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Aft 19911& RA U FIED PROGRAM CONSOLIDATED FO TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 1 (two pages per tank) Page of TYPE OF ACTION ❑I. NEW SITE PERMIT ❑4. AMENDED PERMIT ®5. CHANGE OF INFORMATION) ❑6. TEMPORARY SITE CLOSURE (Check one item only) ❑7. PERMANENTLY CLOSED ON SITE ❑3. RENEWAL PERMIT [:18. TANK REMOVED 430 (Specify reason-for local use only) (Specify change-for local use only) BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 1 FACILITY ID# r, r 1 Tosco Corporation#255886/5886/31010 LOCATION WITHIN SITE(Optional) 431 I.TANK DESCRIPTION (A scaled plot plan with the location ojthe UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# 432 TANK MANUFJACTUI R 433 COMPARTMENTALIZED TANK ❑ Yes No 434 t ' � 00 P_-' If❑ O Yes ,complete one page for each com rtment. DATE INSTALLED( Y{A��R/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 V i�ITl 0 I ADDITIONAL DESCRIPTION(For local use only) 438 II.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 I MOTOR VEHICLE FUEL . REGULAR UNLEADED C:12. LEADED ❑ 5. JET FUEL (Ijmarked complete Petroleum Type) ❑Ib. PREMIUM UNLEADED ❑ 3. DIESEL ❑ 6. AVIATION FUEL ❑ 2. NON-FUEL PETROLEUM ❑I.. MIDGRADE UNLEADED ❑ 4. GASOHOL ❑99. OTHER ❑3. CHEMICAL PRODUCT ❑ 4. HAZARDOUS WASTE(Includes COMMON NAME(from Hazardous Materials Inventory page) 441 CAS#(Prom Hazardous Materials Inventory page) 442 Used Oil) ❑95. XERXES III.TANK CONSTRUCTION TYPE OF TANK ❑1. SINGLE WALL ❑ 3. SINGLE WALL WITH ❑ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) 2. DOUBLE WALL EXTERIOR MEMBRANE LINER [_]95. XERXES ❑ 4. SINGLE WALL IN A VAULT ❑99. OTHER TANK MATERIAL-primary tank BARE STEEL ❑3. FIBERGLASS/PLASTIC ❑5. CONCRETE ❑95. XERXES 444 (Check one item only) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE W/100%METHANOL ❑99. OTHER REINFORCED PLASTIC FRP TANK MATERIAL-secondary tank [:]I BARE STEEL [13. FIBERGLASS/PLASTIC [:]8. FRP COMPATIBLE W/100%METHANOL ❑95. XERXES 445 (Check one item only) ❑2. STAINLESS STEELSTEEL CLAD W/FIBERGLASS [19. FRP NON-CORRODIBLE JACKET ❑99. OTHER TINFORCED PLASTIC(FRP) E110. COATED STEEL ❑5. CONCRETE TANK INTERIOR LINING ❑ 1. RUBBER LINED ❑3. EPDXY LINING ❑5. GLASS LINING 95. XERXES 446 DATE INSTALLED 447 OR COATING 02. ALKYD LINING ❑4. PHENOLIC LINING UNLINED ❑99. OTHER Check one item on! For local use on/ OTHER CORROSION 1:11. MANUFACTURED FIBERGLASS REINFORCED PLASTIC ❑95. XERXES 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE CATHODIC ❑4. IMPRESSED CURRENT ❑99. OTHER PROTECTION (Check one item only) ❑2. SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 450 TYPE(For local use only) 451 OVERFILL PROTECTION E T:YEAR INSTALLED p^' 452 I. SPILL CONTAINMENT� [:11. ALARM FILL TUBE SHUT OFF VALVE ( /`�j (Check all that nPP1Y) DROPTUBE &C ❑2. BALL FLOAT ❑4. EXEMPT STRIKER PLATE IV. TANK LEAK DETECTION (A description ojthe monitoring program shall be submitted to the local agency) IF SINGLE WALL TANK(Check all that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER(Check one item only): 454 ❑1, VISUAL(EXPOSED PORTION ONLY) C]5. MANUAL TANK GAUGING(MTG) VISUAL(SINGLE WALL IN VAULT ONLY) ❑2. AUTOMATIC TANK GAUGING(ATG) ❑6. VADOSE ZONE CONTINUOUS INTERSTITIAL MONITORING ❑3. CONTINUOUS ATG ❑7. GROUNDWATER ❑3. MANUAL MONITORING ❑4. STATISTICAL INVENTORY RECONCILIATION(SIR)+ ❑8. TANK TESTING BIENNIAL TANK TESTING ❑99. OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons _-1 Yes No UPCF(1/99 revised) Formerly SWRCB Form B