COMPLIANCE INFO_1996-2003 - Laserfiche WebLink

Home Browse Search

71 U IFIED PROGRAM CONSOLIDATED FO TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 1 (two 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) El 7. PERMANENTLY CLOSED ON SITE ❑3. RENEWAL PERMIT ❑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 he submitted to the local agency.) TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑ Yes ® No 434 3 ��I C If 0 Yes0,complete one page for each compartment. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 1995 12,000 0 ADDITIONAL DESCRIPTION(Por 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) ❑]b. PREMIUM UNLEADED ® 3. DIESEL ❑ 6.AVIATIONFUEL ❑ 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 Inventory page) 441 CAS#(from Hazardous Materials Inventorypage) 442 ❑95. XERXES III.TANK CONSTRUCTION TYPE OF TANK ❑L 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 ®1.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 RP TANK MATERIAL-secondary tank [11.BARE STEEL [:13.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 ❑95. XERXES 446 DATE INSTALLED 447 ORCOATING ❑2.ALKYD LINING ❑4. PHENOLIC LINING ®6.UNLINED ❑99. OTHER Check one item only) or local use only) OTHER CORROSION ❑1.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 (Por local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(Por local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check all that apply) ®1. SPILL CONTAINMENT 2002 [11.ALARM ®3. FILL TUBE SHUT OFF VALVE 1996 02. DROPTUBE 1996 El 2. BALL FLOAT ❑4. EXEMPT ®3. STRIKER PLATE 1985 N. TANK LEAK DETECTION(A description ofthe monitoring program shaUbe 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 02. CONTINUOUS INTERSTITIAL MONITORING ❑3. CONTINUOUSATG ❑7. GROUNDWATER ❑3. MANUAL MONITORING 04. STATISTICAL INVENTORY RECONCILIATION(SIR)+ ❑8. TANKTESTING BIENNIAL TANK TESTING [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 gallons ❑Yes ❑No UPCF(1/99 revised) Formerly SWRCB Form