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F FIED PROGRAM CONSOLIDATED FAR TANKS UNDERGROUND STORAGE TANKS-TANK PAGE S 7 rampages per tank) Page_of TYPE OF ACTION ❑1.NEW SITE PERMIT [14.AMENDED PERMIT ❑5. CHANGE OF INFORMATION) [16.TEMPORARY SITE CLOSURE (Check one item only) ❑7. PERMANENTLY CLOSED ON SITE ❑3. RENEWAL PERMIT (Specify reason-for local use only) (Specify change-for local use only) ❑8.TANK REMOVED 430 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 1 FACILITY ID# 1 ConocoPhillips, Site#255417/5417 Ek ?)-7 LOCATION WITHIN SITE(Optional) 431 I.TANK DESCRIPTION (A scaledplotp/an with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑ Yes ® No 434 *,RITw If OYeso,complete one page for each compartment. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 1987 12,000 0 ADDITIONAL DESCRIPTION(For local use only) 438 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® 1.MOTOR VEHICLE FUEL ®1. REGULAR UNLEADED ❑ 2. LEADED ❑ 5. JET FUEL (Ijmarked,complete Petroleum T)pe) ❑lb. PREMIUM UNLEADED ❑ 3. DIESEL ❑ 2.NON-FUEL PETROLEUM ❑ 6. AVIATION FUEL ❑ ❑lc. MIDGRADE UNLEADED ❑ 4. GASOHOL ❑99. OTHER 3. CHEMICAL PRODUCT ❑ 4. HAZARDOUS WASTE(Includes Used Oil) COMMON NAME(from Hazardous Materials Inventorypage) 441 CAS#(from Hazardous Materials Inventorypage) 442 ❑95.XERXES III.TANK CONSTRUCTION TYPE OF TANK ❑1. 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 INA VAULT [199.OTHER TANK MATERIAL-primary tank ®1. BARE STEEL ❑3. FIBERGLASS/PLASTIC ❑5. CONCRETE 095.XERXES 444 (Check one item only) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE W/100%METHANOL ❑99.OTHER REINFORCED PLASTIC FRP TANK MATERIAL-secondary tank [11. BARE STEEL ❑3. 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 [199. OTHER REINFORCED PLASTIC(FRP) ❑10. COATED STEEL ❑5. CONCRETE TANK INTERIOR LINING ❑ 1. RUBBER LINED ❑3.EPDXY LINING 05.GLASS LINING 095.XERXES 446 DATE INSTALLED 447 OR COATING 02. ALKYD LINING ❑4. PHENOLIC LINING 106. UNLINED ❑99. OTHER Check one item onl For local use onl OTHER CORROSION ❑1. MANUFACTURED ®3. FIBERGLASS REINFORCED PLASTIC 095.XERXES 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE CATHODIC [14.PROTECTION 4. IMPRESSED CURRENT 099. OTHER (Check one item only) ❑2, SACRIFICIAL ANODE (For lata!use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(For local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check all that apply) Si. SPILL CONTAINMENT 1998 ❑1. ALARM 03. FILL TUBE SHUT OFF VALVE_1996_ 02. DROP TUBE 1996 02. BALL FLOAT 04. EXEMPT ®3. STRIKER PLATE 1987 IV. TANK LEAK DETECTION (A description of the monitoring program shall be submitted to the local agency.) IF SINGLE WALL TANK(Check all that apply): 453 IF DOUBLE WALL TANK OR TANK WrTH BLADDER(Check one item only): 454 ❑1, VISUAL(EXPOSED PORTION ONLY) 05. MANUAL TANK GAUGING(MTG) ❑1. VISUAL(SINGLE WALL IN VAULT ONLY) ❑2. AUTOMATIC TANK GAUGING(ATG) ❑6. VADOSE ZONE ®2. CONTINUOUS INTERSTITIAL MONITORING ❑3. CONTINUOUS ATG ❑7. GROUNDWATER ❑3. MANUAL MONITORING 04. STATISTICAL INVENTORY RECONCILIATION(SIR)+ ❑8. TANK TESTING BIENNIAL TANK TESTING ❑99. 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 B