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NIFIED PROGRAM CONSOLIDATED FO �( (.) p3 TANK: TA0508398 <br /> ,/� <br /> PR#: <br /> PROSOSI51 <br /> UNDERGROUND STORAGE TANKS -TANK P 1 Ic✓7v FAC#: FA0007815 <br /> (two pages per tank) <br /> Pagc 6 of7 <br /> TYPE OF ACTION ❑ INEW SITE PERMIT 4AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITECLOSURE <br /> (Cbnkudyitanody) I ❑ 7 PERMANENTLY CLOSED ON SITE <br /> ❑ 3 RENEWAL PERMIT E] STANK REMOVED 450 <br /> BUSINESS NAME(,,00,w FACILGYNn Ew DBA-Ilo6i 1111m As) FACRITY ID: PR 1 <br /> PONTES QUICKI-KLEEN CAR WASH* 3 FA0007815 PR0505151 <br /> LOCATION WITHIN SITE(opuw.0 707 E YOSEMITE AVE,MANTECA 451 <br /> PHONE <br /> I.TANK DESCRIPTION(A scaled plot plan with the location of the UST system includmg bwldings and landmarks shall be subrtdtted m the local agency.) <br /> TANK ID# Tank#: 6 452 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yen ❑No 454 <br /> TA0508398 TIPSA Ir're'.carplM o�epaaer wd�wrparmaa. <br /> DATE INS D AR/MO) 435 TANK CAPAM.IN GALLONS 456 NUMBER OF COMPORT TS 437 <br /> S ELI1 ri 1 5,000 <br /> ADDITION DESC TLON(Forloml me mlyl 456 <br /> H.TANK CONTENTS <br /> TANK USE 439 PETROLEUM TYPE <br /> w <br /> ® L MOTOR VEHICLE FUEL ❑ 1..REGULAR UNLEADED ❑ 2.LEADED E] 5.JET FUEL <br /> (HmhMmnplem Pe°de'°"Tyye) ❑ Ib.PREMIUM UNLEADED ® 3.DIESEL ❑ 6.AVIATION FUEL <br /> ❑ 2.NON-FUEL PETROLEUM ❑ Ic.MIDGRADE UNLEADED ❑ 4.GASOHOL ❑ 99.OTHER <br /> ❑3.CHEMICAL PRODUCT COMMON NAME(fianxvudwe Matviab immmry pay) 441 CAS#(fiwnxaanbu Metmals lvvennay page) N2 <br /> ❑4.HAZARDOUS WASTE <br /> (mdwe u,d oE) <br /> ❑95.UNKNOWN <br /> III.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ I.SINGLE W ALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (Ommclkovililoolmry) EXTERIOR MEMBRANE LINER E] 95.UNKNOWN <br /> ® 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER <br /> TANK MATERUL.pli.,vlk1.BARE STEEL E] FIBERGLASS/PLASTIC [:] 5.CONCRETE r95.UNKNOWN 444 <br /> (gNan item my) M-2.STAINLESS STEEL E] STEEL CLAD W/FIBERGLASS ❑ LFRPCOMPTIBLEW/100%METHANOL <br /> REINFORCED PLASTIC(FRI') ❑ ".OTHER <br /> TANK MATERIAL-secondary tank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN u5 <br /> (Ctak wsiunmy) ❑ 2.STAINLESS STEEL ❑ 4.STEEL CLADWMIBERGLASS ❑ 8.PRP COMPTIBLE W/100%METHANOL <br /> REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL QD 99.OTHERH\/FI! <br /> ❑ 5.CONCRETE K laVr�' <br /> TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED N7 <br /> OR COATING <br /> (men moody) ❑ 2 ALKYD LINING ❑ 4 PHENOLIC LINING ❑ 6 UNLINED '31.OTHER <br /> (FnkuLa9adY) <br /> OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN 44a DATE INSTALLED N9 <br /> PROTECTION IF APPLICABLE PROTECTION <br /> ❑41MPRESSFA CURRENT ❑ 990THER <br /> (C��i��) <br /> ❑2SACRIFICIAL ANODE (Fu lom11K°"ty) <br /> SPILLANDOVERFILL YEAR FNSTALLE450 TYPE(loWmeotly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 453 <br /> (0,o*91 dlowty) �K I SPILL CONTAINMENT ❑ IALARM ----x3 FILL TUBE SHUT OFF VAL` <br /> L!;�2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT <br /> 3 STRIKER PLATE FLOAT <br /> IV.TANKLEAK DETECTION(A dempem or die monhariig pro®amrFa116e subniaN tome loyal <br /> IF SINGLE WALL TANK(Q dl Mar appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 <br /> ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) <br /> ❑2 AUTOMATIC TANK GAUGING INTO) ❑ 6VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ STANK TESTING ❑3 MANUAL MONITORING <br /> (SIR)BIENNIAL TANK TESTING ❑ 99 OILIER <br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 <br /> e2 i6aet--- 0.00 gallons ❑Yes ❑No <br /> UPCF(12/99 revised) <br />