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01/02/2003 11:05 209577GAd0 BOYETT PETROLEUM PAGE 03 <br /> UNIFIED PROGRAM CONSOiX)ATED FORD <br /> TANKSUNDERGROUND STORAGE TANKS-TANK PAGE 1 <br /> (two pagea per tank <br /> p4la_of <br /> TYPE Or ACTION ❑)NEW STTE PERMIT ❑ 4 AMENDED PERMIT ❑ 3 CHANGE OF INPORMATiON ❑ 6 TEMPORARY WE CLOSURE <br /> (ChocE mo hr♦n cmly) ❑ 7 PERMANENTLY CLOSED ON SITE <br /> 3 RENEWAL PERMIT R TANK REMOVW 410 <br /> FACILITY ID; <br /> BU ESS N ( r 1TY AMC aDBA-Ibitq Baeisar A4) 3TITI I L_ <br /> LOCATIO WITHIN SITE(oglonmi) 431 <br /> L TA DR4CRiPTION (A scaled plot plan with the location of the UST syetcvn including buildings and landmarks shall be submitted to the local Agency,) <br /> TANK 10# 432 TANK M NUF MRER L41 <br /> COMPARTMENTALT7BO TANK ❑Ycs No 434 <br /> A(' 'q � 7 (- -7 WJ' (f-Yee,mnpkla ono palm fm arch cnrtipermltwt, <br /> i)ATE TNST i T-FD .AR/MO) 435 TANK A�PACITY TN GALLON3 "� NUMBER OF COWARTMFNTS ' 437 <br /> ADDITIONAL DESCRIPTION(Fm bol the only) AIA <br /> R.TANK CONTENTS <br /> TANK USE 479 PETROLEUM TYPE 40 <br /> I.MO'i'DR VeNTC48 PUFL C1If,. KIROULAR UNLT�DF0 ❑2. LEADrm ❑5. JET FUEL <br /> (If mo comdpte heootnmtType) (;Ib. PREMIUM UNLEADED ❑3. DIESEL ❑6, AVIATION FUEL <br /> ❑2.NON-FUEL PETROLEUM ❑Ic. MIDGRADE UNLEADED ❑4, GASOHOL ❑99,OTHER <br /> Q 7, CHEMICAL PRODUCT COMMON NAME,(Atm Nrinbwt MNeNW Invemnry Pope) 401 CASA(from Hoatr*w Mvmi mo Iwwntary pope) 442 <br /> Q 4, HAZARDOUS WASTE <br /> (Inchxb Usod Oil) <br /> ❑95,UNKNOWN <br /> III. TANK CONSTRUCTION <br /> TYPE OF TANK I, SINGLQ WALL, 3. STNOIy,WAI,1,WITH U 5, SINGLE WALL WITH TNTERNAL r:LADDr%SYST11M e43 <br /> (Check am item only) EXTERIOR MIP49RANE LTNER ❑95. UNKNOWN <br /> N. DOUBLE WALL 04. SIGNLE WALL iN VAULT d 99. OTHER <br /> TANK MATERIAL-prtmuytant Lj 1. BARE STEBI. U 1. FIBERGLASS/PLASTIC 0 5,CONCRETE 95.UfKNOWN 444 <br /> (Clack ono ham only) '1. STAINLESS STEEL ❑4. STEEL CLAD W/FTBERGLASS ❑R. FR.P COMPTIBT.E WAWA METHANOL ❑99,OTHER <br /> REINFORCED PLASTIC(FRT) <br /> TANK MATERIAL-etmndary mak 1. BARB STEEL FIBERGLASS/PLASTIC LJ 5. CONCRETE L3 95.UNKNOWN 445 <br /> (Chwk oee hem Awry) ❑2, STAINLESS STEEL ❑4, STEEL CLAD W/FIBEROLASS 08. FRP COMPTIBLE W1107%METHANOL ❑99.OTHER <br /> REINFORCED PLASTIC(PRP) ❑10.COATPO STEEL <br /> ❑5 CONCRETE <br /> TANK INTERIOR LINING 0 I.RUBBER LINED U 3.EPDXY LINING Ej 5.GLASS LINING C3 95.UNKNOWN 446 DATE INSTALLED 647 <br /> OR COATING ❑2 ALKYD LINING Q 4 PHENOLIC LINING A6 UNLINED ❑99 OTHER <br /> (Geek om nem oMTY) (Fm batt u _ly) <br /> OTHER CORROSION ❑1 MANUFACTURED CATHODIC (3 3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 44f DATE INSTALLED <br /> PROTECTION IF APPLICABLE PROTECTION ❑4 TMPRPSSED CURRENT t�J 99(CluckOTHER* � <br /> anc item only) ❑2 SACRIFICIAL ANODF_ r W —k— (Pan lmd vw only) <br /> SPILL AND OVP.RFILL YEAR INSTALLED Cf JW TYPE nom u only) 451 OVERFILL PROTECTTON F,QUTPMF.W;YEAR INSTALLED 452 <br /> (0twk on flim apply) mlI SPILL CONTAMMEATf I ALARM ML'RIBE SHUT OFF VALVE <br /> �( 2 DROP TLJBFL BALL FLOAT ❑4'EXEMPT <br /> 1 <br /> 3 STRIKER PLATE <br /> IV.TANK LEAK DETECTION(A aaeriptino prvlmm A.11 bo wbmittod to the load m—y.) <br /> IF SiNGLE WALL TANK(tatack wh tko epp)y) 453 iF DOUBLE.WALL TANK OR TANK WiT14 13LADDPR 454 <br /> (Chock ono hmm only) <br /> Q 1 VISUAL(EXPOSER PORTION ONLY) ©5 MANUAL TANK GAUGtNG(MCG) ❑1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSF ZONE CONTINUOUS INTERSTITIAL MONITORING <br /> ❑3 CUNTTNUOUS ATG ❑7 GROUNDWATER 1]3 MANUAL MON1TORiNG <br /> ❑4 STATISTICAL INVENTORY RECONCTLIATION ❑8 TANK TESTING <br /> (SIR) BIENNIAL TANK TESTiNG ❑99 OTHER <br /> IV.TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YRIMOMAY) 435 ESTIMATED QUANTITY OF SU"USTANCP.RFMAFNiNG 4,% 1 TANK FILLED Wm4INERT MATERiAL7 457 <br /> gallons ❑Yas ❑ NO <br /> UPCF(12/99 revised) 10 Formerly SWRCB Form <br />