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\0 X1.2 I q p7-- ,FIED PROGRAM CONSOLIDATED FORM �a1I TANK: TA0253501 IV-�, PR#: PRO232535 UNDERGROUND STORAGE TANKS - TANK PAGE 1 FAC#: FA0003692 (two pages per tank) TYPE OF ACTION ❑ I NEW SITE PERMIT ❑4 AMENDED PERMITPage 2 of3 (CM1rk way ittw wJy) ❑ SCHANGE OF INFORMATION ❑6TEMPORARY SITE CLOSURE ❑ ]PERMANENTLY CLOSED ON SITE ❑ 3RENEWAL PERMIT ❑BTANK REMOVED 430 BUSINESS NAME(sameaa FACILITYNAMEor DBA-Da mg Busitwo Aa) FACILITY ID: PR#: POSDEF POWER CO,L P-COAL SITE 3 FA0003692 PR0232535 LOCATION WITHIN SITE(op mwi) 2526 W WASHINGTON ST,STOCKTON ul PHONE I.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# Tank#: 1 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK TA0253501 ❑Yes ❑No 434 I["Ya'",compinc om pa8e t«eacM1<ompa,m¢ne DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 457 ADDITIONAL DESCRIPTION(Pwlw1000al me wuy) qg 11.TANK CONTENTS TANK USE 439 PETROLEUM TYPE ❑ I.MOTOR VEHICLE FUEL ❑ Ia.REGULARUNLEADED ❑ 2.LEADED ❑ 5.JET FUEL ua pFnwhW wnPlee Pmalemn Typo) ❑ 1b.PREMIUMIINLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑2.NON-FUEL PETROLEUM ❑ Ic.MIDGRADEUNLEADED Fl 3.CHEMICAL PRODUCT E) 4.GASOHOL ® 99.OTHER COMMON NAME(rmm xaaasmm MmmaO lmmto,ypage) a41 CAS#(eom xaaa�domate Mnaislwrntory page) 612 ® 4.HAZARDOUS WASTE (IrcIWw WwIOiI) ❑ 95.UNKNOWN III.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM U3 (CLck weimn way) EXTERIORMEMBRANELINER ❑ 95 UNKNOWN ❑ 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑99.OTHER TANK MATERIAL-primuy tank ❑ 1.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UIIKNOWN 444 (Clerk arc item way) ❑ 2.STAINLESS STEEL El STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ I.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑95.UNKNOWN 44s (CM1ck orc awn ody) ❑2.STAINLESS STEEL ❑ 4.STEEL CLAD WTIBERGLASS ❑ B.FRP COMPTIBLE W/I00%METHANOL REINFORCED PLASTIC(PRP) ❑ 10.COATED STEEL ❑ 99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑3.EPDXY LINING an OR COATING ❑ S.GLASS LINING ❑95.UNKNOWN 4a6 DATE INSTALLED (C weamnway) ❑ 2ALKYDLRJING ❑4PHENOLIC LINING ❑ 6UNLINED ❑ 99.OTHER (Fm bpl we my) OTHER CORROSION ❑ I MANUFACTURING CATHODIC ❑ 3FIBERGLASSREINFORCEDPLASTIC95 UNKNOWN ase DATE INSTALLED H9 PROTECTION IF APPLICABLE PROTECTION ❑ (mak OK imp ony) El IMPRESSED CURRENT ❑ 99 OTHER ❑ 2SACRIFICIAL ANODE (Pw local meaNy) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(Imalmeway) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (CM1eekallamappy) ❑ I SPILL CONTAINMENT ❑ IALARM ❑ 3 FILL TUBE SHUT OFF VAU ❑ 2 DROP TUBE ❑ 2 BALL ❑ 4 EXEMPT ❑ 3STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A a rripdm oribe�lomgpm®am.mll be subm(uw to de local am,) IF SINGLE WALL TANK(C kale 0w,appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (CM1mk we nem Dory) ❑2AUTOMATIC TANK GAUGING(ATG) ❑ 6 VAOOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑ 3 CONTINUOUS ATG ❑ ]GROUNDWATER ❑2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8 TANK TESTING ❑3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑ 99 OTHER .TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE FSTIMA qDATE LAST USED(YR/M(YDAY) 55 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 4n O [:1 Yes ❑ No UPCF(12/99 revised)