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4wf NIFIED PROGRAM CONSOLIDATED FO TANK:TA0508397 2 V' PR#: PRO505151 UNDERGROUND STORAGE TANKS -TANK VAGE,1 FAC#: FA0007815 (two pages per rank) Page 4 of7 TYPE OF ACTION ❑ ?NEW SITE PERMIT ❑ 4AMENDED PERMIT 14SCHANGE OF INFORMATION ❑ 6TEMPORARY SITE CLOSURE (n1 My ttwnmy) ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3RENEWAL PERMIT ❑ 8TANK REMOVED 430 BUSINESS NAME(swt.eFAcarryNAME m DSA-Doing S:winea A:) FACILITY m: PR#: 1 PONTES QUICKI-KLEEN CAR WASH' FA0007815 PR0505151 LOCATION WITHIN SITE(optica) 707 E YOSEMITE AVE,MANTECA 431 PHONE 1.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# Tank#: 5 43z I TANK MANUFACTURER 433 COMPARTMENTALIZED TANK s ❑No B3 TA0508397 TIPSA v-va:onyl DATEIN ALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS r� 437 od 4! 5,000 ? ADDITIOAIAE DESCRIPTION(Fxm a vniy) 438 U.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® I.MOTOR VEHICLE FUEL ❑ la.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (Rnwhdm I.Pcaokmn Type) ® Ib.PREMIUMUNLEADED ❑3.DIESEL ❑ 6.AVIATIONFUEL ❑ 2.NON-FUELPETROLEUM ❑ Ic MIDGRADEUNLEADED ❑4.GASOHOL ❑ 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME 011 ss M-,m-E lmmtarypage) 441 CAS#(uom 33aatdww mwwVab lmmtwy page) 442 ❑4.HAZARDOUS WASTE (1a tJaeg oil) ❑ 95.UNKNOWN III.TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 ( _ ) EXTERIOR MEMBRANE LINER ❑95.UNKNOWN ®2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑99.OTHER TANK MATERIA.-prima"nk tz I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ,-.i 95.UNKNOWN 444 (CTNwrc i dy) ❑ 2.STAINLESS STEEL ❑ STEEL Cl-ADW/FIBERGLASS ❑ S.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-wcondary tank ❑ I.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑95.UNKNOWN 445 (CLwk wwitrn mly) ❑ 2.STAINLESS STEEL ❑ 4.STEEL CLAD W/FIBERGLASS ❑ S.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL99.OTHER !I^i) ❑ 5.CONCRETE v� TANK INTERIOR LINING ❑ E RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED N7 OR COATING (C me imnmly) ❑ 2 ALKYD LINING ❑ 4 PHENOLIC LINING ❑ 6 UNLINED ❑ OTHER (Fa tont we my) OTHER CORROSION ❑ I MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC E]95 UNKNOWN Ma DATEINSTALLED 449 PROTECTION IF APPLICABLE PROTECTION (c> "ftanmly) ❑ 4IMPRESSED CURRENT ❑99OTHER ❑ 25ACRIFICIAL ANODE (Fm lod qac my) SPILL AND OVERFIILLLL YEAR INSTALLE450 TYPE(localmcmly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Clwrk ill caw apply) Ijx I SPILL CONTAINMENT ❑ IALARM3 FILL TUBE SHUT OFF VAD �2DROP TUBE E] 2BALL ❑ 4EXEMPT M\3 STRIKER PLATE FLOAT TV.TANK LEAK DETECTION(A dwwpdmofd monitomgv�:IwnIK:&w:imam us lo®ly y.) IF SINGLE WALL TANK B k all tlut q y) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ 1 VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Clink w¢nvnwJY) ❑ 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 ❑ "OTHER V.TANK CLOSURE INFORMATION J PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK tILLEDWIrHMERT MATERIAL? 457 0.00 gallons ❑Yes ❑ No UPCF(12/99 revised)