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X41 -trtl IFIED PROGRAM CONSOLIDATED FO (yl plG TANK: TA0246102 PR#: PR0232461 UNDERGROUND STORAGE TANKS -TANK PAGE i FAC#: FA0003758 (two pages per tank) Page 4 of 9 TYPE OF ACTION ❑ I NEW SITE PERMIT ❑ 4AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (C konlyitmwly) ) ' ' ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT ❑8TANK REMOVED UO BUSINESS NAME(Saac as FACILITY NAME a DBA-Doing Basiae,s As) FACHM ID: PR#: ' RYDER TRUCK* 3 FA0003758 PRO111411 LOCATION WITHIN SITE(opdon.0 3633 DUCK CREEK DR,STOCKTON 431 PHONE 1.TANK DESCRIPTION(A scaled plot plan Wilt the location of the UST system including buildings and landmarks shall be subrmued to the local agency.) TANK ID# Tank#: 2 432TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ❑No 434 TA0246102 TRUSCO I•Yn•.aossPle¢melsage ra cad��mnPaMnn DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10/31/1990 12,000 ADDITIONAL DESCRIPTION(Furloml me wy) 438 H.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® L MOTOR VEHICLE FUEL ❑ la.REGULAR UNLEADED ❑ 2.LEADED ❑ S.JET FUEL (Ifmtkcdw IP Peo-d Tlyc) ❑ Ib.PREMIUMUNLEADED ® 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ Ic.MIDGRADE UNLEADED ❑ 4.GASOHOL ❑ 99.OTHER ❑ 3.CHEMICALPRODUCT COMMON NAME(mnHzvawnMaunah m tmpagc) 441 CAS#(fmm Ham,dnu Maenalsmvmmypage) 442 ❑ 4.HAZARDOUS WASTE (mclweaI all ❑ 95.UNKNOWN ID.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (CBW�weitem oaH) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ®2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-primary rank ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (CMatmciamwdy) ❑2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ L BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (6m .itan.*) ❑2.STAINLESS STEEL ❑ 4.STEEL CLAD W/FIBERGLASS ❑ S.FRPCOMPTIBLEW/100%METHAN0L REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑ 99.OTHER ❑ S.CONCRETE TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 OR COATING (Uma it=only) ❑2ALKYD LINNG ❑ 4PHENOLICLNING ❑ 6UNLINED ❑ 99.OTHER (Fmlml meanly) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN ae DATE INSTALLED M9 PROTECTION IF APPLICABLE PROTECTION (Click uzitonaJy) ❑ 41MPRFSSED CURRENT ❑ 99 OTHER Farlail me mly) ❑ 2 SACRIFICIAL ANODE ( SPILL AND OVERFILL YEAR rNSTALLE450 TYPE(Iomlmcanly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Cbak all that apply) ❑ I SPILL CONTAINMENT 1,990.00 ❑ 1ALARM ❑ 3 FILL TUBE SHUT OFF VAV ❑ 2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT ❑ 3 STRIKER PLATE FLOAT TV.TANK LEAK DETECTION(Adnniptim ofucbe samin i m iba local Maas.) IF SINGLE WALL TANK(L all diet apply) 453 IF DOUBLE WALL TANK OR TANKWITH BLADDER 454 ❑ 1 VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Cbak me anna*ly) ❑ 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 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 ❑Yes ❑ No UPCF(12/99 revised)