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FIED PROGRAM CONSOLIDATED FORMqr TANK: TA0504864 • PR N: PR0231173 UNDERGROUND STORAGE TANKS -TANK PAGE 1 FAC N: FA0006423 (two pages per tank) TYPE OF ACTION Page 6 of 7 (Chrek mlv item wdr) ❑ INEW SITE PERMIT ❑ 4AMENDED PERAUT ❑ 5CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT ISRh msson-Porinuhl me onl.l 15wnrcvwirorl-aluu anhl ❑ STANK REMOVED 430 BUSINESS NAME(5a .FACILDYNAMEor ,DBA-Win,Business\sl F.IC L Il IU. FR 1 UNITED GAS FA0006423 PR0231173 LOCATION WITHIN SITE(0,ocn I 3440 E MAIN ST,STOCKTON 431 PHONE I.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks sball be submitted to the local agency.) TANK IDN Tank#: 6 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK E] 1, ❑No 434 TA0504864 TRUSCO If"Y ,wmptac o«Pasc wrwm wmpnwwnt. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10/21/1993 12:00:OOAM 10,000 ADDITIONAL DESCRIPTION(For loos wa my) 438 11.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 M L MOTOR VEHICLE FUEL ® la REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL ufam wmpmw K,. i T.pe) ❑ Ib.PREMIUM UNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑2.NON-FUEL PETROLEUM ❑ Ic.MIDGRADE UNLEADED ❑4.GASOHOL ❑ 99.OTHER ❑3.CHEMICAL PRODUCT COMMON NAME ruw Harardow 14a i sSmwlwy w) 441 CAS#(nun Havdoaa M«cnaus w,,page) 442 ❑4.HAZARDOUS WASTE (bwludes Uxd q) ❑ 95.UNKNOWN IO.TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Chea meiwm«dy) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ® 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-pnmary tank ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 444 (Chale me item mit) ❑2.STAINLESS STEEL ® STEEL CLADW/FIBERGLASS ❑ 8.FRP COMPTIBLE W/I00%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN U5 (Clwkare iron way) ❑ 2.STAINLESS STEEL ®4.STEEL CLAD W/FIBERGLASS ❑ ,.FRPCOMPTIBLEW/100-/.METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑ 99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ L RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 OR COATING (C7xrk om nan oNp) ❑2 ALKYD LINING ❑ 4 PHENOLIC LINING ® 6 UNLINED ❑ 99.OTHER (For1oW:¢ody) OTHERCORROSION ❑ I MANUFACTURING CATHODIC ❑ 3FIBERGLASSREINFORCED PLASTIC ❑ 95 UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION (Chale o«item mis) ❑ 4 IMPRESSED CURRENT ❑ 99 OTHER ❑2 SACRIFICIAL ANODE (For lod ore way) SPILL AND OVERFILL YEAR MSTALLE450 TYPE(1w.anly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 432 (Chwknllthw V,K) ® I SPILL CONTAINMENT 1,993,00 ❑ IALARM ® 3 FILLTU13E SHUT OFF VAL` 1,993.00 Q 2 DROP TUBE 1,993.00 ❑ 2 BALL ❑ 4 EXEMPT ❑ 3 STRIKER PLATE FLOAT IV.TANK LEAK DETECTION(A deanpum oftle mmiwdi,vmemm sUl be sub ni dwthewm a,4ary:) IF SINGLE WALL TAN K(Ch mlmss appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) ICnai:ane nan mIU) ❑ 2 AUTOMATIC TANK GAUGING(ASG) ❑ 6VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER ❑2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ STANKTESTING ❑3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑ 99 OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 453 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 ❑Yes ❑No UPCF(12/99 revised)