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UNIFIED PROGRAM CONSOLIDATED FORIV dT,NK: TA0506224 R#: PRO506221 UNDERGROUND STORAGE TANKS - TANK PAGE 1 vj aI C#: FA0007287 l two pages per tank) Page b of 7 TYPE OF ACTION (Cae3 u0r amonly) ❑ INEW SUE PERMIT ❑OAMENDLD PERMIT �'SCIInNGF.OF INFORMAl10N ❑ fiTEMPORARY SITE CLOSURE 'N renon_rorlao. .Iy) (Speiryremon-folornu oly) E]7 PERMANENTLY CLOSED ON SITE ❑ 3RENEWAL PERMIT R1,11-. ❑STANK REMOVED IJO BUSINESS NAME(same a FMILID'NArne or DBA-Doig Bmines As) FACILITY ID: PR#- I FLAG CITY ARCO/SUBWAY FA0007287 PRO506221 LOCATION WITHIN SITE(orkea) 14931 N FLAG CITY BLVD,LODI 431 PHONE 1.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landvarks shall be submitted to the local agency.) TANK ID# Tank#: 3 432 1'A[JIC MANUFA6.LURER 411 COMPARTMENTALIZED TANK es ❑No 4M TA0506224 �V, ,QerNT =COMPARTMENTALIZED r«wc6.u�np.m�aoc DATE INSTALLED(YEARJMO) 435 TANKCAPACITYINGALLONS 416 NUMBEROFCOMPARTMENIIh 432 4/1/1997 12:00:OOAM 10,000 ADDITIONAL DESCRIPTION(Fo,Iml me ady) 438 II.TANK CONTENTS TANK USE 419 PETROLEUM TYPE 449 ® 1.MOTOR VEHICLE FUEL Is.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (RivhNmnplec Pmvlaun Type) bf Ib.PREM1UMUNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM l❑� I a MIDGRADE UNLEADED ❑4.GASOHOL ❑ 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(Som n-Tom Mnaiela m.o,pyo ash CAS#(eaoHu Materia tmmtaypage) 442 ❑4.HAZARDOUS WASTE (mW U.ren Out ❑95.UNKNOWN ID.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (CM1erk onenan only) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ® 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑99.OTHER TANK MATERIAL-primary tank ❑ 1.BARE STEEL ® FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑95.UNKNOWN 444 (CMiorc lrcn Doty) ❑ 2.STAINLESS STEEL ❑ STEEL CLADW/FIBERGLASS ❑8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(I") ❑99.OTHER TANK MATERIAL-ucoudat,tank ❑ L BARE STEEL a I�3.FIBERGLASS/PLASTIC ❑5.CONCRETE E195.UNKNOWN MS (C6ek ft%o onM ❑ 2.STAINLESS STEEL 7L-J;4.STEEL CLAD W/FIBERGLASS ❑8.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 416 DATE INSTALLED 447 OR COATING (Ch ooc nen orgy) E] 2 ALKYD LINING E]4 PHENOLIC LIVING ® 6 UNLINED ❑99.OTHER Wslaal memtyl OTHER CORROSION ❑ I MANUFACTURING CATHODIC ® 3 FIBERGLASS REINFORCED PLASTIC E]95 UNKNOWN eras DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION (C3ar .ircnouly) ❑4IMPRESSED CURRENT ❑99 OTHER ❑ 2 SACRIFICIAL ANODE (Far Ioul uswty) SPILL AND OVFRFILL YEARINSTALLE150 TYPE(Ioc&I.e aly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 ACINI Yl aur appyl) 0.l, I SPILL CONTAINMENT 9 rgo 2fltel ❑ IALARM 1 FILL TUBE SHUT OFF VALr � 1� 2 DROP TUBE ❑ 2 BALL -'d4 EXEMPT ❑ 3 STRIKER PLATE FLOAT FV.TANK LEAK DETECTION(A daeiptiw Orme nwnnprrvg vrppenilall beaabmine4mimlowl ageay.) IF SINGLE WALL TANK(CM all tlW apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MID) (alk as it=only) ❑ 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 J PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 1 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL! 457 ❑Yes ❑ No UPCF(12/99 revised)