIBERGLASS REINFORCED PLASTIC ❑95. UNKNOWN 446 DATE INSTALLED 449 <br /> 'PROTECTKNI IF APPLICABLE 199 S <br /> PROTECTION ❑ 4. IMPRESSED CURRENT ❑99. OTHER <br /> ,(LAN OM,falloNYl ❑ 2. SACRIFICIAL ANODE (Fp Meal uaa oNy) <br /> j SPILL AND OVERFILL YEAR INST LED 450 TYPE fFW AX*."0*) 451 OVERFILL PROTECTION EQUIPMENT YEAR INSTALLED 452 <br /> fCMck almaf appy) ���ystm/1n�II_I SPILL CONTAINMEM ❑ 1 ALARM ❑ 3 FILL TUBE SHUT OFF VALVE <br /> /r"s�- DROP TUBE I ❑ 2. BALL FLOAT ❑ 4 EXEMPT <br /> Cig/gyp 3 STRIKER PLATE 1NQS <br /> j N. TANK LEAK DETECTION (A tlmompe d IAa mom M p"m.snap M wpm MO m Or,Axel apenry) <br /> IF U WALL TANK(Chep 0"appy)' 453 IF DOUBLE WALL TANK OR TANK WITH BUDDER(CMG Ona Ham oNy) 454 <br /> I ❑ 1 VISUAL(EXPO 6QPORTION ONLY) S. MANUAL TANK GAUGING(MTGI I ❑ 1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑2 AUTOMATIC TANK GAUGIN G) ❑ 6 VADOSE ZONE CONTINUOUS INTERSTITIAL MONITORING <br /> ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER 103 MANUAL MONITORING <br /> ❑ 4 STATISTILAL I TORY RECONCILIATM (SIR)• ❑ 8 T K STING --� <br /> S ENN ANKTESTING ❑99 O _ <br /> AT NK CLOSURE INF TION I PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST U Y) 455 ESTIMATED OLANTITY OF SUBST REMAINING 456 TANK FILLED WITH INERT MATERUU 7 457 <br /> ❑Yat �y No <br /> UPCF(7199 revised) 6 Formerly SWRCB Form B <br />