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Sent BY: RHL DESIGN GROUP; 7077654503; Jun-19-02 8:07AM; Page 3/4 UNIFIED PROGRAM CONSOLIDATED FOIkM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 (Two pages per tank) ' Page l of 2(rcmovalj 'IYPLOFACTION ❑ I.NEW PERMIT ❑ 4.AMENDED PER.N1'1 ❑ 5.CI IANGE OF INFORMATION ❑ 6.'fEMPORARYTANKCLOSUILE 430. IU.mk eecnm nely] ❑ 3.RENEWAL PERMIT _., ❑ ?.PERMANENTLY CLOSED ON MTF iSp¢ify moon) RIKry rowel ® S.I"ANK REMOVED BUSINESS NAME(sxress FACILrrYNANEpDRA tMvs Rn4ae Ael 1. FACILITY ID: f I. Pacific Bell LOCATION WITHIN SITE(0plbeeu '"" See plans I.TANK DESCRIPTION A scaled plot plan with the location of the UST system Including buildings and landmarks shall be submitted m the local +rncy.) TANK ID d 43L TANK MANUFACTURER a1. COMPARTMENTALIZED TANK ❑Yes ® No 434. 807 Joor Plasteel) Bwm,•cemplmc mxei sne.en+m0pmmex. DATE INSTALLED 435. TANK CAPACITY 1N GALLONS 436. NUMBER OF COMPARTMENTS 437, (YEARIMO) i 1998 2,000 1 ADDITIONAL DESCRIPTIO(Fw 1.1..*) 61$" II.TANK CONTENTS TANK USE 434. PETROLEUM TYPE a09' M 1. MOTOR VEHICLEFUE. ❑Is REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL llfchmke4.wmpixe p.lcmn Type) E3 lb. PREMIUM UNLEADED ®3. DIESEL [3 6. AVIATION GAS ❑ 2. NON-PUEL PETROLEUM ❑lc. MIDGRAUL UNLEADED ❑4. GASOHOL ❑99.OTHER; 3. CHEMICAL PRODUCT41" CASB(F.nH naii,neatxnule b-olm pegs) 442. ❑ COMMON NAME Jr..(from Hux4ous mxaiau mvolmy�:) ❑ 41 HAZARDOUS WASTE. 0o1p4m Used au ❑ 95.UNKNOWN HI.TANK CONSTRUCTION TYPE OF TANK L SINGLE.WALI. 3. SINGLE WALL WITH EXTERIORin,. SINGLE g'i i WITH INTERNAL BLADDERSYSTEM 443 (Check one hem only) MEMBRANE LINER 095. UNKNOWN 2. DOUBLE WALL ❑4. SINGLE WALL IN A VAULT ❑99. OTHER TANK neat only rook ®LBARE STEEL 3. FIBERULASSi PLASTIC S. CONCRETC C1 93.UNKNOWN 444_ (Chmimlew"'.1y) E]2. STAINLESS S'rEEL ❑4. STEEL CLAD WIFIBERGLASS [3 g. FRP COMPATIBLE ❑99.OTHER: REINFORCED PLASTIC FRP W1100-1,METHANOL TANK MATERIALlan ❑ TE -ucundary k I. BARE SEL ❑3. FIBERGLASS/PLASTIC S. FRP COMPTIBLE W/)00%METHANOL 95.UNKNOWN 443. (CReck we nem 0Ay) ❑Z STAINLESS STEEL®4. STEEL CLAD W'1FIBEROLASS C39. FRP L ONLORRODABLE JACKET 13 99.OTHER RPI" "'D PLASTIC(FRP) ❑10. COATED STEEL 5. CONCRETE TANK INTERIOR LINING I.RUBBER LINED ❑3.CPDXY WNING ❑5.GLASS LINING 95.UNKNOWN ab. EDATEINSTALLED STALLED 44]. OR COATING ❑2.ALKYD LINING ❑4.Pi JENOLIC LINING ®6.UNLINED ❑99.OTHER OT(CbHER yORROSIimew ' OTHER(X)RROSION 1.MANUFACTURED CATHODIC ❑I.FIBERGLASS REINFORCED PLASTIC ®95.UNKNOWN 448. K9. PROTECTION PROTECTION ❑4.IMPRESSED CURRENT ❑99.OTHER If.A k4b(e) Q 2.SACRIFICIAL ANODE SPILL AND OVERFILL YEARINSTALLED 450 TYPE 451. OVERFILL PROIECIION EQUIPMENT. YEARWST'ALLED 452. (Check ailthmlpply) ®1.SPILL CONTAINMENT 1998 ®1.ALARM (7998) ®3.FILL TUBESHUT OFF VALVE (1998) ®2.DROP TUBE 1998 [I1.BALL FLOAT(1995) ❑4.EXEMFr ®3.STRIKER PLATE 1998 1V.TANK LEAK DETECTION (A description of the monitoring Program shall be submined to the local a enc .). IF SINGLE WALL TANK 'S2. IF DOUBLE WALL TANK OR TANK WITH BLADDER (Cheek an that apply) (Check one Item only) ❑LVISUAL(EXPOSED PORTION ONLY) ❑S.MANUALTASK GAUGING(MIG) ❑LVISUAL(SINGLE WALL IN VAULT ONLY) ❑2.AUTOMATIC TANK GAUGING(ATG) ❑C VADOSE ZONL ®2.CONTINUOUS INTERSTITIAL MONITORING ❑3.CONTINUOUS A]T ❑r.GROUNDWATER ❑3.MANUAL MONITORING ❑4.STATISTICAL INVENTORY RECONCILIATION [3 9.TANK TESTING (SIR)4 BIENNIAL TANK TESTING ❑99.OTHER V.TANK CLOSURE INFORMATION/ PERMANENT CLOSURE IN PLACE ESTIMATED DATE UST USED(YRMOIDAY) 4S5' ESTIMATEDQUANIITYOFSUBSTANCT:REMAINING 456' TAN KFILLEDWITHINF.RTMATERIAL" 45•' Cunmdy active 2.000 gallons ❑Yes ❑ 40 UPCF hwiwrc-b(1199)-114 http:/(www.Itni4joes.org Re5'.02A N00