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FIED PROGRAM CONSOLIDATED FORM TANK: TA0172802 1+R#: PR0231728 UNDERGROUND STORAGE TANKS -TANK E 1 (Jz FAC#: FA0003565 ('f�J/ 'SO -3 (tw e to G/ 7 P e af7 ( •laJ TYPE OF ACTION ❑ INEW SITE PERMIT ❑ 4AMENDED PERMIT ❑ 5CHANGE OF INFORMATION ❑ 6TEMPORARY SITE CQ RE (Chcck Holy iten ody) !. ❑ 7 PERMANENTLY CLO SITE V rason-Iorlaal tnronlv) (Spain reason-wrloaal ucmnty) E] 3RENEWAL PERMIT BTANK REMOVED N(� 0430 BUSINESS NAMES.u FACILITY NAME w DBA-Doing Busine,.1, FACILITY ID: YR 1 UNIVERSAL SWEEPINGS SERVICES FA0003565 PR0231728 LOCATION WITHIN SITE(optiown 1113 SHAW RD,STOCKTON 431 PHONE 1.TANK DESCRIPTION(A scaled plat plan with the location of the UST system including buildings and landmarks shall be submitted to the local agen .) TANK ID# Tank#: 2 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Y E3 No 454 TA0172802 If•Y®,cwnplcnc one peso r reed oo�npammanl. DATE INSTALLED(YEAR/MO) 433 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 2,000 ADDITIONAL DESCRIPTION(For twat me only) 439 II.TANK CONTENTS TANKUSE 439 PETROLEUM TYPE 449 ® I.MOTOR VEHICLE FUEL ❑ Ia.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL pfwarkMw�leu Pwolcum Tyre) ❑ Ib.PREMIUM UNLEADED ® 3.DIESEL ❑ &AVIATION FUEL ❑2.NON-FUEL PETROLEUM ❑ Ic MIDGRADELJNLEADED ❑ 4.GASOHOL ❑ 99.OTHER ❑3.CHEMICAL PRODUCT COMMON NAME frvm Heew1we Macula Imo wYpa9e) 441CAS#(hwHoewtom Mawaimwtw page) 441 ❑4.HAZARDOUS WASTE (Iu11Wc Used Oiq ❑95.UNKNOWN M.TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Chock we lien only) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN M 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑99.OTHER TANK MATERIAL-primary tank ❑ 1.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑5.CONCRETE ® 95.UNKNOWN 444 (Chock one itan only) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ I.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (Cheek one ion only) ❑ 2.STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%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 IN UALLED 447 OR COATING (Chalcone roan oNy) ❑2 ALKYD LINING ❑ 4 PHENOLIC LINING ❑6 UNLMED ❑99'OTHER Per loo I we only) OTHER CORROSION ❑ I MANUFACTURING CATHODIC ❑ 3FIBERGLASSREINFORCED PLASTIC ❑95 UNKNOWN 449 DATE M TALLED 44 9 PROTECTION IF APPLICABLE PROTECTION (CheelkoneimnwJy) ❑ 4 IMPRESSED CURRENT ❑ 99 OTHER ❑2SACRIFICW.ANODE (F.1. cooly) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(wnl nw Dory) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Chwk aII Ihatappy) ❑ I SPILL CONTAINMENT ❑ 1 ALARM ❑ 3 FILL TUBE SHUT OFF N AL` ❑ 2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT ❑ 3STRIKER PLATE FLOAT FV.TANK LEAK DETECTION(A maipf ofwc wnniwrinsprasaw shies be sebedwol to me weal McKy) IF SINGLE WALL TANK(Chwkall dun appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Chock one ileo only) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑ 6 VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑3 CONTINUOUS ATG ❑ 7 GROUNDWATER ®2 CONTINUOUS INTERSTITIA.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 ESTIMAT DA E LASTED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 437 Z 3 ❑Yes ❑ No UPCF(12/99 revised)