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Aft Allk Mr 1W UNIFIED PROGRAM CONSOLIDATED FORM TANKS • UNDERGROUND STORAGE TANKS-TANK PAGE 1 (taro pages per tank) Page of TYPE OF ACTION ❑1. 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 (Specify reason-for Iotal use only) (Specify change-for local use only) [18. TANK REMOVED 430 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 FACILITY ID# _ TF Tosco Corporation#255886/5886/31010 LOCATION WITHIHIN/SSITE(Optional) 431 ()V `5` ` I.TANK DESCRIPTION (A scaled plat plan with the location ojthe UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# I 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑ Yes No 434 f �j Lr n A 1V/f ( �L-�, If I7Yes ,complete one page for each comp m DATE INSTALLE (YEAR/"`/MOO) 435 TANK CAPACITY ININ+GALLONS 436 NUMBER OF COMPARTMENTS 437 q5 000 ADDITIONAL DESCRIPTION(For local use only) 438 II.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 I. MOTOR VEHICLE FUEL ❑la. REGULAR UNLEADED ❑ 2. LEADED ❑ 5. JET FUEL (Ij ked,complete Petroleum Type) ❑lb. PREMIUM UNLEADED3. DIESEL ❑ 6 AVIATION FUEL ❑ 2. NON-FUEL PETROLEUM ❑lc. MIDGRADE UNLEADED [:] 4. GASOHOL ❑99. OTHER ❑3. CHEMICAL PRODUCT ❑ 4. HAZARDOUS WASTE(Includes COMMON NAME(from Hazardous Materials Inventory page) 441 CAS#(from Hazardous Materials Inventory page) 442 Used Oil) ❑95. XERXES III.TANK CONSTRUCTION TYPE OF TANK ❑11. SINGLE WALL ❑ 3. SINGLE WALL WITH E] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 � (Check one item only) W� 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 08. FRP COMPATIBLE W/100%METHANOL ❑99. OTHER REINFORCED PLASTIC FRP TANK MATERIAL-secondary tank ❑1 BARE STEEL ❑3. FIBERGLASS/PLASTIC ❑8. FRP COMPATIBLE W/100%METHANOL ❑95. XERXES 445 (Check one item only) ❑1 STAINLESS STEEL -fa-( STEEL CLAD W/FIBERGLASS ❑9. FRP NON-CORRODIBLE JACKET ❑99. OTHER REINFORCED PLASTIC(FRP) [:]10. COATED STEEL ❑5. CONCRETE TANK INTERIOR LINING ❑ 1. RUBBER LINED ❑3. EPDXY LINING ❑5 GLASS LINING ❑95. XERXES 446 DATE INSTALLED 447 OR COATING ❑2. ALKYD LINING ❑4. PHENOLIC LINING �(j UNLINED ❑99. OTHER Check one item only) For local use only) OTHER CORROSION ❑1. MANUFACTURED FIBERGLASS REINFORCED PLASTIC ❑95. XERXES 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE CATHODIC [:14. IMPRESSED CURRENT [:]99, OTHER PROTECTION (Check one item only) 02. SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(For local use only) 451 OVERFILL PROTECTION EQUIPMENT.YEAR INSTALLED C 452 (Check all that apply) SPILL CONTAINMENT� ❑1. ALARM FILL TUBE SHUT OFF VALVE _/Q 7 7Qv DROPTUBE i ❑2. BALL FLOAT 4 EXEMPT 3. 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 [-]I, VISUAL(EXPOSED PORTION ONLY) ❑5. MANUAL TANK GAUGING(MTG) 1. VISUAL(SINGLE WALL IN VAULT ONLY) ❑2. AUTOMATIC TANK GAUGING(ATG) ❑6. VADOSE ZONECONTINUOUS INTERSTITIAL MONITORING ❑3. CONTINUOUS ATG F]7. GROUNDWATER 3. MANUAL MONITORING ❑4. STATISTICAL INVENTORY RECONCILIATION(SIR)+ ❑8. TANKTESTING 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 _.Yes :No UPCF(1/99 revised) Formerly SWRCB Form B