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FIED PROGRAM CONSOLIDATED FORM TANK: TAO 004 4em0, l' �L PR#: PR0232020 UNDERGROUND STORAGE TANKS - TAI FAC#: FA0003767 IaI �� VVV rrr (two pages per lack) Page 2 of 5 / TYPE OF ACTION ❑ I NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ ?Cl IAN GE OF I N FORMATION ❑ 6 TEMPORARY SITE CLOSURE (C�"rd,iuss mly) ❑ 7 PERMANENTLY CLOSED ON SITE (SPrufY rtesml-fmlrral wr rdrl (Spxify rosmf [alwl mr onry) ❑ 3RENEWAL PERMIT ❑ BTANK REMOVED 430 BUSINESS NAME(Sasr a,FACILITY NAME R ODA-o hrg But.sl) FACILITY ID: PR ft: JOHN TAYLOR FERTILIZER* 3 FA0003767 PR0232020 LOCATION WITHIN SITE(Opo==) 1819 S ARGONAUT ST,STOCKTON 431 PHONE 1.TANK DESCR1PT1ON(A scaled plot plan with the location of Ore UST system including buildings and landmarks sball be submitted to the local agency.) TANK ID# Tank#: 4 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ®Yes ❑No 434 TA0202004 TRUSCO Ir^ra".urmpleu oapage fmr.rn rrmparomra DATE INSTALLED(YEAR/MO) 435 1 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 4,000 ADDITIONAL DESCRIPTION(Fm hral mronb) 438 H.TANK CONTENTS TANKUSE 439 PETROLEUM TYPE 440 ® 1.MOTOR VEHICLE FUEL ❑ la.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL Ilfsmr mr,A.Part Typc) ❑ Ib.PREMIUM UNLEADED ®3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ 1 c.MIDGRADEUNLEADED ❑4.GASOHOL ❑ 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(a Hv .MatamblmmlrryFP) aa1 CAS#(RomHnardmaMati lmmmypage) 441 ❑ 4.HAZARDOUS WASTE (Ircadm Usrdm) ❑ 95.13NKNOWN III.TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (C7mkorri�mH) EXTERIOR MEMBRANE LINER ❑95.UNKNOWN ® 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑99.OTHER TANK MATERIAL-primary ark ❑ LHARE STEEL ® FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 ICLek we itmn mdr) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ ".OTHER TANK MATERIA.-secondary tank ❑ 1.BARE STEEL ®3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN a45 (Chrckrm imn mdy) ❑ 2.STAINLESS STEEL ❑4.STEEL CLAD W/FTBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑ 99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑3.EPDXY LINING ® 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 07 OR COATING (C6 .inm.Iy) ❑ 2 ALKYD LINING ❑4 PHENOLIC LINING ❑ 6 UNLINED ❑".OTHER (Far rnly) OTHER CORROSION ❑ I MANUFACTURING CATHODIC ®3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 140 DATE INSTALLED M9 PROTECTION IF APPLICABLE PROTECTION (Clea am a. *) ❑ 41MPRESSED CURRENT ❑ 99 OTHER E]2 SACRIFICIAL ANODE lFmlml mrmdy) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(laal me mdy) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (CTT A Nrl wty) ® 1 SPILL CONTAINMENT ❑ 1 ALARM ® 3 FILL TUBE SHUT OFF VAL` MY 2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT ❑X 3 STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A dmWrirn oflee norsitannapm sl*n besubmiturl m rtr brat aeea, IF SINGLE WALL TANK(Chrckall dan appty) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING IMTG) (Clckrrc tun o"N) ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ 6 VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8 TANK TESTING ❑3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑ 99 OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 1 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 �/I ❑Yes ❑ No UPCF(12/99 revised) - 1../ �/