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r IFIED PROGRAM CONSOLIDATED FOR Z�Zl�� TANK: TA0508322 l PR#: PR0231761 UNDERGROUND STORAGE TANKS -TANK PAG EACH: FA0002347 (two pages per tank) Pagc 6 of7 TYPE OF ACTION ❑ 1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ S CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (Chmkmlyiimanly) r - ❑ 7 PERMANENTLY CLOSED ON SITE n mvlowl mannlY) El3RENEWAL PERMIT ❑ &TANK REMOVED 430 BUSINESS NAME(Samc as FACILITY NAME or DBA-Poing Bmmm Aa) FACILITY ID: PRN : 1 ERNIES GENERAL STORE 3 FA0002347 PRO231761 LOCA TION WITHIN SITE(opnmaq 4407 E WATERLOO RD,STOCKTON 431 PHONE 1.TANK DESCRIPTION(A scaled plot plan With the location of the UST system including buildings and landmarks shall be subndtted to the local agency.) TANK ID# Tank#: 6 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK E]Yes E]No 434 ID TA0508322 FLUCONTAINMENT INC H^Ym•.msq'Ietcmepageformehe mpament. DATE EVSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 12/29/1998 5,000 ADDITIONAL DESCRIPTION(Fmlaml meomy) 439 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE 44o ® I.MOTOR VEHICLE FUEL ❑ la.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL ofmw1dmm,I.Pmo.Type) ® Ib.PREMIUM UNLEADED ❑ 3.DIESEL ❑6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ Ic.MIDGRADE UNLEADED ❑ 4.GASOHOL ❑ 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME rymn Haus4mn Mmai.Is Iwmlmy page) 441 CASH(am,Haadmn M.tmiab Immmy page) 442 ❑ 4.HAZARDOUS WASTE (Includm osdao ❑ 95.UNKNOWN 111.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (L'heckmmitmm0y) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ®2.DOUBLE WALL ❑4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-Primary lank ❑ 1.BARE STEEL ® FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (Check ane iIm may) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD WNTEERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) [199.OTHER TANK MATERIAL-secondary tank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (Chink me imn mly) ❑ 2.STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/10056 METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ L RUBBER LINED ❑ I.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN a6 DATE INSTALLED a47 OR COATING (Check one ima mJ6 El2ALKYD LINING ❑4PHENOLIC LINING El6UNLINED E] 99.OTHER (Fm laml we only) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ® 3 FIBERGLASS UNFORCED PLASTIC ❑ 95 UNKNOWN 448 DATE INSTALLED u9 PROTECTION IF APPLICABLE PROTECTION ❑ 4IMPRESSED CURRENT ❑ 99 OTHER (L'hect meitmanN) ❑2SACRIFICIAL ANODE (Fm local mcmy) SPILL AND OVERFILL YEAR INSTALLE45D TYPE(ladmeomy) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check an dm apply) ❑ 1 SPILL CONTAINMENT ❑ 1ALARM [-13 FILL TUBE SHUT OFF VAL` ❑ 2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT ❑ 3STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A d criptim ofdammimdngPMPam 5WIleaubmind w she lam]agcmy.) IF SINGLE WALL TANK(Checkall ma ply) 4$3 IF DOUBLE WALL TANK ORTANK WITH BLADDER 454 ❑ 1 VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Check me nm 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 ❑ STANK TESTING ❑3 MANUAL MONITORING (SIR)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 REMAININ< 1ITH INERT MATERIAL? 457 12/29/1998 )0 gallons ❑Yes ❑No UPCF(12/99 revised) 40 0