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2300 - Underground Storage Tank Program
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PR0231656
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BILLING_PRE 2019
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Entry Properties
Last modified
11/15/2023 4:37:15 PM
Creation date
5/6/2020 4:28:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231656
PE
2351
FACILITY_ID
FA0003635
FACILITY_NAME
ARCO 06080
STREET_NUMBER
85
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627010
CURRENT_STATUS
01
SITE_LOCATION
85 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FORM 'DECEIVED TANKS <br /> UNDERt,..OUND STORAGE TANKS - TANr, -AG .t 77 <br /> 1 1 n 2K wo pages per tank) <br /> JAN J�U�gAUUINPage_of <br /> TYPE OF ACTION El1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ® 5 CHANGE OF INFORMATION DrrlC[h't3FTLMPORAR�YvS1TE I;LOSURE <br /> (Check one item only) ❑ 7 PERMANENTLY CLOSED ON SITE <br /> ❑ 3 RENEWAL PERMIT (Specify reason-for local use only) (Specify reason-for local use only) ❑ 8 TANK REMOVED 430 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) FACILITY ID: <br /> 3 � P � T � O � O � O � 9 � 7 � 7 � <br /> 9 <br /> ARCO 06080 <br /> LOCATION WITHIN SITE(Optional) 431 <br /> I.TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local <br /> agency.) <br /> TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ® No 434 <br /> 1 OW E N S CORNING If"Yes",complete one page for each compartment. <br /> DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 <br /> 1984/10 12,000 1 <br /> ADDITIONAL DESCRIPTION(For local use only) 438 <br /> IL TANK CONTENTS <br /> TANK USE 439 PETROLEUM TYPE 440 <br /> ® 1. MOTOR VEHICLE FUEL ® 1a. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL <br /> (If marked complete Petroleum Type) ❑ 1 b. PREMIUM UNLEADED ❑3. DIESEL ❑6. AVIATION FUEL <br /> ❑2. NON-FUEL PETROLEUM ❑ 1c. MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER <br /> ❑3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS#(from Hazardous Materials Inventory page) 442 <br /> ❑4. HAZARDOUS WASTE GASOLINE 8006-61-9 <br /> (Includes Used Oil) <br /> ❑95.UNKNOWN <br /> III. TANK CONSTRUCTION <br /> TYPE OF TANK [11. SINGLE WALL ❑3.SINGLE WALL WITH ❑5. SINGLE WALL WITH INTERNAL BLADDER 443 <br /> SYSTEM <br /> (Check one item only) EXTERIOR MEMBRANE LINER ❑95. UNKNOWN <br /> ®2, DOUBLE WALL ❑4. SIGNLE WALL IN VAULT [:199. OTHER <br /> TANK MATERIAL-primary tank [11. BARE STEEL ®3. FIBERGLASS/PLASTIC ❑5. CONCRETE ❑95. UNKNOWN 444 <br /> (Check one item only) ❑2. STAINLESS STEEL E]4. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE W/ ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) 100%METHANOL <br /> TANK MATERIAL-secondary tank Ell. BARE STEEL ®3. FIBERGLASS/PLASTIC ❑5. CONCRETE ❑95. 445 <br /> UNKNOWN <br /> (Check one item only) ❑2. STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑B. FRP COMPATIBLE ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) W/100%METHANOL <br /> ❑5. CONCRETE ❑10.COATED STEEL <br /> TANK INTERIOR LINING ❑1.RUBBER LINED ❑3.EPDXY LINING ❑5.GLASS LINING ❑95. DATE INSTALLED 447 <br /> UNKNOWN 446 <br /> OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ISI 6 UNLINED ❑99 OTHER <br /> (Check one item only) (For local use only) <br /> OTHER CORROSION ❑ 1 MANUFACTURED CATHODIC❑3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 448 DATE INSTALLED 449 <br /> PROTECTION IF APPLICABLE PROTECTION ❑4 IMPRESSED CURRENT ❑99 OTHER <br /> (Check one item only) ❑2 SACRIFICIAL ANODE (For local use only) <br /> SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 <br /> (Check all ®1 SPILL CONTAINMENT 1984 <br /> that apply) ® 1 ALARM ❑3 FILL TUBE SHUT OFF VALVE <br /> ®2 DROP TUBE 1984 ISI 2 BALL FLOAT ❑4 EXEMPT <br /> ®3 STRIKER PLATE 1984 <br /> IV.TANK LEAK DETECTION(A description of the monitoring program shall be submitted to the local agency.) <br /> IF SINGLE WALL TANK(Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 <br /> (Check one item only) <br /> ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) ❑1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ®2 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING <br /> ❑4 STATISTICAL INVENTORY RECONCILIATION ❑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 456 TANK FILLED WITH INERT MATERIAL? 457 <br /> REMAINING <br /> gallons ❑Yes ❑ No <br />
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