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901°45, <br /> IFIED PROGRAM CONSOLIDATED FOR - TANK: TA0508396 <br /> r( pp r '(-44�, PR#: PR0505151 <br /> UNDERGROUND STORAGE TANKS - TANK PAGE i FAC#: FA0007815 <br /> (two pages per lank) <br /> TYPE OF ACTIONPelle 2 of 7 <br /> (C'Ivxk ml.-Tum mu) ❑ INEW SITE PERMIT ❑ 4AMENDED PERMIT E] SCHANGE OF INFORMATION E] bTEMPORARY SITE CLOSURE <br /> ❑ 7 PERMANENTLY CLOSED ON SUE <br /> 3 RENEWAL PERMIT (Spwfi�cysw-Forfow au anry) (9pwq�nwv--mrlom uve mfyfSTANK REMOVED 430 <br /> BUSINESS NAME(Sena u FACRDY NAME m DBA.Drone Buwjuss As) FACILITY ID: PR#: I <br /> QUICKI-KLEEN CAR WASH" 3 FA0007815 PRO505151 <br /> LOCATION WITHIN SITE(Opnaw) 707 E YOSEMITE AVE,MANTECA 431 <br /> PHONE,p4CR _ 2 - 91 s� <br /> 1.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be subtni0ed to the local agelley.) <br /> TANKIDN Tank#: 4 432TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ®Yes ❑No 434 <br /> TA0508396 TIPSA If^ves^.mmplwe we page r,a,�,,,p,ra�m. <br /> DATE INSTALLED(YEAR/MU) 435 TAMC CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 <br /> 5/20/1999 12:00:OOAM 10,000 3 <br /> ADDITIONAL DESCRIPTION(Forma ase mly) 438 <br /> H.TANK CONTENTS <br /> TANK USE 439 PETROLEUM TYPE aaa <br /> ® 1.MOTOR VEHICLE FUEL ® 1. REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL <br /> Ilfmorl`d mmpMe Pnmleum T>M) ❑ I b.PREMIUM UNLEADED ❑ 3.DIESEL <br /> ❑ b.AVIATION FUEL <br /> ❑ 2.NON-FUEL PETROLEUM ❑ Ic.MIDGRADE UNLEADED ❑ 4.GASOHOL ❑ 99.OTHER <br /> ❑ 3.CHEMICAL PRODUCT COMMON NAME Mmews irwnwn me) 441 CAS#P u„,Mws Ma mms mvenmg page) a2 <br /> ❑ 4.HAZARDOUS WASTE <br /> Ili Used Oil) <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 /> (CLwk wx,nwn mh) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN <br /> ® 2.DOUBLE WALL ❑4.SINGLE WALL M VAULT ❑ 99.OTHER <br /> TANK MATERIAL-primary lank ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 <br /> IChwtwrirm�mk) ❑ 2.STAINLESS STEEL ❑ STEEL CLADW/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL <br /> REINFORCED PLASTIC(FRP) ❑ 99.OTHER <br /> TANK MATERIAL-secondary tank ❑ I.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 <br /> ICIeaEwc irwn mh9 ❑ 2.STAINLESS STEEL ❑ 4.STEEL CLAD W/FIBERGLASS ❑ 8.FRPCOMPTIBLEW/100`u METHANOL <br /> REINFORCED PLASTIC(FRP) ❑ 10_COATED STEEL ® 99.OTHER <br /> ❑ 5.CONCRETE <br /> TANK INTERIOR LINING ❑ I.RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 44n DATE INSTALLED 447 <br /> OR COATING <br /> uohax'..],) ❑ 2 ALKYD LINING ❑ 4 PHENOLIC LINING ❑6 UNLINED ❑ OTHER <br /> (For local wa way) <br /> OTHER CORROSION ❑ I MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN 448 DATE INSTALLED 449 <br /> PROTECTION IF APPLICABLE PROTECTION <br /> (C w A-WS) ❑ 2 SACRIFICIAL ANODE ❑ 4 IMPRESSED CURRENT. ❑ 990THER <br /> (For lod use way) <br /> SPILLANDOVERFILL YEAR INSTALLE850 TYPE(ludusam10 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 <br /> ((:M1rA Amro wl') ® I SPILL CONTAINMENT ❑ IALARM ® 3 FILL TUBE SHUT OFF VAU <br /> Q 2DROPTUBE ❑ 2BALL ❑ 4EXEMPT <br /> 0 3STRIKER PLATE FLOAT <br /> rV.TANK LEAK DETECTION(A deswipnm ofdc mmaodng pmaww awl W submiezd roma I w aemw:) <br /> IF SINGLE WALL TANK ICIwck all mw will 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 <br /> ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) ICM1w'1rm`a`m wJ.) <br /> ❑2 AUTOMATIC TANK GAUGING(ATG) ❑ <br /> 6VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑3CONTINUOUS ATG ❑ 7GROUNDWATER M 2 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8TANK TESTING ❑3 MANUAL MONITORING <br /> (SIR)BIENNIAL TANK TESTING ❑ 99 OTHER <br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(VR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH MERT MATERIAL? 457 <br /> E] Yes ❑ No <br /> UPCF(12/99 revised) <br />