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' l l FIED PROGRAM CONSOLIDATED FORM /'� TANK: TA0102M5 �+ VW PR#: PRO231028 UNDERGROUND STORAGE TANKS - TANK PAGE 1 f FAC#: FA0003811 two pages per tank} TYPE OF ACTION _ Page 2 of 5 tClxck anls'itcn anh) ❑ f NEW SITE PERAdTI- ❑ 4:1%11_��DED PERMIT ��('I-f:1,.'CiE OFi`'EOR\t A'fIOV ❑ bTEMPORARY SITE CLOSURE _�._, _. .:... ❑ 7 PERMANENTLY CLOSED ON SITE lS)rctit"Y rcasoix-€'or local use onR) t�pxify wson For k al ass anh) F-13 RENEWAL PERMIT ❑ STANK REMOVED 430 B1-1$1111ti$S NAME{Sm>x as FACILITY NAMI:ar DOA-lbiag Business As) FACILITY ID: PR#: RIVER POINT LANDING MARINA-RESORT* I 3 FA0003811 PR0231028 I I I IT LOCATION WITHIN SITE IOptiw d) 4950 BUCKLEY COVE WAY.STOCKTON 431 PHONE L 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#: 5 432 !TANK MAN UFACTURE/R��/ 433 COMPARTMENTALIZED TANK ❑Yes E]No 434 T�A0102805 3- _C�f I If*Yes",oomplctc one Pe8c f_each_Portman. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 432 3/1/1989 12:00:OOAM 12,000 ADDITIONAL DESCRIPTION(For Inca1 use onk) 438 II.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ).MOTOR VEHICLE FUEL ❑ la-REGULAR UNLEADED ❑2.LEADED ❑ 5.JET FUEL (lrmarked compine Pcuolcum T�Vc) © lb.PREMIUM UNLEADED ❑ 3.DIESEL ❑ b.AVIATION FUEL ❑ 2,NON-FUEL PETROLEUM ® tc.MIDGRADE UNLEADED ❑4.GASOHOL ❑ 99 OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(farm Hazardous Materials Imxa+tay pp) 441 CAS#(feom Hazardous Mstcriofs lmrnton page) 442 ❑ 4.HAZARDOUS WASTE (Includes Used 00) ❑95.UNKNOWN III.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑ 3,SINGLE WALL WITH ❑5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 {Check oxo ucm 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 (Cha]:one item ml)) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD WIFIBERGLASS ❑ 8.FRP COMPTIBLE Wf Itl(WI METHANOL REINFORCED PLASTIC(FRP) ❑99.OTHER TANK MATERIAL-secondary tank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (Chxk ar ik�only) ❑ 2.STAINLESS STEEL 4.STEEL CLAD WIFIBERGLASS ❑8.FRP COMPTIBLE W/I d0a/e METHANOL REINFORCED PLASTIC(FRP) ❑ 10,COATED STEEL ❑ 99.OTHER ❑ 5-CONCRETE TANK INTERIOR LINING ❑ I-RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ®95.UNKNOWN 446 DATE INSTALLED 447 OR COATING (Check ane item arty) E]2 ALKYD LINING ❑ 4 PHENOLIC LINING E]6 UNLINED ❑ 99-OTHER (For local use only) OTHER CORROSION ❑ I MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION (Che A.ao<itcm anh) ❑ 4 IMPRESSED CURRENT ❑ 99 OTHER 2 SACRIFICIAL ANODE (Por kcal use art y) SPILL AND OVERFILL Jt YEAR INSTALLE45d TYPE(local use axAy 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 1� 452 (Check all that aPPly) ® 1 SPILL CONTAINMENT Z0i 1• 1-' fj!00' 5 GAL J ❑ 1 ALARM [S]3 FILL TUBE SHUT OFF VAL. ❑x 2 DROP TUBE Zow 14946.90 -4-GAL ® 2 BALL 1,996.00 ❑4 EXEMPT ❑ 3 STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A description of the monitor ng program shall be suhxmned io the local agency.) 1F SINGLE WALL TANK(Cluck alt dw apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ l VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Check orrc item anly) ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ 6 VADOSE ZONE ❑ 1 VISUAL(SINGLE WALL IN VAULT ONLY) ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING ❑ 4 STATISTICAL INVENTORY RECONCILIATION ❑ g TANK TESTING ❑3 MANUAL MONITORING (SHR)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 451 TANK FILLED WITH INERT MATERIAL? 4i7 []Yes ❑ No UPCF(12199 revised)