COMPLIANCE INFO_1988-2002 - Laserfiche WebLink

Home Browse Search

d �$®GRAM CONSOLIDATED F TANKS UNDERGROUND STORAGE TANKS - TANK PAG 1 y /2 OBJ (two pages per tank) Page_of TYPE OF ACTION ❑1 NEW SrrF PERMIT ❑ 4 AMENDED PERMIT , 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (Check one item only) ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT (specify reason-for local use only) (Specify reason-for local use only) 8 TANKREMOVED 430 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business, FACILITY ID: 1 3 _ SBC#ESCLCAI l LOCATION WITHIN SITE(Optional) 431 I.TANK DESCRIPTION (A scaled plot pian with the location ofthe UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes 9 No 434 1 0 Jaor If"Yes",complete one page for each compartment DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 Unknown 500 ADDITIONAL DESCRIPTION(For local use only) 438 H.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ®1.MOTOR VEHICLE FUEL ❑la. REGULARUNLEADED ❑2. LEADED ❑5. JET FUEL (Ifmarked complete Petroleum Type) (I 1b. PREMIUMUNLEADFD ®3. DIESEL 06. AVIATION FUEL ❑2.NON-FUELPETROLEUM ❑lc. MIDGiADEUNLEADED ❑4. GASOHOL ❑99.OTHER [13. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials lnvwtory page) 441 CAS#(from Hazardous Materials Inventory page) 442 ❑4. HAZARDOUS WASTE (Indudes Used Oil) . ❑95.UNKNOWN III. TANK CONSTRUCTION TYPE OF TANK 1. SINGLE WALL 3. SINGLE WALL WITH 0 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) EXTERIOR MEMBRANE LINER ❑95. UNKNOWN ®2. DOUBLE WALL ❑4. SIGNLE WALL IN VAULT ❑99. OTHER TANK MATERIAL-primary tank N 1. BARE STEEL El 3. FIBERGLASS/PLASTIC ❑5. CONCRETE 95.UNKNOWN 444 (Check one item only) ❑2. STAINLESS STEEL 114. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPTIBLE W/l00%METHANOL [199.OTHER REINFORCED PLASTIC(FRP) TANK MATERIAL-secondary tank 1. BARE STEEL 0 3. FIBERGLASS/PLASTIC 5. CONCRETE 0 95. UNKNOWN 445 (Check one item only) ❑2. STAINLESS STEEL 1@4. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPITBLE W/100%METHANOL ❑99.OTHER REINFORCED PLASTIC(FRP) ❑lo.COATED STEEL ❑5. CONCRETE TANK INTERIOR LINING 1.RUBBER LINED 0 3.EPDXY LINING 0 5.GLASS LINING 95.UNKNOWN 446 DATE INSTALLED 447 OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ❑6 UNLINED ❑99 OTHER (Check one itaan only) (For local use only) OTHER CORROSION ❑1 NL NUFACTL PLED CATHODIC ❑3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 448 448 PROTECTION IF APPLICABLE PROTECTION ❑4IIv1PRESSED CURRENT ❑99 OTHER (Check one item only) ❑2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(looal use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check all that apply) ®1 SPILL CONTAINMENT Unk ®1 ALARM Unk ❑3 FILL TUBE SHUT OFF VALVE 0 2 DROP TUBE Unk ❑2 BALL FLOAT ❑4 EXEMPT JR 3 STRIKER PLATE Ua IV.TANK LEAK DETECTION(A description ofthe monitoring program shall be submitted to the local agency-) IF SINGLE WALL TANK(Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item only) ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MIG) ❑1 VISUAL(SINGLE WALL IN VAULT ONLY) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE 0 2 CONTINUOUS INTERSTITIAL MONiTORIPJG ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANKTESTING (SIR) BIENNIAL TANK TESTING ❑99 OTHER IV.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DA LAST USED(YR/MO/DAY) 455 ESTIMATED OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 y Z t, L ` gallons 0 Yes 0 No