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FIED PROGRAM CONSOLIDATED FOR I I� TJ%, 6 UNDERGROUND STORAGE TANKS - TANK avb FA 1 aI 3 GWo Pag aoF7 TYPE OF ACTION ❑ 1 NEW SITE PERMIT E] 4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (Cli k only item only) RENEWAL PERMIT 1 ❑N7 PERMANENTLY CLOSED ON SITE ❑STANK REMOVED BUSINESS NAME(Samem FACILITYN"Em DBA-Wing Bminoo As) FACHATY ID: PR#: I EMIL'S LIQUOR&SPORTS SHOP* FA0000306 PR0231485 LOCATION WITHIN SITE(Dpdarol) 1405 CALIFORNIA ST,ESCALON 431 PHONE I.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including bwldings and landmarks shall be submitted to the local agency.) TANK ID# Tank#: 5 432 TANK MANUFACTURER 4p COMPARTMENTALIZED TANK ❑Yes ❑No 434 TA0506699TRUSCO Be; ^Y ,mwl000nopw mrmm mwatt , DATE INSTALLED(YEAR/MO) 433 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 457 7/31/1997 4,000 ADDITIONAL DESCRIPTION(Foatoml me only) 438 H.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® I.MOTOR VEHICLE FUEL [:] la.REGULAR UNLEADED [:12.LEADED ❑ S.JET FUEL (Ifmadd lne Peememn Type) ❑ Ib.PREMIUM UNLEADED ® 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ Ic MIDGRADE UNLEADED ❑ 4.GASOHOL ❑ 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME fiom Nazardom Materials Imm ( tmypagc) 441 CAS#(6om Hanham Mmmiah lnvmmry page) ❑4.HAZARDOUS WASTE 442 (Inolndm Usod oil) ❑ 95.UNKNOWN HI.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑3.SINGLE WALL WITH El 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 43 (ch one iwn only) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ® 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-prit lank ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 446 (acolc.ekornvnly) ❑ 2.STAINLESS STEEL 29 STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ ".OTHER TANK MATERIAL-secondary tank ❑ I.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 415 (Chak ono item Dory) ❑ 2.STAINLESS STEEL ❑ 4.STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑ 99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ 1.RUBBER LINED OR COATING ❑ 1.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 (Chakaoeitanoaly) ❑ 2ALKYD LINING ❑4PHENOLIC LINING ® 6UNLINED ❑ MOTHER (Fm loml we only) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ®3 FIBERGLASS REINFORCED PLASTIC95 UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION ❑ (Chink ono item only) ❑ 41MPRESSEDCURRENT ❑ 99 OTHER El 25ACRIFICIAL ANODE (Fm teal mcmuy) SPILL AND OVERFILL �• YEAR INSTALLE450 TYPEOI wooly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (CI, h all that apply + ) LI SPILL CONTAINMENT 1,997.00 ❑ ]ALARM FILL TUBE SHUT OFF VAL` LlJ 2 DROP TUBE Xj BALL 4 EXEMPT 3 STRIKER PLATE LOAT W.TANK LEAK DETECTION(A d®mioina ofine nmui M pmaunsnan be sahmbW to d l,vl.amey.) IF SINGLE WALL TANK(C k all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (�.mm only) ❑ 2 AUTOMATIC TANK GAUGING(ATG) [-16 VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8TANK TESTING (SIR)BIENNIAL TANK TESTING F1 99 OTHER E:13 MANUAL MONITORING 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 ®Yes ❑ No UPCF(12/99 revised)