BILLING 1997 - 2003 - Laserfiche WebLink

Home Browse Search

'IFIED PROGRAM CONSOLIDATED FO~ I yam 1.d TANKS UNDERGROUND STORAGE TANKS TANK PAGE 1 (two pages per tank) Page 3 of 6 TYPE OF ACTION ❑1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT 10 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (Check one itemonly) ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT (Spccifyiesson-forlocaluseonly) (Specify reason-for local use only) ❑ 8 TANK REMOVED AO BUSINESS NAME(S..FACILITY NAME or DBA-Doing Business As) 1 3 FACILITY ID: 0 0 0 0 0 0 0 0 0 0 0 Chevron Station#91848 LOCATION WITHIN SITE poptimsaq 431 1257 W Yosemite Ave.,Manteca,CA 95337 I.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# 632 TANK MANUFACTURER 033 COMPARTMENTALIZED TANK Yes ® No 434 2 1 OWENS CORNING Q"Yee',complete one page for each compartment. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 7/11/91 1 12000 0 ADDITIONAL DESCRIPTION(For kcal use only) 438 11.TANK CONTENTS TANK USE 439 PETROLEUM TYPE aao 19 1. MOTOR VEHICLE FUEL ❑la. REGULAR UNLEADED ❑2. LEADED [15. JET FUEL (If mmicM corryletc Pc4okum Type) [I lb. PREMIUM UNLEADED 03. DIESEL ❑6. AVIATION FUEL ❑2. NON-FUEL PETROLEUM ®Ic. MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER_ ❑3. CHEMICAL PRODUCT COMMON NAME Loom Hazardous Materials Inventory page) 441 CAS#(oom Hazardous Materials Inventory page) 442 ❑4. HAZARDOUS WASTE B.wdcs Uecdoip MID-GRADE UNLEADED 800-61-9 ❑95.UNKNOWN III. TANK CONSTRUCTION TYPE OF TANK ❑1. SINGLE WALL [13. SINGLE WALL WITH ❑S. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one nem only) EXTERIOR MEMBRANE LINER 095. UNKNOWN 02. DOUBLE WALL ❑4. SINGLE WALLIN VAULT [199. OTHER_ TANK MATERIAL-primary tad, ❑ L BARE STEEL ®3. FIBERGLASS/PLASTIC 05. CONCRETE ❑95. UNKNOWN 444 (Check one nem only) ❑2. STAINLESS STEEL [14. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE W/100%METHANOL ❑99.OTHER_ REINFORCED PLASTIC(FRP) TANK MATERIAL-secondarytarJr ❑ 1. BARESTEEL ®3. FIBERGLASS/PLASTIC 0 5. CONCRETE 095. UNKNOWN 445 (Cheri one new only) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS [18. FRP COMPATIBLE W/100%METHANOL ❑99.OTHER REINFORCED PLASTIC(FRP) [110.COATED STEEL ❑5. CONCRETE TANK INTERIOR LINING [11.RUBBER LINED [13.EPDXY LINING ❑5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ®6 UNLINED ❑99 OTHER (Check own nem only) (Fm local use only) OTBER CORROSION ❑1 MANUFACTURED CATHODIC ®3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 448 448 PROTECTION IF APPLICABLE PROTECTION ❑4IMPRESSED CURRENT ❑99 OTHER (Check we nem only) ❑2 SACRIFICIAL ANODE (For local we only) SPILL AND OVERFILL YEARINSTALLED 430 TYPE(Imalae only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check all that Hrply) ®1 SPILL CONTAINMENT ®3 FILL TUBE SHUT OFF VALVE 1991 ® 1 ALARM OPW 61-SO4 ®2 DROP TUBE 1998 OPW 61-SO-4 ❑2 BALL FLOAT ❑4 EXEMPT ®3 STRIKER PLATE Tank Mf IV.TANK LEAK DETECTION(A description ofthe monkoring program shall be sobmnscd to the local agency.) IF SINGLE WALL TANK(Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Chock one nem only) ❑I VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) ❑I VISUAL(SINGLE WALL IN VAULT ONLY) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ®2 CONTINUOUS INTERSTITIAL MONITORING ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING (SIR) BIENNIAL TANK TESTING 1-199 OTHER IV.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 055 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 657 gallons ❑Yes ❑ No UPCF(1/99 revised) 175 Formerly SWRCB Form B