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IED PROGRAM CONSOLIDATED FORM TANK: TA0504863 <br /> PR#: PR0231173 <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 1 FAC#: FA0006423 <br /> (Iwo pages per tank) <br /> TYPEOFACTION ❑ INEW SITE PERMIT ❑ 4AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 6TEMPORARYSrfECLOSUKE Page 4 of <br /> (Clak only item only) <br /> L] 7 PERMANENTLY CLOSED ON SITE <br /> ❑3RENEWAL PERMIT ,tSP I i. I tyl (Sp lyrruon I�wnl mernlyl <br /> ❑BTANK REMOVED 430 <br /> BUSINESS NAME(sa .FACILITYNAMEaDBA-Doing Bminea As FACILITY ID: Pi 1 <br /> 3 <br /> FA0006423 PR0231173 <br /> LOCATION WITHIN SITE(opdw0 3440 E MAIN ST,91 UUHTON 431 <br /> PHONE <br /> 1.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be subnritted to the local agency.) <br /> TANKIDN Tank#: 5 432 TANK MANUFACTURER433 COMPARTMENTALIZED TANK ❑v 434 <br /> TA0504863 TRUSCO I T."aneplaeorcpa6e fa neE 4anpamnent <br /> DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 037 <br /> 10/21/1993 10,000 wom►' <br /> ADDITIONAL DESCRIPTION(Fmm d me wy) <br /> 430 <br /> H.TANK CONTENTS <br /> TANK USE 039 PETROLEUM TYPE <br /> ® <br /> I.MOTOR VEHICLE FUEL ❑ 2.LEADED ❑ 5.JET FUEL MO <br /> (IfnakM mtrylde Pamlemn Type) 1b.PREMIUM UN 120. ❑ 3.DIESEL ❑ 6.AVIATION FUEL <br /> ❑2.NON-FUEL PETROLEUM --- - <br /> ❑3.CHEMICAL PRODUCT C] 4.GASOHOL ❑COMMON NAME( 99.OTHER <br /> 6om xaawan Maten.la lnvemorypege) 441 CAS#goad a:adme Mat aIamvmmypage) <br /> ❑4.HAZARDOUS WASTE ,H2 <br /> (Nclode lAsd Oil) <br /> ❑95.UNKNOWN <br /> III.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ t.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM a3 <br /> (CLa ivaaonly) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN <br /> ®2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER <br /> TANK MATERIAL-primary sank ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑95.UNKNOWN aa4 <br /> RC one luanool3') ❑ 2.STAINLESS STEEL 29 STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL <br /> REINFORCED PLASTIC(FRP) ❑ 99OTHER <br /> TANK MATERIAL-secondary rank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 ' <br /> (�r+'k om4emony) ❑ 2.STAINLESS STEEL LASS ❑ 8.FRP COMPTIBLE W/100%METHANOL <br /> REINFORCED PLASTIC(FRP) <br /> ❑ IO.COATED STEEL ❑ 99.OTHER <br /> ❑5.CONCRETE <br /> TANK INTERIOR LINING ❑ 3.EPDXY LINING 1.RUBBER LINED <br /> OR COATING ❑ E] 5.GLASS LINING 95.UNKNOWN 446 DATE INSTALLED 447 <br /> (Owkasitan adY) ❑2ALKYD LINING ❑ 4PHENOLIC LINING ® 6UNLINED ❑ 99.OTHER <br /> (Fabmluaeoray) <br /> OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC <br /> PROTECTION tF APPLICABLE PROTECTION ® ❑ TE 3 FIBERGLASS REINFORCED PLASTIC 95 UNKNOWN Ma DAINSTALLED aas <br /> (Oaa*.itanony) ❑41MPRESSEDCU ENT ❑ 99 OTHER <br /> E] 25ACRIPICIAL ANODE (Fm local me ady) <br /> SPILL AND OVERFLLL ,arya�( Py J� YEARINSTALLE450 TYPE 0=1 uae OVERFILL PROTECTION EQ YEAR INSTALLED <br /> all that ryn <br /> py) kRVMENT 1,993.00 ❑ NAI-ARM TUBE <br /> /'- Qri oon Tt,nc. <br /> / <br /> 73 3STRIKER PLATE E] 2 BALL ❑ 4 EXEMPT <br /> FLOAT <br /> .TANK LEAK DETECTION(A doalpdon oftkemmlm,; :ub,rit4cdm Nelonl a9mry.) <br /> 1 Wt apply) IFDOUBLE WALLIAaDR TANK WITH BLADDER <br /> 1 AL( SEDP O AN ANK GA G M ( oncimnm ) <br /> ® U C AN G GR ( G) A SEZ NE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) <br /> OU G 7G D ;CONTINUOUS INTERSTEITAEMONITORING <br /> 4ST�+ <br /> 11 NI L <br /> KTESTING ❑INV TO ECONC TION ❑ ING <br /> (SIR <br /> NNIAL 3 MANUAL MONITORING <br /> ( <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 FLLIJiD WITH INERT MATERIAL? 457 <br /> ❑Yes ❑ No <br /> UPCF(12/99 revised) <br />