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a STATEOFCALIFORMA STATE WATER RESOURCES CONTROL BOARDUNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM BCOMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ❑ 1 NEW PERMIT ❑ 3 RENEWAL PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 7 PERMANENTLY CLOS ONSITE] ONE REM ❑ 2 INTERIM PERMIT ❑ 4 AMENDED PERMIT g TEMPORARY TANK CLOSURE ® 8 TANK REMOVED DBAOR FACILITY NAME WHERE TANK IS INSTALLED: DiSa1Vo Trucking Co. I. TANK DESCRIPTION COMPLETE ALL ITEMS- SPECIFY IF UNKNOWN A. OWNER'S TANK I.D.# /_ B. MANUFACTURED BY: unknown C. DATE INSTALLED(MOIDAGYEAR) unknown D. TANK CAPACITY IN GALLONS: 6000 II_ TANK CONTFNT3 IF ee rc Mevem 1n..l FTFITCY C A. ❑ 1 MOTOR VEHICLE FUEL ® 4 OIL 8. C. ❑ taUNL AA 3 DIESEL g AVIATIONGAS 7]2 PETROLEUM ❑ 80 EMPTY © 1 PRODUCT ® 1 BARE STEEL IbPREMIUM O 4 GASAHOL 7 METHANOL ❑ 3 CHEMICAL PRODUCT ❑ 95 UNKNOWN ❑ 2 WASTE ❑ e POLYVINYL CHLORIDE UNLEADED O 2 LEADED ❑ 5 JETFUEL (Primary Tank) ❑ 9 BRONZE ❑ 10 GALVANIZED STEEL ❑ 95 UNKNOWN ❑ 99 OTHER 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED motor oil 3 EPDXY LINING C.A.S.#: III. TANK CONSTRUCTION MARK( INF ITFY nNI V IN R(1YFS e G eNrlI..r e11 T..T eee..oc. ---- A. — u— A. TYPE OF ❑ 1 DOUBLE WALL ❑ 3 SINGLE WALL WITH EXTERIOR LINER ❑ 95 UNKNOWN SYSTEM ® 2 SINGLE WALL ❑ 4 SECONDARY CONTAINMENT (VAULTED TANK) ❑ 99 OTHER B. TANK ® 1 BARE STEEL ❑ 2 STAINLESS STEEL ❑ 3 FIBERGLASS ❑ 4 STEELCLAD W/ FIBERGLASS REINFORCED PLASTIC MATERIAL ❑ 5 CONCRETE ❑ e POLYVINYL CHLORIDE ❑ 7 ALUMINUM ❑ B 100% METHANOL COMPATIBLE W/FRP (Primary Tank) ❑ 9 BRONZE ❑ 10 GALVANIZED STEEL ❑ 95 UNKNOWN ❑ 99 OTHER 4 FIBERGLASS PIPE 9 100% METHANOL COMPATIBLE WIFRP 99 OTHER ❑ 1 RUBBER LINED ❑ 2 ALKYD LINING 3 EPDXY LINING ❑ 4 PHENOLIC LINING C. INTERIOR LINING ❑ 5 GLASS LINING ® g UNLINED 95 UNKNOWN ❑ 99 OTHER IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ D.CORROSION ❑ 1 POLYETHYLENE WRAP ® 2 COATING ❑ 3 VINYL WRAP ❑ 4 FIBERGLASS REINFORCED PLASTIC PROTECTION ❑ 5 CATHODIC PROTECTK)N ❑ 91 NONE 095 UNKNOWN ❑ 99 OTHER E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPI ICARIF A. SYSTEM TYPE U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A(q 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION A U A U A0 1 BARE STEEL 5 ALUMINUM 9 GALVANIZED STEEL A U A U A U 2 STAINLESS STEEL A U B CONCRETE A U 10 CATHODIC PROTECTION 3 POLYVINYL CHLORIDE (PVC)A U 7 STEELW/COATING A U A U 95 UNKNOWN A U 4 FIBERGLASS PIPE 9 100% METHANOL COMPATIBLE WIFRP 99 OTHER D. LEAK DETECTION ❑ 1 AUTOMATIC LINE LEAK DETECTOR ® 2 LINE TIGHTNESS TESTING ❑ rffl MONRORING ❑ 99 OTHER V. TANK LEAK DETECTION ❑ 1 VISUAL CHECK ❑ 2 INVENTORY RECONCILIATION ❑ 3 VADOZE MONITORING ❑ 4 AUTOMATIC TANK GAUGING ❑ 5 GROUNDWATER MONITORIN( ® e TANK TESTING ❑ 7 INTERSTITIAL MONITORING ❑ 91 NONE ❑ 95 UNKNOWN ❑ 99 OTHER VI. TANK CLOSURE INFORMATION 1.F$TJAIAT�� DATE LAST USED(MO/DAY/YR) 2. ESTIMATED QUANTITY OF L SUBSTANCE REMAINING THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY APPLICANTS NAME IPRINTEDASIGNATURE) John S. Tunger. . 3. WAS TANK FILLED WITH 00 GALLONS INERT MATERIAL? YES E71 N0-1 TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT DATE �_ 3/5/92 LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS OSED OF THE FOUR NUMBERS WCOW COUNTY # /JUR6DICTION# FACILITY # ' TANK# O ` D7 S Al. ) STATE I.D.# PERMIT NUMBER PERMIT APPROVED BYIDATE PERMIT EXPIRATION DATE FORMS (7-91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORIXUBM *AW