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s IED PROGRAM CONSOLIDATED F _F TANKS UNDERGROUND STORAGE TANKS-TANK PAG S�, o (two pages per tank) -L Page_of TYPE OF ACTION ❑1.NEW STTE PERMIT 04. AMENDED PERMIT ❑5.CHANGE OF INFORMATION) 06.TEMPORARY SITE CLOSURE (Check one item only) [17. PERMANENTLY CLOSED ON SITE ❑3. RENEWAL PERMIT [18.TANK REMOVED 430 (Sped reason-for local use only) (Specify change-for local use only) BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 1 FACILITY ID# 1 ConocoPhillips, Site#255417/5417 LOCATION WITHIN SITE(Optional) 431 I.TANK DESCRIPTION (A scaledplotplan 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 6 MWC If❑Yes O,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 II.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® 1.MOTOR VEHICLE FUEL ❑1. REGULAR UNLEADED ❑ 2. LEADED ❑ S.JET FUEL (Ijmarked,complete Petroleum T)pe) ®Ib.PREMIUM UNLEADED ❑ 3. DIESEL ❑ 2.NON-FUEL PETROLEUM 6. AVIATION FUEL ❑ ❑Ic.MIDGRADE UNLEADED ❑ 4. GASOHOL ❑99.OTHER_ 3. CHEMICAL PRODUCT ❑ 4.HAZARDOUS WASTE(Includes COMMON NAME(from Hazardous Materials Inventorypage) 441 CAS#(from Hazardous Materials Inventory page) 442 Used Oil) ❑95.XERXES III.TANK CONSTRUCTION TYPE OF TANK ❑I. 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 IN A VAULT ❑99.OTHER TANK MATERIA.-primary tank ®1.BARE STEEL [13. 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 TANK MATERIAL-secondary teak ❑1.BARE STEEL ❑3.FIBERGLASS/PLASTIC ❑8.FRP COMPATIBLE W/100%METHANOL E:195.XERXES 445 (Check one item only) ❑2• STAINLESS STEEL 04. STEEL CLAD W/FIBERGLASS ❑9.FRP NON-CORRODIBLE JACKET ❑99.OTHER REINFORCED PLASTIC(FRP) ❑10. COATED STEEL ❑5. CONCRETE TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑3.EPDXY LINING ❑5. GLASS LINING ❑95. XERXES 446 DATE INSTALLED 447 OR COATING ❑2. ALKYD LINING ❑4. PHENOLIC LINING 06. UNLINED ❑99. OTHER Check one item only) For local use only) OTHER CORROSION ❑1. MANUFACTURED ®3. FIBERGLASS REINFORCED PLASTIC ❑95.XERXES 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE CATHODIC [:]4. IMPRESSED CURRENT [199.OTHER PROTECTION (Check one item only) (For local use only) [12. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(For local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check all that apply) 01. SPILL CONTAINMENT 1998 ❑1.ALARM 03. FILL TUBE SHUT OFF VALVE 1998 02. DROP TUBE 1998 02.BALL FLOAT ❑4. EXEMPT 03. STRIKER PLATE 1987 IV. TANK LEAK DETECTION (A description ojthe monitoringprogmm shall be submitted to the local agency.) IF SINGLE WALL TANK(Check all that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER(Check one item only): 454 ❑1, VISUAL(EXPOSED PORTION ONLY) ❑5. 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 ❑4. STATISTICAL INVENTORY RECONCILIATION(SIR)+ 08. 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