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i • IFIED PROGRAM CONSOLIDATED FORM ' 0`3 TANK: TA0508398 PR#: PRO505151 UNDERGROUND STORAGE TANKS - TAN G 1� n // FAC#: FA0007815 pages per tank) Page 6 of 7 TYPE OF ACTION ❑ I NEW SITE PERMIT ❑4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑6 TEMPORARY SITE CLOSURE (Chat muy i.mly) ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT ❑STANK REMOVED mo BUSINESS NAME(Saas as FACILITY NAME m DIA-Dukg Businsa As) FACILITY ID: PR N: I PONTES QUICKI-KLEEN CAR WASH* 3 FA0007815 PRO505151 LOCATION WITH N SITE(optimal 707 E YOSEMITE AVE,MANTECA 0J1 PHONE 1.TANK DESCRIPTION(A scaled plot plan with the location of the UST system ineluding buildings and landmarks shall be suboutled to the local agency.) TANK ID# Tank#: 6 432TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes []No 434 TA0508398 TIPSA If Yyn-,wamka ma paW fo-h<m*vparnL DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY Al GALLONS 436 NUMBER OF COMPARTMENTS 437 5 000 ADDITIONAL DESCRIPTION(Fm k Luse my) 439 II.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® I.MOTOR VEHICLE FUEL ❑ I,REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (Ifmahedrompklt ParoMm Type) ❑ lb.PREMIUMUNLEADED ® 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ Ic MIDGRADE UNLEADED ❑4.GASOHOL ❑ 99.OTHER ❑3.CHEMICAL PRODUCT COMMON NAME(fmm Haub.Mmaiak laraumy page) 44I CAS#(dan xa>aLmm mammos m-aamy page) 442 ❑4.HAZARDOUS WASTE Bmhmuwcso ❑95.UNKNOWN N.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Clack wrimn my) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ® 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑99.OTHER TANK MATERIAL- ninvry tank ❑ 1.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (Cbmek ma ianmy) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPUBLE W/tars METHANOL REINFORCED PLASTIC(FRP) ❑99.OTHER TANK MATERIAL-secondary hank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (click om imm a�JY) ❑ 2.STAINLESS STEEL ❑ 4.STEEL CLAD WNIBERGLASS ❑ 8.FRP COMPTIBLE W/I0056 METHANOL REINFORCED PLASTIC(FRP) ❑ I0.COATED STEEL ❑ 99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED H7 OR COATING (C6ak ma Veno ady) E] 2ALKYDLINING ❑4 PHENOLIC LINING ❑ 6 UNLINED ❑ OTHER (Fm lod me my) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN as DATE INSTALLED a9 PROTECTION IF APPLICABLE PROTECTION ❑4IMPRESSED CURRENT ❑ 99 OTHER (ChLcko iiaa °"y) ❑ 25ACRIFICIAL ANODE (FmlpC1l1ticm'3y) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(kul css ly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 ❑ I SPILL CONTAINMENT ❑ 1A RM ❑ 3 FILL TUBE SHUT OFF VALI ❑ 2DROP TUBE ❑ 2BALL ❑ 4EXEMPT ❑ 3 STRIKER PLATE FLOAT IY.TANK LEAK DETECTION(A 4aaWdm ofuwmontwiagpm� anan be submimm�o us kol a9ay.) IF SINGLE WALL TANK(C all dun apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ t VISUAL(EXE)SED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (CM1ak mm nan my) ❑ 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 ❑ 99 OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 2�2�I )98 0.00 gallons ❑Yes ❑No UPCF(12/99 revised)