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It7 <br />FIED PROGRAM CONSOLIDATED FOFO - <br />TANKS <br />UNDERGROUND STORAGE TANKS - TANK PAGE 1 <br />'/dam (two pages per tank) <br />® 1. MOTOR VEHICLE FUEL <br />❑ 1a. REGULAR UNLEADED <br />[12. LEADED <br />[15. JET FUEL <br />(If marked complete Petroleum Type) <br />® 1 b. PREMIUM UNLEADED <br />❑ 3. DIESEL <br />❑ 6. AVIATION FUEL <br />❑ 2. NON -FUEL PETROLEUM <br />❑ 1c. MIDGRADE UNLEADED <br />❑ 4. GASOHOL <br />[199. OTHER <br />❑ 3. CHEMICAL PRODUCT <br />COMMON NAME (from Hazardous <br />Materials Inventory page) <br />441 <br />CAS# (from Hazardous Materials Inventory page ) <br />❑ 4. HAZARDOUS WASTE <br />REINFORCED PLASTIC (FRP) 100% METHANOL <br />8006-61-9 <br />(Includes Used Oil) <br />❑ 95. UNKNOWN 445 <br />(Check one item only) <br />❑ 2. STAINLESS STEEL ® 4. STEEL CLAD W/FIBERGLASS [18. FRP COMPATIBLE <br />[199. OTHER <br />❑ 95. UNKNOWN <br />REINFORCED PLASTIC (FRP) W/100% METHANOL <br />TYPE OF TANK <br />❑ 1. SINGLE WALL <br />❑ 3. SINGLE WALL WITH [15. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br />(Check one item only) <br />EXTERIOR MEMBRANE LINER ❑ 95. UNKNOWN <br />® 2. DOUBLE WALL <br />[14. SIGNLE WALL IN VAULT [199. OTHER <br />TANK MATERIAL - primary tank ® 1. BARE STEEL <br />❑ 3. FIBERGLASS / PLASTIC ❑ 5. CONCRETE <br />❑ 95. UNKNOWN 444 <br />(Check one item only) <br />❑ 2. STAINLESS STEEL [14. STEEL CLAD W/FIBERGLASS [18. FRP COMPATIBLE W/ <br />[199. OTHER <br />REINFORCED PLASTIC (FRP) 100% METHANOL <br />TANK MATERIAL -secondary tank ❑ 1. BARE STEEL <br />❑ 3. FIBERGLASS / PLASTIC ❑ 5. CONCRETE <br />❑ 95. UNKNOWN 445 <br />(Check one item only) <br />❑ 2. STAINLESS STEEL ® 4. STEEL CLAD W/FIBERGLASS [18. FRP COMPATIBLE <br />[199. OTHER <br />REINFORCED PLASTIC (FRP) W/100% METHANOL <br />[15. CONCRETE [110. COATED STEEL <br />TANK INTERIOR LINING <br />❑ 1. RUBBER LINED <br />❑ 3. EPDXY LINING [15. GLASS LINING [195. UNKNOWN <br />446 DATE INSTALLED 447 <br />OR COATING <br />❑ 2 ALKYD LINING <br />❑ 4 PHENOLIC LINING ® 6 UNLINED ❑ 99 OTHER <br />(Check one item only) <br />(For local use only) <br />OTHER CORROSION ❑ 1 MANUFACTURED CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN <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 />(Check all ® 1 SPILL CONTAINMENT 1995 <br />that apply) ❑ 1 ALARM ID 3 FILL TUBE SHUT OFF VALVE <br />® 2 DROP TUBE 1995 ❑ 2 BALL FLOAT ❑ 4 EXEMPT <br />® 3 STRIKER PLATE 1995 <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) ❑ 1 VISUAL (SINGLE WALL IN VAULT ONLY) <br />❑ 2 AUTOMATIC TANK GAUGING (ATG) ❑ 6 VADOSE ZONE ® 2 CONTINUOUS INTERSTITIAL MONITORING <br />❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER ❑ 3 MANUAL MONITORING <br />❑ 4 STATISTICAL INVENTORY RECONCILIATION ❑ 8 TANK TESTING <br />+ (SIR) BIENNIAL TANK TESTING ❑ 99 OTHER <br />455 ESTIMATED QUANTITY OF SUBSTANCE 456 <br />ESTIMATED DATE LAST USED (YR/MO/DAY) TANK FILLED WITH INERT MATERIAL? <br />REMAINING <br />gallons [-]Yes ❑ No <br />UPCF (1/99 revised) <br />Formerly SWRCB Form B <br />