COMPLIANCE INFO 1998-2003 - Laserfiche WebLink

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M f UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANKS- TANK PAGE l TANKS (two pages per tank) TYPI,OF AC770N El NEW SIT1E PERMIT ❑ 4 AMENDED PERMIT ® 5 CHANGE OF INFORMATION [16 TEMPORARY SITE CLOSURE Page_t of 2 (Check uric item only) ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT (Specify reason-for local use only) (Specify reason-far local use only) Q 8 TANK REMOVED 436 BUSINESS NAMI (Same ar FACILITY NAME or DRA-Doing Businm As) FACILITY ID: E.F.KLUDT&SONS INC. 3 F A 0 0 0 3 7 7 1 1 LOCATION WMIIN SITE(optrmap at Corner 431 L TANK DESCRIPTION (A sealed plot plan With the l xation of the UST System including buildings and landmarks shall be submitted to the local agency.) TANK IID N 432 TA]NY TK MnANUF'AC'I`URER 433 COMI'ARTML NTALIZrD TANK Yes N No 434 8-UG TRU SCO If"Yes",complete one page far each compartment DATT3 INSTALLED(YEAR/MO) A35 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTW-NTS 437 19891 Dec. 20,000 one ADDITIONAL DESCRIPTION(Far local use only) 438 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE ®1. MOTOR VEHICLE FUEL. C] 440 1 a. REGULAR UNLEADED [22, LEADED El 5. JET FUEL (If marked complete Petroleum Type) O IN PREMIUM UNLEADED X 3, DIESEL D 6. AVIATION FUEL Cl 2. NON-FUEL.PETROLEUM ❑Ic. M DGRAD$UNLEADED ❑4. GASOHOL ❑99,OTHER ❑3. CHEMICAL PRODUCT COMMON NAME (from Hazardous MatemL,(nven 441 a ❑4. HAZARDOUS WASTE Sar}Page) CASA(from FlAzaedour tfaicnais Im�emory pxgc) 44_ Diesel (Includes Used oil) ❑95.UNKNOWN III. TANK CONSTRUCTION TYPE OF TANK ❑1. SINGLE WALL 3. SINGLE WALL WITH U5. SINGLEWALLWITH INTERNAL BLADDER SYSTEM 443 (Check one item ordy) EXTERIOR MEMBRANE LINER ❑95. UNhUVOWN ®2. DOUBLE WALL ❑4. SIGNLE WALLIN VAULT 1199. OTHER TANK MATERIAL-primary tank 0 1. BARE STEEL 3. FIBERGLASS/PLASTIC U 5. CONCRETE 95.-UNKNOWN a44 (Check oae item only) ❑2. STAINLESS STEEL ❑4, STEEL CLAD W/FIBERGLASS El 8. FRP COMPTIBLE W/100e/METHANOL ❑99.OTHER REINFORCED PLASTIC(FRP) TANK MATERIAL-secondary tank Lj 1.BARE STEEL U J. FIBERGLASS/PLASTIC 5. CONCRETE 95, UNKNOWN 445 (Chsck one item only) ❑2. STAINLESS STEEL [14. STEEL CLAD W1FIB£RGLASS N8- FRP COMPTIBLE W/100c«6 METHANOL ❑99.OTHER REINFORCED PLASTIC(FRP) ❑10.COATED STEEL ❑5. CONCRETE TANK IN'T'ERIOR LINING ❑1.RUBBER LINED ❑3,EPDXY LINING ❑5.GLASS LINING 95.UNKNOWN 4aa DATE INSTALLED 447 OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ®6 UNLINED (Check one item only) ❑99 OTHER _ (^Tor-1_1_c only) OTHER CORROSION ❑'MANUFACTURED CATHODIC ®3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN -8 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION ❑4 IMPRESSED CURRENT ❑99 OTHER (Check one item only) []2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE gocal ase onty) 451 OVERFILL PROTECTION EQUWMENT:YEAR INSTALLED 452 (Check all that Apply) 1 SPILL CONTAINMENT 2003 ®1 ALARM 2003 ®3 FILL TUBE SHUT OFF VALVE 2003 2 DROP TUBE 2003 ❑2 BALL FLOAT ❑4 EXEMPT 3 STRIKER PLATE 1989 TV.TANK LEAK DETECTION(A dens mion of the mcnitarmsprogram shall be submitted to the local agency.) IF SINGLE WALL TANK(Check all that apply) 453 IF DOUBLL WALL TANK OR TANK WMi BLADDER 454 ❑I VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) Q1 VISUAL SINGLE WALL IN VAULT ONLY) 0 2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE 0 2 CONTINUOUS INTERSTITIAL MONITORING ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING 0 4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING (SIR) BIENNIAL.TANK TESTING ❑99 OTHER IV.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE �FfS7T17MATED DATE LAST USED(YRIMO/DAY) 455 [ESTIMATED QUANTITY OF SUBSTANCE REMAINING -056 TANK FILLED WITH INERT MATERIAL? 457 n/a gallons El Yes ® No UPCF(12/99 revised) 10 Formerly SWRCB Form B