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FEB-07-2001 WED 03;45 PM QU 1 K S'I'UP MK'I'S INC h AX NU, b l Ubb t 1 b44 t✓, U0 <br /> ED PROGRAM CONSOLIDATED FOR .,( TANKS <br /> UNDERGROUND STORAGE TANKS DTANK PAGE 1 (two pages per tank) <br /> ft4n _of <br /> RARY SITE <br /> TYPE OF ACTION Q 1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT Q 6 CHANGE OF INFORMATION Q 6❑TEM PORMANENTLCLO URE ON SITE <br /> (Chrrk one Ilam Only) 6 TANK REMOVED a90 <br /> ec,r Tvj%An-for local use only) (Specify imdon-for load use only) ❑ <br /> 0 3 RENEWAL PCRMIT l"P Y <br /> ----- <br /> bUSINESS NAME iSkm a as FA010TY NAM17 Ur D6A-Poing 6usinoa'y As) s FA <br /> Quik StOD Market#132 as1 <br /> LOCATION WITHIN SSITES(opuanaq <br /> I,YANK pESCRIPTION (A scaled plot ptan with the location of the UST systgm including buildings and landmarks shall be Submitted to the Iwal <br /> igen c A- Ye's No 4�4 <br /> 432 TANK MANUf A TC UhCR — 433 COMPARTMENTALIZED TANK Q �9 <br /> TANK,ID# If"YW,comptoic one papo for each compuuu»enl. <br /> LL 1601 _ Xerxes <br /> 43e NUMBER OF COMPARTMENTS 437 <br /> DA NSTALLED 43b TANK CAPACITY IN GALLONS <br /> (YEAR/MO) <br /> 10,000 1 <br /> 1991/Jalnua 4301 <br /> ADDITIONAL(7ESCRIE'"1 ION Crorlowl use only) <br /> -- �� IT.TANK CONTEN'T'S 1442 <br /> rTANK USE �—4a9 PETROLEUM TYPE <br /> TOR VRHICLE FULL 0 1a. REGULAR UNLEADED Q 2. LOADED [�5• JET FUEL <br /> 6. AVIATION FUCI.oompkdu PeuoloumType) Q 1b. PREMIUM UNLEADED ❑3. DIESELO9,OTHERN•FUEL PC7'ROLEUM 1r:. MIDGRADE UNLEADED ❑4. GASOHOL 441 Q CAS##(from Hazardous Msterialc Inventory pogr) <br /> Q 3. CIiLMICAL PRODUCT COMMON NAME(IranFWzardou$ ""(onal:levenlorypagC) <br /> ©4. HA7,ARDOUS WASTE Unleaded Gasoline Mid rade, 89 OCtane 8006.61-9 <br /> (Includ(t:Used Oil) <br /> [�95.UNKNOWN <br /> TANK CONSTRUCTION <br /> TYPO OF TANK��I 1 SINGLE WALL Q 3.SINC,LE WALL WITH ❑5. SINGLE WAIL WITl1 INTERNAL GLADDER SYSTEM 443 <br /> EXTERIOR MEMBRANE LINER [ 95. UNKNOWN <br /> (Chorlk ane dem only) 99. OTHER <br /> 2. DOUBLE WALL Q 4, SIGNLF.WALL IN VAULT [3 <br /> , 5. UNKNOWN qaa <br /> TANK MATFRIAL-pmhnry tonk tf 1. BABE STEEL ❑3. FIBERGLASS/PLASTIC <br /> CONCRETE 9 <br /> (Check or,;:itrin only) Q <br /> 2. 5 rAINLESS STEEL []4, STEEL CLAD W/FIDERCLASS I8 8• FRP COMPATIt3LE W! ❑99.OTHER <br /> REINFORCED PLASTIC(FFP) 100'%METHANOL <br /> 95. UNKNOWN <br /> qq5 <br /> TANK MATERIAL-twondaryt�7 1. t3ARE STEEL ❑3, FIBERC.I.ASS/PLASTIC ❑5. CONCRETE ❑ <br /> (Chark one Itom only) ❑2, STAINLESS STEEL ❑4.STE=EL CLAD WIF113ERGLASS R 4• FRP COMPATIBLE ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) W/100%METHANOL <br /> ❑5, CONCRETE ❑10.COATED STEEL <br /> FANINI L'I�IOR LINING ❑1.RUBBER LINED ❑3,EPDXY LINING p 5,CLASS LININCk 95.UNKNOWN �611.ATEINS'fAIIED 447 <br /> OATING ❑2 ALKYD LINING M 4 PHENOLIC LINING Q6UNLINED Q 99 OTHER or local une only) <br /> a u Rom aMY) _ �+, 44H DAl L INSTALLED 449 <br /> 1 MANUFACr FtEU D CATNOOIC IJ 3 p19ERGLAS$rtEWFORCED PLASTIC Q 95 UNKNOWN <br /> RCORK)GION CI <br /> PROrE(:nON Ir•ArPUCADLE PROTecrioN Q 4 IMPRr.SSED CURRENT ❑99 OTHER " (Por local use onry) <br /> (Chcck one Ilom ONO Q 2 SACRIFICIAL ANODE 4,? <br /> Sf�ILL AND OVERFILL YEAR INSTALLED 450 TYPE(19=1 use 451 OVERFILL PROTECTION EQUIPMCNT;YEAR INSTALLED <br /> only) Q 1 ALARM 0 3 FILL TUBE SHUT O^F VALVE:1993 <br /> (Chock all �1 Sr'ILL COIV•1'AJNMEN7 1 cJ93 _, <br /> (hut apply) p 2 BALL FLOAT 0 4 EXEMPT <br /> ®z DROP TUBI: 1993 `fin) t�'i-�� <br /> 3 STRIKER PLATE 1991 <br /> IV,TANK LEAK DETECTION(A dcaulpuun of lila(nonitoring progwm shell bo*u Will. to lho Ival agency) q`l'1 <br /> 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER <br /> I F SINGLE"WALL TANK(Chock alt Gert apply) (check one item only) <br /> 6 MANUAL TANK GAUGING(MTG) ©1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> 1 VI3UA1.(EXPOSE'D PORTION ONLY) ❑ <br /> Q n, 2 CONTINUOUS INTERSTITIAL MONITORING <br /> [)2 AUTQMATIC TANK GAUGING(ATG) ❑6 VADOSI.ZONE 0 <br /> Q 3 CONTINUOUS ATG Q 7 GROUNDWATER Q 3 MANUAL MONITORING <br /> ❑4 STATISTICAL INVENTORY RECONCILIATION Q 0 TANK TESTING <br /> t(SIR) DICNNIAL TANK TESTING Q 09 OTHER _ <br /> T""^ gNK CLOSURE INFORMATION 1 PERMANENT CLOSURE IN PLACE 457 <br /> 455 ESTIMATED OUANTITY OOF SUBSTANCiw 456 TANK FILLCD WITH INERT MATERIAL? <br /> I:STIMAI FD DATE LAST USED•(YrJMO/DAY) Rf:MAINING <br /> Formerly SWRCB dorm B <br /> UPCF (1199 revised) 0 0 <br />