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• Nov-13-2002 11:24am From-ARCO PRODUCTS +714-670-3085 T-817 P.002/007 F-536 NIFIEI)PROGRAM CONSOLIDATED FC Aw, TANKS ?1� UNDERGROUND STORAGE TANKS- TANK PAGE 1 (Two pages per iank) _ Page 1 of 2 r'YPE OF ACTION ❑ 1.NEW PF.RMIT ❑ 4.A.M!;NDED PERMIT^ 5,CH,�11Gg,>F]NFORMATIO. ❑ E,TEMPORARY TANK CL,05JRE 430 (Chuk one item only) ❑ 3.RENEWAL PERMIT _ _sysssm modiffia.tion._ ❑ `.PBRMANBNTL Y CLOSED ON SITE (Spdciry teopwD) (Spw'fy(theun) ❑ 8.7Y.NK R.EMOV(=0 BUSINESS'NAiLlir(Satoe..PACWTY NAA•C3 Cr DBA-Doing Bus,nes:As)33 I FACILITYI�- I ^�-- ARCO 6080 I I Ll1CATIUN WITHIN S9"r (Optiotulq _ 431. L TANK DESCX Tlor (A scalod plot.plarl wit!]The loeatior of ThR C'ST s StCM iocludirt. buil4in0i and!andmartcs shall be subtpincd To the local agency.) TANK ID is 43" TANK M ANUFACITURER C * ❑Yes COMPARTMENTALIZED TANK 41 4 #I-Un1. 1 O WENS CORNING It"Yds,"carrp!ete one Paye for eleh eOmq,rtment ATE INSTALLED 435 TANK CAPAC:JTY iN CALLONiS 42 Nt;MBs R QF C OAI?ARI;till VTS (YEAR/MO) a3, 4ADDITIONAL. � 4�I�a _ 112,400 DESCRIPTION;For lace!use onivj 436. 111. TANK CONTENTS --- TALK USE 439. PET .UUM TYPE - 1. MOTOR VEHICLE FUEL ® 1a. REGULAR UNLEADED <4a. 11f checked,en,nplCle Petroleum Type) 1. n ❑2, LEADED ❑S. ,ICT FUEL � f� 10. PREM]L:A I;NI,EADED ❑3. DIESEL ❑6. AV1AT)ON GAS ❑ 2. NON-FUELP£TROLEUM ❑ 1c. MIDCRAkDP,UNLEADFF) 1:14. GASOHOL [199.OT1.1ER C] 3. CHE\d1CAL PRODUCT COMMONNAMr (tran:14?4rdou PAaterinit In•.s story pogo) �-�'41 CA3>Y(Korn Hanrdous.M4w,4le Inventory page) 44 2. ❑ 4. HAZARDOUSYCASTL Gasoline (lneh:ae:.Vogul Oi;) 8006-61-9 ❑ 95.UNKNOWN i 111.TANK CONSTRUCTION ��_ TYPE OF TANK ❑1. SINCLI3 WALL 3. SINGLE'WALL WITH EXTERIOR-1 5 SINGLE WALL W]T It 119N AL BLADDER SYSTEM 443.(Check one stern Only) MBINUMANE LINER 13 95. UNKNOWN ®'• DOUBLE WALL Q 4 SINGLR'FALL INA VAULT I 99. 07 HER I TANK MATERIAL-primarytank 1. B.•>R.E STEEL R9?. FIB ERGLASS i PLASTIC 3. CONCRETE ❑ S.UNKNOWN4. q<4. (Check one item cnly) ❑2. STAWLE-SS STEEL ❑4. STEEL-CLAD WIFIBERC,LASS :3 B FRP COM?ATIBLE ❑99 OTHER' RF]NFORCEU PLASTIC(FRP W1I00 o WET!1ANOL 7ANKMATERIAL -wcondarymo,.k I BAREST L N3 FIEERGLASS;FLIC F ASTRPCOMPTIBI.E ;LOQ/NIETHAI;O- ❑9).UIvKNOWN 445. (Chick ane itatn only) ❑2. STAINLESS STEEL[:14. STEEL CLAD W/FIBERGLASS ❑ FAP NON-CCRROD.ARLE JACKET ❑99.OTHER RhTNFORCED PLASTIC(FRP) ❑ 0 CO.ATFD STEEL 5. CONCRLTE _ TANK A'TERIOR L;NINCY 1.RUBBER LINED ❑3.EPDXY I,1Nf.VG 5.CLASS 1_TNfl G -� -I OR COATING 95.[TTKI.OWN 4ae, DA=111TALLE_)34�1 I ❑2.?.LKvp LINING ❑4.PHENOLIC LJ'vIi\-G 6 t;]oL;NED ❑99.OTHER iL_(Cl)eCk O"(64M 0111Y) CTHER t,ORRUSIOnT ❑1.h A TLIRBD CATH011IC ❑3.F1133iRGLASS RE1vFOF.CED PL .STIC ;'S,ul, NOWN aa6 DATEINSTALLED aa9. ! PZOTECTION PROTECTION E3 4.IMPRES$L•D CL RENT ❑99.OT'IiER _I �1f_Aj.�h.cnblc) 2.SACRIFICIAL ANODE - - 5?ILL!NDOVLRFILI YEARINSTALLLD4io. 'TYPE Oat 1 GVERe.11.I,PR.O7ECTIONFptIYM�Nr 'iE.aR[NSTALLED 45.. (Chock all chat apply) ®1.SPILL CONTAI\MENT 1 1.ALARM 0 3,FILL TLBV 31IUT OFF VALVE M 2.DROP TUBE 1984 �_ BALL FLOAT _ ❑4.EXr•MPT 8 3.STRfKr-R'LATE 1984 ^- Jv.TANK LEAK:DETECTION (A dosui boli Of the M0110r;ng progralu Shall be subroin A to Jhc local agency,) 1 IP 51IVGLE WALL TANK 7411 ,E, DOUBLE- WALL TANTK OR TA'VK WI']'H BLMI7ER 454 (Cluck*11 that apply] heck one imin only)1. VISUAL(EXYOSEA PORTION ONLY) f,.,J' 5.NIANLAL";'ANI:GAUCAVG(VII I.VIaUAL(5)NOLE WALL tN VAULT ONLY) AUTOMATIC TANK GAUGING(ATG) ❑6.VADOSE ZONE ;2.CONTINUOUS NTERSTI)'I/, MONITORING C 3, CONTINUOUS A'I"G ❑7 GRCtINL)WATER j [t 3.MANUAL MONITORING ❑4. S1 ATISTICALfNVENTORYRECONCIMAT1ON ❑8,TANK TESTING I (SIR),-BIENNIAL TANK'fLSTING ❑99 OTHER �- V.TANK CLOSURE INFORMATI'O.N I PERMANE KT CLOSURE IN PLACE ESTIMATED DATF LASTUSED(YRWOMAY) 41, L-STIMATEL)QUANTITY OP SUBSTANCL•'RCAI AININC 45e T.AN.0 PILLED W]Tti INERT MATERIAL? 457 �. oallons _ ❑Ym U No UPCF hwiWrC-b(119)-114 htrp;!lwww.unidnoS.Org Rev.02!16/00