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'IFIED PROGRAM CONSOLIDATED FORM l TANK: TA0508397 `r PR#: PRO505151 UNDERGROUND STORAGE TANKS - T 1 n I' FAC#: FA0007815 [JI/ (two pages per tank) ._ Page 4 of7 TYPE OF ACTION ❑ I NEW SITE PERMIT ❑ 4,x,511:]DED VER M I T ❑ -('11ANOF OF INI ORSIATION ❑ 6 TEMPORARY SITE CLOSURE (Choat mdy aero may) _ ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3RENEWAL PERMIT [6peciyrwaon-[m l«el utt ody) (sp«iryresov.f i«imcmiy) ❑&TANK REMOVED 430 BUSINESS NAME(sameu FACILITY NAME or DBA-Doing no, Asl FACILITY Ill: PR#: t PONTES QUICKI-KLEEN CAR WASH* 3 FA0007815 PROSOSISI LOCATION WITHIN SITE(Opsnu0 707 E YOSEMITE AVE,MANTECA 431 PHONE 1.TANK DESCRIPTION(A styled plot pWn with Bre loeation of the UST system i3Mloding buildings and landmarks shall be subtld0ed to the local agency.) TANK IW Tank#: 5 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ❑N9 434 TA0508397 TIPSA vru•,aomPmeon<vage mreehmre,ammnt. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 435 NUMBER OF COMPARTMENTS 437 $000 ADDITIONAL DESCRIPTION For locdl we omy) 438 R.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 449 M LMOTOR VEHICLE FUEL ❑ Ia.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (Ifmakdcml*bu Pcooleen Type) ® 1b.PREMIUM UNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑2.NON-FUEL PETROLEUM ❑ Ic.MOORAGE UNLEADED ❑ 4.GASOHOL ❑ 99.OTHER ❑ 3.CHEMICAL PRODUCT COMMON NAME(from H owdom Malcriats Imrnlo y page) a4I CAS#(6mn HanMom materials Immmry page) 442 ❑ 4.HAZARDOUS WASTE (IoduEn ueeiod) ❑95.UNKNOWN 111.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (flak one it-oNy) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ® 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIA.-primary lank ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (Clerk one kern only) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD WNIBERGLASS ❑ 8.FRP COMPTIBLE W/Hsi$b METHANOL REINFORCED PLASTIC(FRP) ❑ 99,OTHER TANK MATERIAL-secondary lank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑95.UNKNOWN us (Clrckoaiuionly) ❑ 2.STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑ S.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑ 99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ I.RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 445 DATE INSTALLED 447 OR COATING (Cheek tote at my) ❑ 2 ALKYD LINING ❑ 4 PHENOLIC LINING E] 6 UNLINED ❑ 99.OTHER (Fmlml meaNy) OTHER CORROSION ❑ I MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC E]95 UNKNOWN 448 DATE INSTALLED s49 PROTECTION IF APPLICABLE PROTECTION (C eb`itanady) ❑ 4IMPRESSED CURRENT ❑ 99 OTHER Foeloaalascady) ❑ 2 SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLE450 TYPE(IocaI..Iy) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Cbak S tlu avy) ❑ 1 SPILL CONTAINMENT ❑ I ALARM ❑ 3 FILL TUBE SHUT OFF VAL` ❑ 2DROP TUBE ❑ 2BALL ❑ 4EXEMPT ❑ 3 STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A 4 eipdort ofa.monitoring pmgnm sma be submitted to the local agercy) IF SINGLE WALL TANK(C .a des,appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ 1 VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGNG(MTG) (Chet nen only) ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER 912 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8 TANK 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 REMAINING 455 TANK FILLED W ITH INERT MATER .? 457 2/2/1998 0.00 gallons ❑ IA Yes ❑No UPCF(12/99 revised)