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'%. VIFIED PROGRAM CONSOLIDATED FOR TANK: TA05W98 <br /> ' PR#: PRO505151 <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 1 FAC#: FA0007915 <br /> (two pages per tank) <br /> TYPE OF ACTION ❑ INEW SUE PERMIT ❑ 4 AMENDED PERMIT 5 CHANGE OF INFORMATION Page6of] <br /> TYPE OF ACTIO ❑ ❑ 6TEMPORARYBITECLOSURE <br /> ❑ 3RENEWAL PERMIT (Span maw for mc.T sv onryj <518v,finaon-ronow use wly) ❑ ]PERMANENTLY CLOSED ON SUE <br /> 8TANK REMOVED 430 <br /> BUSINESS NAME(Sanwa,FACILITY NAME or DMA-Doug Hannan As) FACILITY ID: PR# I <br /> QUICKI-KLEEN CAR WASH' 3 FA0007815 1'R0505151 <br /> LOCATION WITHIN SITE(13puaa0 707 E YOSEMITE AVE,MANTECA 431 <br /> PHONE <br /> I.TANK DESCRIPTION(A sealed plot plan with the location of the UST system including buildings and landmarks shall be submined to the local agency.) <br /> TANK ID# Tank#: 6 412 TANK MANUFACTURER 443COMPARTMENTALIZED TANK ®Yes ❑No 434 <br /> TA0508398 TIPSA If'Ya',wanpkaae,a Aaasch pvmxan. <br /> DATE INSTALLED(YEAR/MO) 435 I TANK CAPACITY M GALLONS 036 NUIvIDER OF COMPARTWNTS 431 <br /> 5/20/1999 12:00:OOAM 5 000 3 <br /> ADDITIONAL DESCRIPTION(Pm Iucal a:ant,) 438 <br /> D.TANK CONTENTS <br /> TANK USE 439 PETROLEUM TYPE <br /> ® I.MOTOR VEHICLE FUEL ❑ 1a.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL MO <br /> pf mnrtN wmplae t4wlam TJz) ❑ I b.PREMIUM UNLEADED ® 3.DIESEL <br /> ❑ 6.AVIATION FUEL <br /> ❑2.NON-FUELPETROLEUM ❑ Ic MIDGRADEUNLEADED ❑ 4.GASOHOL <br /> ❑ 99.OTHER <br /> ❑ 3.CHEMICAL PRODUCT COMMONNAME(rmm Ifansdoae Mverials mvrnra0 page) 441 CAS#(nam Hassrdas st,Nnala Invemory page) <br /> ❑4.HAZARDOUS WASTE 442 <br /> (Made,Uead W) <br /> ❑95.UNKNOWN <br /> III.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL Wall ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (Llakak naraanly) EXTERIOR MEMBRANE LINER E] 95 UNKNOWN <br /> ® 2.DOUBLE WALL ❑ 4.SINGLE WALL M VAULT ❑ 99.OTHER <br /> TANK MATERIAL-primary tank ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ® 95.UNKNOWN 444 <br /> (Ia .ttaaonk) ❑ 2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100sto METHANOL <br /> REINFORCED PLASTIC(FRP) <br /> ❑ 99.OTHER <br /> TANK MATERIAL-secondary tank ❑ I.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 <br /> (CMk aw iron onl.) ❑2.STAINLESS STEEL ❑4.STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100°G METHANOL <br /> REINFORCED PLASTIC(TRIP) ❑ 10.COATED STEEL ® 99.OTHER <br /> ❑ 5.CONCRETE <br /> TANK INTERIOR LINING ❑ I RUBBER LINED ❑ 3.EPDXY LINING441 <br /> OR COATING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED <br /> (C'Ivi me van anM ❑ 2 ALKYD LINING ❑ 4 PHENOLIC LINING ❑ 6 UNLINED ❑ 99.OTHER <br /> (For bolusady) <br /> OTHER CORROSION ❑ I MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC95 UNKNOWN "a DATE INSTALLED 449 <br /> PROTECTION IF APPLICABLE PROTECTION ❑ <br /> (Owrk...coh) ❑4 IMPRESSED CURRENT ❑ 99 OTHER <br /> ❑ 2 SACRIFICIAL ANODE (For bd use Wy) <br /> SPILL AND OVERFILL YEAR MSTALLE450 TYPE 0use miy) 451 OVERFILL PROTECTION EQUIPMENT YEAR INSTALLED 452 <br /> K.Rd1 aIlNaz apph9 ® I SPILL CONTAINMENT ❑ IALARM ® 3 FILL TUBE SHUT OFF VAL` <br /> Q 2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT <br /> Q 3 STRIKER PLATE FLOAT <br /> IN. TANK LEAK DETECTION(A deaevpsion ofdw monrcodng pmpan sM1all Ire submitwd m dw lad agmn:) <br /> IF SINGLE WALL TANK(C3ark all that apph) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 <br /> ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Click aw isan poly) <br /> ❑2 AUTOMATIC TANK GAUGING(ATG) ❑ 6 VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8 TANK TESTING ❑3 MANUAL MONITORING <br /> (SIR)BIENNIAL TANK TESTING ❑ 990TMR <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 VERT MATERIAL' 451 <br /> ❑Yes ❑ No <br /> UPCF(12/99 revised) <br />