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NIFIED PROGRAM CONSOLIDATED FOR �vy� TANK: TA05083% F PR#: PRO505151 UNDERGROUND STORAGE TANKS - TANK PAG&4 FAC#: FA0007815 1 d� (two pages per lank) Pagn 2 of 7 TYPE OF ACTION ❑ 1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (O�eh my iun mN) ® ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT E]STANK REMOVED 430 BUSINESS NAME(S,meu FACI.DYNAME m DBA-Doing Burow M) FACILITY ID: PR#: 1 PONTES QUICKI-KLEEN CAR WASH* 3 FA0007815 PROSOSISI LOCATION WITHIN SITE(ape ) 707 E YOSEMITE AVE,MANTECA 431 PHONE I.TANK DESCRIPTION(A scaled plot plan widl the location of the UST system mcludmg buildings and landmarks shall be sub31ti0ed to the local agency.) TANKIDN Tank#: 4 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yes ❑No 434 TA0509396 T1PSA R"Yna^,canPlsu om paaa r«wca wa,Paronnn. DATE INALLE "' 4 35 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARiMEN I ZpE 437 v 10,01 Jc ADDITIOt4AL DhKIFLAUNI(Pm low unmy) 438 It.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 'Ho ® 1.MOTOR VEHICLE FUEL ® la.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (Rmhedmngbe P�Type) ❑ Ib.PREMIUM UNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑2.NON-FUEL PETROLEUM ❑ Ic MIDGRADEUNLEADED ❑ 4.GASOHOL ❑ 99.OTHER ❑ 3.CHEMICALPRODUCT COMMON NAME Hmu Hass,da¢Mata NvMarypaae) 441 CAS#(Rwn Hawdaa Malviale lwmtmy page) 492 ❑4.HAZARDOUS WASTE (idi d Ux Oil) El95.UNKNOWN ID.TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL W ITH ❑ S.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (c6ek asiwnmy) 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 (CM _iwnwdy) ❑ 2.STAINLESS STEEL ❑ STEEL CLADW/FIBERGLASS ❑ S.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 443 (Clrkmcfunmly) ❑ 2.STAINLESS STEEL ❑ 4.STEEL CLADW/FIBERGLASS ❑ 9.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATEDSTEEL A99.OTHER fwc ❑ S.CONCRETE TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑ 3.EPDXY LINING ❑ S.GLASS LINING ❑95.UNKNOWN H6 DATE INSTALLED H7 OR COATING (Cl .i.my) ❑ 2 ALKYD LINING ❑ 4 PHENOLIC LINING ❑ 6 UNLINED ❑ (Fmbwlvc my) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC [j 95 UNKNOWN a8 DATE INSTALLED H9 PROTECTION IF APPLICABLE PROTECTION (Clark.,..y) E] 4 IMPRESSED CURRENT E] 99 OTHER ❑ 25ACRIFICIAL ANODE (Pmlow uc ady) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(krd.cw4) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 dl0u appy) I SPILL CONTAINMENT ❑ 1 ALARM )4 3 FILL TUBE SHUT OFF VAL` 2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT 3 STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A dmripdm ofro.no,Pu9n SWI Icmbidtkdu a.low.eacy.) IF SINGLE WALL TANK HC A da,appy) 453 IF DOUBLE WALL TANK OR TANK W ITH BLADDER 454 ❑ 1 VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTD) ❑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 ❑ 8 TANK TESTING ❑3 MANUAL MONITORING (SHUBIENNLV.TANKTESTING ❑ "OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MOMAY) 455 1 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATER Ad.? 457 0.00 gallons ❑Yes ❑ No UPCF(12/99 revised)