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D PROGRAM CONSOLIDATED'FORN <br /> TANKS <br /> UNDERGROUND STORAGE TANKS -TANK PAGE 1 <br /> (two pages per tank) <br /> hge+of <br /> TYPE OF ACTION ❑1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT $1 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE O <br /> (CT�eat mei .1y) ❑ 7 PERMANENTLYCLOSED ON SITE _ �Q <br /> ❑ 3 RENEWALPERMIT (SPdfYrnrm-twlowiw. y) (sPeary ream-t lowliu war) ❑ S TANK REMOVED 470 <br /> BUSINESSNAME(S AFACILITY NAME or DBA-WM Rwn Ai) FACILITY ID: <br /> �mcToa tw►I!P iooL Trans-IT NsIndt <br /> LOCATION WITHIN SITE(OPrioup 435 <br /> L TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) <br /> i K ID# 4U TANK MANUFACTURER 633 COMPARTMENTALIZED TANK Yes c ATt <br /> 4- TADI15818 Owens Cov-n;ymYa ample m pg orerhmmryM1uml. <br /> DATE INSTALLED(YEAR/MO) TANK CAPACTTY IN GALLONS +s6 NUMBER OF COMPARTMENTS 47 <br /> 67/to qz. 20jeco allons NA <br /> ADDITIONAL DESCRIPTION(For iaaei we any) <br /> D.TANK CONTENTS <br /> TANK USE 4w PETROLEUM TYPE 41p <br /> P1 1.MOTOR VEHICLE FUEL ❑la. REGULAR UNLEADED ❑2/LEADED ❑5. IET FUEL <br /> OfmrNwdemplae Pendeam Type> ❑Ib. PREMIUM UNLEADED "W'( DIESEL 06. AVIATION FUEL <br /> ❑2. NON.FUFL PETROLEUM ❑Ic. MMGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER <br /> ❑3.CHEMICAL PRODUCT COMMON NAME (fEwflearJoas MYwwk I.."par) MI CAS#(6ow rwarao�F M.erimale.a�ary p.ae) 4� <br /> ❑4. HAZARDOUS WASTE <br /> (WN uMda) Diask Fwl CAS :{684-76- 34--6 <br /> ❑95.UNKNOWN <br /> M. TANK CONSTRUCTION <br /> TYPE OF TANK 0 L SINGLE WALL 3. SINGLE WALL WITH 5. SINGLE WALL VITTTL INTERNAL BLADDER SYSTEM 443 <br /> ((load om loam otlY) EXTERIOR MEMBRANE LINER 095.UNKNOWN <br /> �$2. DOUBLE WALL [14. SIGNLE WALL IN VAULT ❑99. OTHER <br /> TANK MATERIAL-priwery rat L BARE STEED 3. FBERM.iIASS/PLASTIC 5.CONCRETE -----[F95 UNKNOWN 44a <br /> (�waarc wrway) <br /> 02. STAINLESS STEEL ❑4. STEEL CLAD W/FmERGLASS El 9. PRP COMPTBLE W/100%METHANOL ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) <br /> TANKFWTERIAL-nano ,c 1.BARESTEEL 3. FIBERGLASS/PLASTIC 0 5. CONCRETE 95.UNKNOWN 44f <br /> (Cxdoee6®otlr) ❑7 STAINLESS STEEL ❑4. STEEL CLAD W/FBERGLASS ❑R FRP COMPTIBLE W/100%METHANOL ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL <br /> ❑5. CONCRETE <br /> TANK INTERIOR LINING ❑L RUBBER LINED 3.EPDXY IRNIIG 5.GLASS LINING ❑95.UNKNOWN 445 DATE INSTALLED 441 <br /> OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ❑6 UNLINED ❑99 OTHER <br /> (ForbaluFeatly) <br /> (LYd oee dm adyJ <br /> OTHERCORROSION ❑1 MANUFACTURED CATHODIC R 3 FIBERGLASS REINFORCED PLASTIC 09 UNKNOWN 4a DATEINSTALLED 4w <br /> FROTECITON IFAPPLICABLE PROTECTION ❑4IMPRESSED CURRENT ❑99 OTHER <br /> (mrd ax n®oey) ❑2 SACRIFICIAL ANODE (Fwimlarc ay) <br /> SPILT.AND OVERFILL YEAR INSTALLED 459 TYPE(b .l *) 4TI OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED niP) 4K <br /> (Cxdenmoepply) D11SPILLCONTAINMENT ❑1 ALARM ISI 3 FILL TUBE SHUT OFF VALVE <br /> N 2 DROP TUBE ❑2 RAIL FLOAT ❑4 EXEMPT <br /> I$3 STRIKER PLATE <br /> IV.TANK LEAK DETECTION(A&MrVl add WRNW1WP09rm Nen Is Srbmlaeanrbe ml>geFar.) <br /> IF SINGLE WALL TANK(croaL.n lmtapPlr) ass IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 <br /> (0_T ooeIlangtly) <br /> ❑1VISUAL(EXPOSED PORTION ONLY) ❑5MANUAL TANK GAUGING(MTG) R❑1VISUAL(SING"WALLINVAULTONLY) <br /> A� <br /> ❑2 AUTOMATIC TANK GAUGING(ATO) 0 VADOSE ZONE yy 2CONTIN000S INTERSTITIAL MONITORING <br /> ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUALMONITORING <br /> ❑4 STATISTICAL INVENTORY RECONCILIATION ❑R TANK TESTING <br /> (SIR) BIENNIAL TANK TESTING ❑99 OTHER <br /> IV.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LASTUSED(YR/MO/DAY) 40 ESTIMATED QUANITTY OF SUBSTANCE REMAINING 4M5 TANK FILLED WITH INERT MATERIAL? 657 <br /> gallons ❑Yes ❑ NO <br /> LTPCF(12/99 revised) 10 Formerly SWRCB Fom7 B <br />