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9 0 <br /> mmommmmonsoomm <br /> UNMED PROGRAM CONSOLIDATEDFORM <br /> TANKS <br /> (I pa ) <br /> NDERGROUND STORAGE TANKS-TANK PAGE I eIof4 <br /> TYPE OF ACTION ❑I ' S P IT 4 AMENDED PERMIT s CHANGE OF INFORMATION 11 b Y SITE CLO <br /> MM <br /> ( ew assn off) 7 PERMANENTLY CLOSED ON SITE <br /> 13 3 WALP IT tS '� -�* } ( iy - ux lrf s TANK REMOVED 43Q <br /> BUSINESS NAME(Sawas PACT AB FACILITY ID: 4 a s � 0 1 (? 1 U <br /> Chevron Station##209167 <br /> LOCATION WITHIN SITE(00=0 <br /> 43I <br /> 1.TANK DESCRIMON (A scaW plat plan with the location of the UST system including buildings and Ilindmarlm shall be submitted to lk local agency.) <br /> TANK ID A 432 T_rJANUFA ass COMPARTMENTALIZED TANK Yes o 434 <br /> DA—INSTALLED(Y O) 63S TANK CAPACITYGALLONS NUMBER F COMPARTMENTS437 <br /> 7/2512000 20000 0 <br /> 43s <br /> ADDITIONAL DESCRIPTION( ) <br /> 1234 Yosernite,Mantwa95336 <br /> 14TANK C <br /> T E 439 P E 44O <br /> I. MOTOR V011CLE FUEL a is. 2. LEADED E3 S. JET FUEL <br /> (It TE3 lb PREMIUM UNLEADED C3 3. Dwa 0 6. AVIATION <br /> 13 2.N EL MrrROLEUM E3 Ie. MMRADEUNLEADED E3 GASOHOL rLI".Orm— <br /> [3 <br /> I ( I ' 442 <br /> 3.CHEMICAL COMMON ( ) <br /> 9. HAZARDOUSW E <br /> GU -6i-9 <br /> 95.UNKNOWN <br /> L TAANK UCTION <br /> T I.S W 3. WALL WITH S. W A 3 <br /> TYPROP( ) ExTmoRmoeRANEuNER 95. UNKNOWN <br /> Ig a. DOUBLE W 4. SINGLEWALLIN VAULT OTHER <br /> T AMA AL- 1- 3. (3 S/P S. 95. <br /> t0ccliawhangsly} 4. STIFELCLADWME00LASS 08.FRPCOMPATIBLEW/I09%MM%4NOL13"-OTHER <br /> REINFORCEDC <br /> T MAT t_ 03. FIBIMLASSIP S. CONCRETE95. UNKNOWN44 <br /> ? D 2,STADd=MUL E34.STfiBLCLADWMBM0IASSA W11 L 1399-OTHER <br /> RMNPORCRDPLASTIC(FRP) DIO.CDATEDSTEEL <br /> 5.coNmm <br /> T I.—RUBBER LINB <br /> COATINGOR 3 ALKYD LINING 13 4 PHENOLIC LRfM 99 6 UNLINED 13 99 OTHER <br /> } <br /> OTHER CORROSION <br /> } <br /> 4a8 <br /> 131MANWACTUREDCATHODIC 993FIBBROLASSRHINFORCEDPLASTIC E3 93 UNXNOWN <br /> PROTECTION IF APPLICABLE PROTECTION E3 4 IMPRESSIED CURRENT 13 99 OTHER <br /> ( } ❑2 SACRIFICIAL DE <br /> SPILL D t) LL A D 4 E( eeb } 451 OV ILL PROTECTION BQ RBST 452 <br /> 3 FILL TUBE SHUT OFF VALVE <br /> t as, I OtSPILLCONTAINMENT ja5a_000 0 I ALARM OPW 61-59A <br /> 2 DROP TUBE 712 QEW_LIA04 E3 z SALL FLOAT 0 a <br /> EXEMPT <br /> 3 STRUCER PLATE Tankf <br /> .T K LEAK DETECTION(A 0 ft ) <br /> IF SINGLE WALL TANK( } 4$3 IF I.E WALL TANK OR TANK WITH 8 ffiER 4 <br /> ( hcm ) <br /> 13 1 VISUAL(EXPOSED PORTION Y) 5 MANUAL TANK QAIJOING( TG) 13 I VISUAL(3 LE WALL IN VAULT ONLY) <br /> 13 z AUTOMATIC TANK GAUGING(ATG) El 6 VADOSE ZONE 0 2 CONTINUOUS INTERSTITIAL MONITORING <br /> 3 CONTINUOUS ATG 0 7 GROUNDWATER 3 MANUAL MONITORING <br /> 4 STATISTICAL INVENTORY RECONCILIATION8 TANK TESTING <br /> (SIR) BIENNIAL TANK TESTING 0 99 OTHER <br /> .TANK CLOSUREINFORMATION!PER~ENT CLOSURE IN PLACE <br /> ESTIMATEDDATE T USED AY) <br /> 453ESTIMATED QUANTITY OF SUBSTANCE ING ass TANK FILLED WITH INERT A AL3 437 <br /> gallons Yes 13 No <br /> UPCF(1 revised) 173 Fomwrly SWRCB Form B <br />