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IFIED PROGRAM CONSOLIDATED FOR3l1�l1Q�T PR# : TA0246104 UNDERGROUND STORAGE TANKS -TANK PAGE 1 / / FAC#: FA0003758 (two pages per lank) Page 8 of9 TYPEOFACTION ❑ I NEW SITE PERMIT ❑ 4:%,1I=YDIIDI',J-1I ❑ 5CHASCJ-.OI'INIORM%THIS ❑ 6 TEMPORARY SITE CLOSURE (C of lr tenmty) ❑ 7 PERMANENTLY CLOSED ON SITE p tiftrl nal nc tolyl ❑3RENEWAL PERMIT E-] STANK REMOVED 430 BUSINESS NAME(Samew FACB.r[YNAME«DBA-Dolt,Bnsmrss As) FACILITY ID: PR#: 1 RYDER TRUCK* 3 FA0003758 PR0232461 LOCATION WITHIN SITE(opmml) 3633 DUCK CREEK DR,STOCKTON 431 PHONE 1.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and lancirrmrks shall be subnutted to the local agency.) TANK ID# Tank#: 4 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK E]COMPARTMENTALIZED ❑No 434 TA0246104 v^va mtplee«a vagc r«mrn canPesmsnc DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY LNGALLONS 436 NUMBER OF COMPARTMENTS 437 10/12/1990 4,000 ADDITIONAL DESCRIPTION wmtmiiioeQtly) 4I9 H.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ❑ I.MOTOR VEHICLE FUEL ❑ la.REGULAR UNLEADED [12.LEADED ❑ 5.JET FUEL (1[mhW c9npinc Pcbtleun rypc) ❑ Ib.PREMIUMUNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ I c.MIDGRADE UNLEADED ❑4.GASOHOL ❑ 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(ft.Hmu*os Mabiatc lnvmtarypagc) 441 CAS#([ret weasme Mnniak iumo Y page) 442 ® 4.HAZARDOUS WASTE (melu6e Usedm1) MOTOR OIL ❑ 95.UNKNOWN III.TANK CONSTRUCTION TYPEOFTANK E] 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Cberk the item Dory) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ®2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-primary Link ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ S.CONCRETE ❑ 95.UNKNOWN 444 (Clark we I=only) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD WTIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCEDPLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ I.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ S.CONCRETE ❑ 95.UNKNOWN 445 (C6ek me I.only) ❑ 2.STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/IOOk 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 447 OR COATING (Clink one Ileo only) ❑ 2ALKYD LINING ❑ 4PHENOLIC LINING ❑ 6UNLINED ❑ 99.OTHER (Fonbd use Wry) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION (Goch me net only) El IMPRESSED CURRENT E] "OTHER❑ 2SACRIFIC4V.ANODE (Fmbd use Lily) SPILL AND OVERFILL YEAR INSTA1.1-E450 TYPE0od.m1A 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Chep all lhas apply) ❑ I SPILL CONTAINMENT 1,990.00 ❑ IALARM ❑ 3 FILL TUBE SHUT OFF VAL` ❑ 2DROP TUBE ❑ 2HALL ❑ 4EXEMPT ❑ 3STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A ee uiplim ufthe monimviglsmeamslWl be sumitud to me lad a,m s'.) IF SINGLE WALL TANK(�all 0auppy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ 1 VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (aaJ14AC1m"O"ly) ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ 6VADOSE 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)