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Vii) I IFIED PROGRAM CONSOLIDATED FORNW 3I J�7 TANK: TA0246103 5 7 PR#: PR0232461 UNDERGROUND STORAGE TANKS -TANK PAGE 1 FAC#: FA0003758 (two pages per tank) Page 6 of 9 TYPE OF ACTION ❑ INEW SITE PERMIT ❑ 4AMENDED PERMIT7� El5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (Chink mly itmony) '. sr E] 7 PERMANENTLY CLOSED ON SITE ❑ F. ,8, 4r f 3RENEWAL PERMIT ❑STANK REMOVED 430 ummmomm BUSINESS NAME(Smcas FACMITYN"Em DBA-Dmg Bmimea As) FACILITY ID: PR#: I RYDER TRUCK* 3 FA0003758 PR0232461 LOCATION WITHIN SITE(Opua ) 3633 DUCK CREEK DR,STOCKTON 431 PHONE 1.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# Tank#: 3 432TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ❑No 434 TA0246103 TRUSCO IMM-,oasPlaeaapagefineahmnPaenene DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 417 10/31/1990 6,000 ADDITIONAL DESCRIPTION(Fa Imt aaamy) 438 II.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 410 ® I.MOTOR VEHICLE FUEL ❑ la.REGULAR UNLEADED ❑ 2.LEADED ❑ S.JET FUEL (Ifmnn4ca I.Pmokan Type) ❑ It.PREMIUM UNLEADED N 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ Ia.MIDGRADE UNLEADED ❑ 4.GASOHOL ❑ 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(6 Hamdom m.wt is Immlaypage) 441 CAS#(6vn 13av,dan ma ak mvemmy page) 442 ❑4.HAZARDOUS WASTE thahW Ux a8 ❑ 95.UNKNOWN M.TANK CONSTRUCTION TYPE OF TANK E] 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ S.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Cha sanay) EXTERIOR MEMBRANE LINER El 95.UNKNOWN N 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-primary tank ❑ I.BARE STEEL N FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (Chak mcitanmly) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ S.FRP COMPTIBLE W/I W%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANKMATERIAL-secondarytank ❑ I.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (@ .imnamy) ❑2.STAINLESS STEEL ❑ 4.STEEL CLAD W/FIBERGLASS ❑ S.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑ 99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ I.RUBBER LIKED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 ORCOATNG (Lt =iammly) ❑ 2ALKYDLINING ❑4PHENOLIC LINING N 6UNLINED ❑ 99.OTHER (Fwkwl uta my) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ® 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN "a DATE INSTALLED as PROTECTION IF APPLICABLE PROTECTION (c mcison ly) ❑ 4 IMPRESSED CURRENT E]99 OTHER ❑ 25ACRIFICIAL ANODE (Faloul me mly) SPILL AND OVERFILL YEAR MSTALLE450 TYPE(Iocdmc.Iy) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Cbmkalldatapply) ❑ I SPILL CONTAINMENT 1,990.00 ❑ IALARM ❑ 3 FILL TUBE SHUT OFF VAL' ❑ 2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT ❑ 3 STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A dea#umafu,c�ftodngpm $Iafl c sabautadta ea and IF SINGLE WALL TANK(Chmkall dus appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (ChaNcmc nanny) ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ 6 VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER N 2 CONTINUOUS INTERSTITIAL MONITORING ❑ 4 STATISTICAL INVENTORY RECONCILIATION ❑ STANK TESTING ❑3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑ 99 OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YWMO/DAY) 455 1 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 ❑Yes ❑No UPCF(12/99 revised)