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FIED PROGRAM CONSOLIDATED FO
<br /> TANKS
<br /> UNDERGROUND STORAGE TANKS - TANK PAGE 1
<br /> (two pages per tank)
<br /> Page_of-
<br /> TYPE OF ACTION ❑1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ® 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE
<br /> (Check one item only) ❑ 7 PERMANENTLY CLOSED ON SITE
<br /> ❑ 3 RENEWAL PERMIT (Specify reason-for local use only) (Specify reason-for local use only) ❑ 8 TANK REMOVED 430
<br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) FACILITY ID:
<br /> 3
<br /> LOCATION WITHIN SITE(Optional) 431
<br /> 2701 West March Lane, Stockton, CA 95207
<br /> E TAN t�TtQ� A steed Ic) la11 f � ibo� 14 � e c fdln d of rk 81 �e 5 tt C
<br /> ":.
<br /> TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ® No 434
<br /> 1 DOOR
<br /> If"Yes",complete one page for each compartment.
<br /> DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437
<br /> 01/01/1995 15154
<br /> ADDITIONAL DESCRIPTION(For local use only) 438
<br /> �� � _.� Y,,,,,, ,;_ ,,,, ....c a �£ ,.\\��&/ ,n"a,,�,�J�,'.,„''i'",�i_ „ .....-s iys ;�pp �r„r,✓, �.,, �,,.� /,ai>, eon..... � �F ,. , F£,,,
<br /> iR
<br /> TANK USE 439 PETROLEUM TYPE 440
<br /> ®1. MOTOR VEHICLE FUEL ®1a. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL
<br /> (If marked complete Petroleum Type) ❑1 b. PREMIUM UNLEADED ❑3. DIESEL ❑6. AVIATION FUEL
<br /> ❑2. NON-FUEL PETROLEUM ❑1c. MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER
<br /> ❑3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS#(from Hazardous Materials Inventory page) 442
<br /> [14. HAZARDOUS WASTE
<br /> (Includes Used Oil)
<br /> ❑95.UNKNOWN 77777
<br /> L �* �}if
<br /> $ ". .. L 1 '2\\fi r'9 )` 'y �� c'R'"ONST 4R7 RE
<br /> \�a\\ "'
<br /> K
<br /> TYPE OF TANK ❑1. SINGLE WALL ❑3.SINGLE WALL WITH ❑5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443"
<br /> (Check one item only) EXTERIOR MEMBRANE LINER ❑95. UNKNOWN
<br /> ®2. DOUBLE WALL ❑4. SIGNLE WALL IN VAULT ❑99. OTHER
<br /> TANK MATERIAL-primary tank ®1. BARE STEEL ❑3. FIBERGLASS/PLASTIC ❑5. CONCRETE ❑95. UNKNOWN 444
<br /> (Check one item only) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE W/ ❑99.OTHER
<br /> REINFORCED PLASTIC(FRP) 100%METHANOL
<br /> TANK MATERIAL-secondarytank [11. BARE STEEL ❑3. FIBERGLASS/PLASTIC ❑5. CONCRETE ❑95. UNKNOWN 445
<br /> (Check one item only) ❑2. STAINLESS STEEL ®4.STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE [199.OTHER
<br /> REINFORCED PLASTIC(FRP) W1100%METHANOL
<br /> ❑5. CONCRETE ❑10.COATED STEEL
<br /> TANK INTERIOR LINING [11.RUBBER LINED ❑3.EPDXY LINING ❑5.GLASS LINING ®95.UNKNOWN 446 DATE INSTALLED 447
<br /> OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ❑6 UNLINED ❑99 OTHER
<br /> (Check one item only) (For local use only)
<br /> OTHER CORROSION ❑1 MANUFACTURED CATHODIC❑3 FIBERGLASS REINFORCED PLASTIC ®95 UNKNOWN 448 DATE INSTALLED 449
<br /> PROTECTION IF APPLICABLE PROTECTION ❑4 IMPRESSED CURRENT ❑99 OTHER
<br /> (Check one item only) ❑2 SACRIFICIAL ANODE (For local use only)
<br /> SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452
<br /> (Check all ®1 SPILL CONTAINMENT 2002
<br /> that apply) ❑1 ALARM N 3 FILL TUBE SHUT OFF VALVE
<br /> ®2 DROP TUBE 2002 ❑2 BALL FLOAT ❑4 EXEMPT
<br /> ®3 STRIKER PLATE 1998
<br /> / I ANtCL W
<br /> N8„E ,w :,
<br /> IF SINGLE WALL TANK(Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454
<br /> (Check one item only)
<br /> ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) ❑1 VISUAL(SINGLE WALL IN VAULT ONLY)
<br /> ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ®2 CONTINUOUS INTERSTITIAL MONITORING
<br /> ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING
<br /> ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING
<br /> +(SIR) BIENNIAL TANK TESTING ❑99 OTHER
<br /> jMg� �.,, ..F� ,.. .. F s;:, n 3a/ ,G,,,a .�,\.✓.._ �..� ,:,h \.:a:. s.,q' ,.. Y' <vrr. / oii,"
<br /> 455 ESTIMATED QUANTITY OF SUBSTANCE 456 457
<br /> REMAINING
<br /> ESTIMATED DATE LAST USED(YR/MO/DAY) TANK FILLED WITH INERT MATERIAL?
<br /> gallons ❑Yes ❑ No
<br /> UPCF(1/99 revised) Formerly SWRCB Form B
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