COMPLIANCE INFO_1996-2003 - Laserfiche WebLink

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i IED PROGRAM CONSOLIDATED FOR TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 1 (two pages per tank) Page_of- TYPE f_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 SD'E ❑3.RENEWAL PERMIT El 8.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 FACILITY ID# 1 ConocoPhillips, Site#255886/5886 LOCATION WITHIN SITE(Optional) 431 L TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑ Yes ® No 434 1 OOR If OYesO,complete one page for each compartment. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 1995 15,000 0 ADDITIONAL DESCRIPTION(For local use only) 438 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® 1. MOTOR VEHICLE FUEL ®la. REGULAR UNLEADED ❑ 2. LEADED ❑ 5. JET FUEL (Ifmarked,complete Petroleum Type) ❑Ib. PREMIUM UNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ic. MIDGRADE UNLEADED ❑ 4.GASOHOL ❑99. OTHER ❑3. CHEMICAL PRODUCT ❑ 4.HAZARDOUS WASTE(Includes Used Oil) COMMON NAME(from Hazardous Materials Inventorypage) 441 CAS#(from Hazardous Materials Inventorypage) 442 ❑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 [199.OTHER TANK MATERIAL-primary tank ®1.BARE STEEL [33.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 RP TANK MATERIAL-secondary tank [:11. BARE STEEL ❑3.FIBERGLASS/PLASTIC ❑8. FRP COMPATIBLE W/100%METHANOL ❑95.XERXES 445 (Check one item only) ❑2.STAINLESS STEEL ®4. 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 095. XERXES 446 DATE INSTALLED 447 OR COATING ❑2.ALKYD LINING 04. PHENOLIC LINING 06.UNLINED ❑99. OTHER Check one item only) or local use only) OTHER CORROSION ❑I.MANUFACTURED ®3.FIBERGLASS REINFORCED PLASTIC ❑95. XERXES 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE CATHODIC 04.IMPRESSED CURRENT ❑99.OTHER PROTECTION (Check one item only) ❑2. SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(For local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check all that apply) 01. SPILL CONTAINMENT 2002 ❑1.ALARM 03. FILL TUBE SHUT OFF VALVE_1996 ®2. DROPTUBE 1996 El 2. BALL FLOAT El 4. EXEMPT ®3. STRIKER PLATE 1995 IV. TANK LEAK DETECTION(A description of the 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) ❑5. MANUAL TANK GAUGING(MTG) ❑1. VISUAL(SINGLE WALL IN VAULT ONLY) ❑2. AUTOMATIC TANK GAUGING(ATG) ❑6. VADOSE ZONE ®2. CONTINUOUS INTERSTITIAL MONITORING ❑3. CONTINUOUSATG ❑7. GROUNDWATER ❑3. MANUAL MONITORING ❑4. STATISTICAL INVENTORY RECONCILIATION(SIR)+ ❑8. TANKTESTING BIENNIAL TANK TESTING F-199. 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 eallons ❑Yes ❑No UPCF(1/99 revised) Formerly SWRCB Form B