COMPLIANCE INFO_1986-2002 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDAYED FOR. TAK UNDERGROUND STORAGE TANKS-TANK PAGE 1 gv�_ (two pages � "� FF -- Pape - of _ C3 5.CHANGE OF INFORMATION) ❑ S.TEMPORARY SITE CLOSURE ❑1.NEW SITE PERMIT [34.AMENDED PERMIT ❑ 7.PERMANENTLY CLOSED ON SITE TYPE OF ACTION change•forlowl (Check One item Only) use only) ❑ a.TANK REMOVED 430 �/RENEWAL PERMIT (Specie/ 1 LI!7 3. (Specify Beason-forloeal use o^ly) , FACILITY ID% � BUSINESS NAME(Same as FACILITY NAME or DBA•Do.n9 Buimess As) P,,91 C, /"/G I'a / 431 LOCATION WITHIN SITE(OP60flap 1.TANK DESCRIPTION COMPARTMENTALIZED TANK Yes ❑ No TANK MANUFACTURER It Yas',complete one page for each compartment. TANK 10 a p 7 s j C /�•�!/(i/� � NUMBER Of COMPARTMENTS TANK CAPACITY IN GALLONS DATE INSTALLED(YEARIMO) 6r- ADD ITI�� IPTION(For local use only) 11.TANX CONTENTS TANK USE 432 PETROLEUM TYPE ❑ 2 LEADED ❑ 5. JET FUEL � ❑la. REGULAR UNLEADED S. AVIATION FUEL 00,1 ,1 MOTOR VEHICLE FUEL ❑ 3. DIESEL (Ir marked.complete PeUoleum Type) �.(s PREMIUM UNLEADED [34.GASOHOL C]99.OTHER ❑ 2. NON-FUEL PETROLEUM ❑1e MIOGRADE UNLEADED CASK(from Hazardous Materials towage) ❑ 3. CHEMICAL PRODUCT COMMON NAME(from Hazardous Materials Inventory page) ❑ 4.HAZARDOUS WASTE(1-ludes - Used Dip 111.TANK CONSTRUCTION ❑ ]. SINGLE WALL WITH ❑ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM TYPE OF TANK ❑/1. SINGLE WALL. EXTERIOR MEMBRANE LINER ❑95. UNKNOWN �J 2. DOUBLE WALL (] 4. SINGLE WALL IN A VAULT ❑99. OTHER (Check One dam only) ❑95. UNKNOWN ❑ 3. FIBERGLASS I PLASTIC ❑ 5. CONCRETE ❑99, OTHER________-- TANK MATERIAL•primary tank ❑ 1 BARE STEEL !7 4_ STEEL CLAD W/ ❑ 8 FRP COMPATIBLE WIIC0%METHANOL ❑ STAINLESS STEEL FIBERG aP5 (Check one item only) 2. SREINFORCED PLASTIC( [395. UNKNOWN ❑ 3. FIBERGLASS f PLASTIC ❑ B. FRP COMPATIBLE WI100'S METHANOL ❑99 OTHER___•______-•-- TANK MATERIAL-secondary tank C] / BARE STEEL �� 9, FRP NOWCORROOIBLE JACKET 2. {a +.!STEEL CLAD WIFIBERGLASS ❑ STAINLESS STEEL C1(Check one item only) REINFORCED PLASTIC(FRP) []10 COATED STEEL ❑ 5. CONCRETE DATE INSTALLED ❑ 3. EPDXY LINING ❑ 5. GLASS LINING ❑95. UNKNOWN433 TANK INTERIOR LINING 0 1. RUBBER LINED ❑ 6 UNLINED ❑99.OTHER- (For loco l use only) OR COATING 0 2. ALKYD LINING ❑ 4. PHENOLIC LINING DATE INSTALLED (Check one item o ) ❑ 3, FIBERGLASS REINFORCED PLASTIC ❑95. UNKNOWN 434 OTHER CORROSION 0 J.MANUFACTURED CATHODIC ❑99. OTHER (For loco l use only) PROTECTION IF APPLICABLE PROTECTION ❑ 4.IMPRESSED CURRENT (Check one item only) C12. SACRIFICIAL ANODE TYPE(For local use only) OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED /Q' YEARINSTALLED SPILL AND OVERFILL d 1,ALARM ❑ 3. FILL TUBE SHUT OFF VALVE (Check as that apply) ❑ 1. SPILL CONTAINMENT [3 4. EXEMPT ❑ 2. BALL FLOAT , ❑ 2. DROP TUBE --- ❑ 3. STRIKER PLATE N.TANK LEAK DETECTION IF DOUBLE WALL TANK OR INK WITH BlADOER'Check one item ortl): IF SINGLE WALL TANK heck ey that a ): S. MANUAL TANK GAUGING(MTC) ❑ 1. VISUAL(SINGLE WALL IN VAULT ONLY) . ❑ �,/ ❑ /, VISUAL(EXPOSED PORTION ONLY) (d 2. CONTINUOUS INTERSTITIAL MONITORING ❑ 6. VADOSE ZONE [] 3. MANUAL MONITORING ❑ 2. AUTOMATIC TANK GAUGING(ATG) ❑ 7 GROUNDWATER ❑ 3. CONTINUOUS ATG 08 TANK TESTING ❑ 4. STATISTICAL INVENTORY RECONCILIATION(SIR) ❑99 OTHER BIENNIAL TANK TESTING V.TANK CLOSURE INFORMATION!PERMANENT CLOSURE IN PLACEUTANK FILLED WITH INERT MATERIAL? ESTIMATED QUANTITY OF SUBSTANCE REMAINING ❑No ESTIMATED DATE LAST USED(YR�AO�AY) gallons ❑Yes Formerly SWRCB' CUPAFORM(4199)