BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

�V 3-WDLL IFIED PROGRAM CONSOLIDATED FORPS (,)CO TPR#: TA0246101 UNDERGROUND STORAGE TANKS - TANK PAGE 1 FAC#: FA0003758 (two pages per tank) Page 2 of 9 TYPE OF ACTION ❑ 1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ 5 CHAM ilk OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (amkanlyitanunly) ❑ 7 PERMANENTLY CLOSED ON SITE (p f} fa�l l.ue mJy !Sp oY e f t se wdy) ❑JftENEWAL PERMIT ... ❑ BTANK REMOVED OO BUSINESS NAME(Samcaa FACa11Y NAmb or DHA-Doing BasinsA:) FACILITY I11 PR Ii: RYDER TRUCK* 3 FA0003758 PR0232461 LOCATION WITHIN SITE(oFmn.O 3633 DUCK CREEK DR,STOCKTON 431 PHONE I.TANK DESCRIPTION(A scaled plot plan with We location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK mH Tank#: 1 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ❑No 434 TA0246101 TRUSCO B"Y®',mtrylacarcpee<tmna oimumsnc DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 037 10/31/1990 2,000 ADDITIONAL DESCRIPTION(Formol use ady) 439 O.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ❑ I.MOTOR VEHICLE FUEL ❑ I a.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (IfmrkNm,plac Pcodavn Type) ❑ Ib.PREMIUMUNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ tc.MIDGRADEUNLEADED ❑ d.GASOHOL ❑ 99.OTHER ❑3.CHEMICAL PRODUCT COMMON NAME(Ean H.mcdon maumis noonory,,) 411 CASN(Eoowzardoua mam;.E mamtay page) 442 M 4.HAZARDOUS WASTE (ora Usedap WASTE OIL ❑95.UNKNOWN III.TANK CONSTRUCTION TYPE OF TANK 01.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Ch .imomb) EXTERIOR MEMBRANE LMER ❑ 95.UNKNOWN ® 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-primarytank ❑ 1.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (C6Nii mciccm mdy) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ S.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ I.BARE STEEL ❑ ).FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (Cheri ane itan mJy) ❑2.STAINLESS STEEL ❑ 4.STEEL CLAD WNIBERGLASS ❑ S.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑ 99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ L RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE MSTALLED 447 OR COATING foro*oscimno�dy) ❑ 2ALKYDLINING ❑ 4PHENOLIC LINING ❑ 6UNLINED ❑ 99.OTHER Fmloral mcad Y) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN 448 DATEMSTALLED 449 PROTECTION IF APPLICABLE PROTECTION l ❑61MPRESSED CURRENT ❑ 99 OTHER (Cha OarftanenY) ❑ 2SACRIFICIAL ANODE (Farlod uaewy) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(IoWmeady) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (LMkdldw apply) ❑ I SPILL CONTAINMENT 1,990.00 ❑ 1ALARM ❑ 3 FILL TUBE SHUT OFF VAL` ❑ 2 DROP TUBE ❑ 2 BALL ❑4 EXEMPT ❑ 3STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(Adaaiptlon Orme mwdtwingptotQunahall besa nuaW to dalool naa..) IF SINGLE WALL TANK(Qai,all lhalapply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Che .ftonady) ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ 6VADOSE ZONE ❑ I VISUAL(SINGLE WALL M VAULT ONLY) ❑ 3CONTIN000S ATG ❑ 7GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING ❑ d STATISTICAL INVENTORY RECONCILIATION ❑ STANK TESTING ❑3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑ 990THER 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 MERTMATERIALY 457 ❑Yes ❑ No UPCF(12/99 revised)