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105 IFIED PROGRAM CONSOLIDATED FORM✓ TANK: TA0508397 PRN: PROW151 UNDERGROUND STORAGE TANKS - TANK PAGE 1 FAC 4: FA0007815 (two pages per tank) TYPE OF ACTION E] IT E] E] Page 4 of 7 K,nN wa.4 wh) INEW SUE PERMIT ❑ 4AMENDED PERMSCHANGE OF INFORMATION 6TEMPORARY SITE CLOSURE ❑ 7 PERMANENTLY CLOSED ON SUE ❑3 RENEWAL PERMIT (Spxh mxm Porlocallrse wh) ISpufimxonPorloral use wly) ❑ STANK REMOVED 430 BUSINESS NAME(Saan M FACILITY NAME«BRA-Doing Businea As) FACILITY ID: PR 1 QUICKI-KLEEN CAR WASH' FA0007815 raoso5151 LOCATION WITHIN SITE(o mP m7 707 E YOSEMITE AVE,MANTECA 431 PHONE 1.TANK DESCRIPTION(A scaled plot plan with the location ofthe UST system including buildings and landmarks shall be submitted to the local agency.) TANK IDN Tank#: 5 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ® Yea []No 434 TA0508397 TIPSA IT�Ycs•,centp1 a oM pagefor eam canpamiums. DATE INSTALLED(YEAR/MO) 43s TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 5/20/1999 12:00:OOAM 5 000 3 ADDITIONAL DESCRIPTION IF-low ase..,) 439 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® I.MOTOR VEHICLE FUEL ❑ la.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (Hnukad mnpl`u'Par°In°n TP`J ® Ib.PREMIUMUNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ Ic MIDGRADE UNLEADED ❑ 4.GASOHOL ❑ 99.OTHER ❑3.CHEMICALPRODUCT COMMON NAME(Ban Harardass Mau:nals hivcnson page) 441 CASH 010 Hamdmu Mcenalslnvmron page) 442 ❑ 4.HAZARDOUS WASTE B luda Uad(TB ❑95.UNKNOWN III.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Cked,ore imn Dols) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ® 2.DOUBLE WALL ❑4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-primary lank ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ® 95.UNKNOWN 444 ICksk sac Nan mly) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ B.FRPCOMPTIBLEW/10rP66METHANOL REINFORCED PLASTIC(PRP) ❑ 99.OTHER TANK MATERIAL-secondary sank ❑ 1,BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 ([kat amirrn oNyl ❑ 2.STAINLESS STEEL ❑ 4.STEEL CLAD W/FIBERGLASS ❑ 8.FRPCOMPTIBLEWAOMKMETHANOL REINFORCED PLASTIC(FRP) ❑ 10_COATED STEEL ® 99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ 1 RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 OR COATING (Chat a iron ml.) ❑ 2 ALKYD LINING ❑ 4 PHENOLIC LINING ❑ 6 UNLINED ❑ 99.OTHER (Forlwal�aih) OTHER CORROSION ❑ I MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN "a DATEINSTALLED H9 PROTECTION IF APPLICABLE PROTECTION (CM1nt auaren MJ ❑ 4IMPRESSED CURRENT ❑ 99 OTHER ❑ 25ACRIFICIAL ANODE (Fm low us Wy) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(lad Ml3) 451 OVERFILL PROTECTION EQUIPMENT YEAR INSTALLED 452 (Cluxt dl Me[apq.) ® I SPILL CONTAINMENT ❑ IALARM ® 3 FILL TUBE SHUT OFF VAL` [] 2DROPTUBE ❑ 2HALL ❑ 4EXEMPT Q 3 STRIKER PLATE FLOAT TV.TANK LEAK DETECTION(A dae,rw offs pmgzn awl ke sulanium to the low agem:) IF SINGLE WALL TANK(Caek all dal apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) S MANUAL TANK GAUGING(MTG) (CTak me ttemmll)❑ ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑ 2 AUTOMATIC TANK GAUGING(ATG) ❑ 6 NODOSE ZONE ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDW ATER ®2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8TANK TESTING ❑ 3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑ 99 OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MOMAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED W UH INERT MATERIAL? 457 E]Yes ❑ No UPCF(12/99 revised)