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=_ -----��- PROGMAM CONSOLIDATED FORM -TANKS <br /> UNIFIED <br /> TORAGE TANKS-TANK PAGE <br /> UNDERGROUNDS ("y°pa tank)` r� <br /> Page <br /> ❑ 8. TEMPORARY 517E CLOSURE <br /> ❑ 5.CHANGE OF INFORMATION) T PERMANENTLY CLOSED ON SITE.../ <br /> 4.AMENDED PERMIT ❑ <br /> ❑1.NEW SITE PERMIT ❑ 430 <br /> TYPE OF ACTION ❑ 8. TANK REMOVED <br /> (Speody change•/or Local use only) <br /> '1 <br /> (Check one item onto ❑3 RENEW (Spwdy C) <br /> AL PERMIT reason-for Iota(use oMy) <br /> FACILITY 10 R I�I <br /> mpoing Bue�ness As) ) <br /> BUSINESS NAME(Sae as FACILITY NAME or DBA-� CmL- <br /> G yI 431 <br /> LOCATION WITHIN 517E(0126ona0 , <br /> 1.TANK DESCRIPTION0 yes ❑ No <br /> NK <br /> COMPARTMENTALIZED TAartmenl. <br /> TANK MANUFACTURER it*yes*.complete one page for each come <br /> TANK 10 a / V NUMBER OF COMPA TMENTS <br /> O V TANKCAPACITYIN GALLONS <br /> DATE INSTALED FARR.10) <br /> ADDITIO�LL <br /> DESCRIPTION(r or-(use only) <br /> It.TANK CONTENTS <br /> ❑ 5 JET FUEL <br /> 432 PETROLEUM TYPE ❑ 2 LEADED <br /> TANK USE ❑ 6. AVIATION FUEL <br /> 1a REGULAR UNLEADED ❑ 3 DIESEL ❑99 OTHER <br /> MOTOR VEHICLE FUEL (3 4 GASOHOL <br /> (1!marked,complete petroleum Type) <br /> ❑1b. PREMIUM UNLEADED <br /> ❑ 2. NON•FUEI PETROLEUM <br /> ❑1, M,OGRAOE UNLEADED CAS I(from Hazardous Materials Inventory page <br /> ❑ 3. CHEMICAL PRODUCT COMMON NAME(Imm Hazardous Matenals Inventory page) <br /> ❑ 4. HAZARDOUS WASTE(Includes <br /> Used Orq <br /> IIt.TANK CONSTRUC71)N <br /> ❑ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM <br /> ❑ 3. SINGLEWALLWTH ❑95. UNKNOWN <br /> TYPE OF TANK ❑ 1. SINGLE WALL EXTERIOR MEMBRANE LINER <br /> P--2 DOUBLE WALL ❑ 4. SINGLE WALL IN A VAULT ❑99. OTHER ❑95. UNKNOWN <br /> (Check ane item only) <br /> ❑ 3. FIBERGLASS I PLASTIC ❑ 5. CONCRETE ❑99. OTHERS---- <br /> TANK MATERIAL-primary tank ❑ 1. BARE STEEL (;.,-STEEL CLAD W/FIBERGLASS C1 a. FRP COMPATIBLE W11C0-11 METHANOL <br /> ❑ 2. STAINLESS STEEL REINFORCED PLASTIC IFRP) ❑95. UNKNOWN <br /> (Check one dem only) ❑ 8. FRP COMPATIBLE W1100%METHANOL C399 OTHER--� <br /> . C3 3. FIBERGLASS I PLASTIC <br /> TANK MATERIAL•secondary tank STEEL CLAD W/FIBERGLASS ❑ 9. FRP NON-CORRODIBLE JACKET <br /> ❑ 1BARE STEEL <br /> REINFORCED PLASTIC(FRP) ❑10 COATED STEEL <br /> (Check one item only) ❑ 2. STAINLESS STEEL pg7E INSTALLED <br /> 1:15. CONCRETE <br /> ❑ 5. GLASS LINING ❑95. UNKNOWN433 <br /> C33, EPDXY LINING [16 UNLINED ❑99. OTHER (Forloca <br /> INTERIOR LINING ❑ 1. RUBBER LINED LIC LINING DATE INSTALLED <br /> TANK IN ❑ 4. PHENOLIC <br /> OR COATING ❑ 2, ALKYD LINING a34 <br /> ❑95. UNKNOWN <br /> (Check one item on ) 3. FIBERGLASS REINFORCED PLASTIC (For(Forlocal <br /> OTHER CORROSION ❑ 1. MANUFACTURED CATHODIC ❑ 4 IMPRESSED CURRENT ❑99. OTHER <br /> PROTECTION IF APPLICABLE PROTECTION <br /> ❑ 2. SACRIFICIAL ANODE Foflocal use 0MW OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED <br /> (Check one Rem onto YEAR INSTALLED TYPE <br /> tao t ALARM �- ❑ 3. FILL TUBE SHUT OFF VALVE <br /> SPILL AND OVERFILL <br /> ❑ 1. SPILLCONTAINMENT�� la7 ❑ 4. EXEMPT <br /> (Check all that apply) ❑ 2. BALL FLOAT�- <br /> ❑ 2. DROP TUBE <br /> ❑ 3. STRIKER PLATE --- - N TANK LEAK DETECTION <br /> IF DOUBLE WALL TANK OR TANK WITH BLADDER(Check one item on()= <br /> IF SINGLE WALL TANK all that ep )' ❑ 1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> Check ' <br /> ❑ 5. MANUAL TANK GAUGING CONTINUOUS INTERSTITIAL MONITORING <br /> ❑ 1, VISUAL(EXPOSED PORTION ONLY) ❑ 8 VAOOSE ZONE ❑ 3. MANUAL MONITORING <br /> ❑ 2. AUTOMATIC TANK GAUGING(ATG) ❑ T GROUNDWATER <br /> ❑ 3. CONTINUOUS ATG ❑ 8 7ANKTESTING <br /> ❑ 4. STATISTICAL INVENTORY RECONCILIATION(SIR)• ❑99 OTHER <br /> BIENNIAL TANK TESTING <br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE 1 4PLACE <br /> TANK FILLED WITH INERT MATERIAL? <br /> R/MOIDAY) ESTIMATED QUANTITY OF SUBSTANCE REMAINING ❑Yes ❑No <br /> ESTIMATED GATE UST USED � <br /> gallons <br /> .J <br /> Formerly SWRCB f <br /> CUPAFORM(4/99) <br />