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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0521942
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BILLING_PRE 2019
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Last modified
8/15/2022 1:01:27 PM
Creation date
11/2/2018 7:59:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0521942
PE
2371
FACILITY_ID
FA0014921
FACILITY_NAME
RANCHO SAN MIGUEL MARKET*
STREET_NUMBER
1427
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
16902016
CURRENT_STATUS
01
SITE_LOCATION
1427 S AIRPORT WAY
P_LOCATION
02
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\A\AIRPORT\1427\PR0521942\BILLING 2008-2015.PDF
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EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FORM v <br /> TANKS Tank #2 <br /> UNDERGROUND STORAGE TANKS- TANK PAGE 1 <br /> (Two pages per tank) <br /> Page of <br /> TYPE OF ACTION [7,1.NEW PERMIT ❑ 4.AMENDED PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY TANK CLOSURE 430. <br /> (Check..aemonly) ❑ 3.RENEWAL PERM IT ❑ 7.PERMANENTLY CLOSED ON SITE <br /> (Specify redo-) (specify censer) ❑ S.TANK REMOVED <br /> I. <br /> BUSINESS NAME(Smre ns FACILITY NAME rr DBA-Using auaineu As) 3. FACS T1�a <br /> Rancho San Miguel Market A -f/ <br /> 431. <br /> LOCATION WITHIN SITE(optionn <br /> o <br /> I.TANK DESCRIPTION <br /> (A scaled plot plan with the location of the UST system including buildings and landmarks shall he submitted to the local agency.) <br /> TANK ID# 431 TANK MANUFACTURER 433. COMPARTMENTALIZED TANK 7L]Yes ❑ No 434. <br /> aM 06-/5763 KST Steel If'Wes;'wmplde one auto for each compenmern <br /> DATE INSTALLED 435. TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437. <br /> (YEAR/MO)7/24/03 10,000 <br /> ADDITIONAL DESCRIPTION(For level use nary) 438. <br /> II.TANK CONTENTS <br /> TANK USE 439. PETROLEUM TYPE 440' <br /> [8[ 1. MOTOR VEHICLE FUEL ❑In, REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL <br /> (If checked,complete Pencleum Type) X1 Ib. PREMIUM UNLEADED ❑3. DIESEL ❑6, AVIATION GAS <br /> ❑ 2. NON-FUEL PETROLEUM ❑1c, M rDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER. <br /> 3. CHEMICAL PRODUCT 441 CAS#(nom Havrdovu Mderub lnvenm6 pate) 442. <br /> ❑ COMMON NAME (from Hunmous Mdenals mvenmypnge) <br /> ❑ 4. HAZARDOUS WASTE <br /> (includes Used Oil) <br /> ❑ 95.UNKNOWN <br /> III.TANK CONSTRUCTION <br /> TYPE OF TANK ❑L SINGLE WALL ❑3. SINGLE WALL WITH EXTERIOR ❑5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443. <br /> (Check one itemonly) MEMBRANE LINER ❑95. UNKNOWN <br /> 2. DOUBLE WALL ❑4. SINGLE WALL IN A VAULT ❑99. OTHER <br /> TANKMATERIAL-primary mak ❑I. BARE STEEL TFlBERGLASS/PLASTIC ❑S. CONCRETE [195.UNKNOWN 444. <br /> (Check one item only) [12. STAINLESS STEEL ❑C STEEL CLAD W/FIBERGLASS ❑a. FRP COMPATIBLE ❑99.OTHER: <br /> REINFORCED PLASTIC(FRP W/100%METHANOL <br /> TANK MATERIAL-seconry tadank ❑1. BARE STEEL EI 3. i:gEA j:: ASS/PLASTIC ❑8. FRP COMPTIBLE W/100%METHANOL 95.UNKNOWN 445. <br /> (Check one item only) ❑2. STAINLESS STEEL❑4. REINFORCED PLASTIC( C10. COATED L CLAD CLAP) 1STEEL <br /> ODABLE JACKET ❑99.OTHER <br /> El 5. CONCRETE <br /> TANK INTERIOR LINING ❑1.RUBBER LINED ❑3.EPDXY LININGGL <br /> ry-I,S. ASS LINING ❑95.UNKNOWN 446. DATE INSTALLED 447. <br /> OR COATING El 2.ALKYD LINING [14.PHENOLIC LINING L�`b.UNLINED ❑99.OTHER <br /> Check one item 01111 11) <br /> OTHER CORROSION ❑ 1.MANUFACTURED-. ODER-Em REINFORCEDPLASTIC 95.UNKNOWN 44a. DATE INSTALLED 449. <br /> PROTECTION PROTECTION 4.IMPRESSED CURRENT ❑99.OTHER <br /> (If Applicable) ❑2.SACRIFICIAL ANODE <br /> SPILL AND OVERFILL Yk,j 1lfryryryggg LLED 450. TYrP8 45I. OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 2 a{�0 <br /> (Check all that apply) KI L SPILL CONTAINMENT Y1 PW [H 1.ALARM - [93.FILL TUBE SHUT OFF VALVE af <br /> ®2.DROP TUBE L VVV VVV JJJ _.&- ❑2.BALL FLOAT_ [14.EXEMPT <br /> 913.STRIKER PLATE --7M <br /> IV.TANK LEAK DETECTION <br /> (A description of the monitoring program shall be45ubmiIFeDOUBLhe I H Wal ALL TANK OR TANK WITH BLADDER 454. <br /> IF SINGLE WALL TANK <br /> (Check all that apply) (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 /> [14. STATISTICAL INVENTORY RECONCILIATION ❑8,TANK TESTING <br /> (SIR)+BIENNIAL TANK TESTING ❑99. OTHER <br /> V.TANK CLOSURE INFORMATION/ PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YR/MO/DA)) 455. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456, TANK FILLED WITH INERT MATERIAL? 457. <br /> gallons ❑Yes ❑ No <br /> UPCF hwfwrc-b(IN9)-1/4 http://%ww.unidoes.org Rev.02/16/00 <br />
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