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IFIED PROGRAM CONSOLIDATED F / <br /> ��//�/� �`1/I TANKS <br /> E: UNDERGROUND STORAGE TANKS - TANK PAGE ' l C <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: 1 <br /> Tesoro West Coast Company,LLC USA,CCM152 0 Alo <br /> LOCATION WITHIN SITE(Optional) 431 <br /> 1.TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local <br /> agency.) <br /> TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yes No 434 <br /> TRUSCO If*Yes",complete one page for each compartment. <br /> DATE INSTALLED(YEARIMOY 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 <br /> 1998 14,000 <br /> ADDITIONAL DESCRIPTION(For local use only) 438 <br /> II.TANK CONTENTS <br /> TANK USE 439 PETROLEUM TYPE 440 <br /> ®1. MOTOR VEHICLE FUEL ®Is. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL <br /> (if marked complete Petroleum Type) ❑1b. 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 /> ❑4. HAZARDOUS WASTE UNLEADED FUEL 800-61-9 <br /> (Includes Used Oil) <br /> ❑95.UNKNOWN <br /> 111. TANK CONSTRUCTION' <br /> TYPE OF TANK 1. SINGLE WALL 3.SINGLE WALL WITH El 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (Check one item only) EXTERIOR MEMBRANE LIFER ❑95. UNKNOWN <br /> ®2. DOUBLE WALL ❑4. SINGLE WALL IN VAULT ❑99. OTHER <br /> TANK MATERIAL-primary tank ®1. BARE STEEL ❑3. FIBERGLASS/PLASTIC El 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-swndarytank 0 1. BARE STEEL 0 3. FIBERGLASS/PLASTIC El 5. CONCRETE El 95. UNKNOWN 445 <br /> (Check one item only) ❑2. STAINLESS STEEL ®4.STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) W/100%METHANOL <br /> ❑5. CONCRETE ❑10.COATED STEEL <br /> TANK INTERIOR LINING ❑1.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 /> �teckP y) ®1 SPILL CONTAINMENT Z O J <br /> J ❑1 ALARM ®3 FILL TUBE SHUT OFF VALVE UNK <br /> ®2 DROP TUBE %98- 7_CSU 5 ❑2 BALL FLOAT ❑4 EXEMPT <br /> ®3 STRIKER PLATE 1998 <br /> IV.TANK LEAK DETECTION(A description of the monitoring program shag be submitted to the local agency.) <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) 0 1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑2 AUTOMATIC TANK GAUGING(ATG) [:16 VADOSE ZONE ®2 CONTINUOUS INTERSTITIA.MONITORING <br /> ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING <br /> 1:14 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING <br /> +(SIR) BIENNIAL TANK TESTING ❑99 OTHER <br /> IV.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE 456 TANK FILLED WITH INERT MATERIAL? 457 <br /> REMAINING <br /> gallons ❑Yes ❑ No <br /> UPCF(12/99 revised) Formerly SWRCB Form B <br />