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AIMED PROGRAM CONSOLIDATED FOr <br /> UNDERGROUND STORAGE TANKS - TANK PAGE'j�(�� `'7 TANKS <br /> (two pages per tank) <br /> Page-of <br /> TYPE OF ACTION ❑1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ® 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE <br /> (Check we Item only) ❑ 7 PERMANENTLY CLOSED ON SITE <br /> ❑ 3 RENEWAL PERMIT (Specify reason-for local use only) (Seedy reason-fa local use ony) ❑ 8 TANK REMOVED 430 <br /> BUSINESS NAME(Sam as FACILITY NAME a DBA-Doing Business As) FACILITY ID: I <br /> Tesoro West Coast Company,LLC USA,CCIIIBSI SO <br /> LOCATION WITHIN SITE(Optional) 431 <br /> 1.TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submNloO to the local <br /> a <br /> TANK ID# - 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yes No 434 <br /> 3 r STIP 0*Yes',cdnpate one page for each owpannlent. <br /> DATE INSTALLED( EARIMO) TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 <br /> 1990 10,000 <br /> ADDITIONAL DESCRIPTION(Fa lore)use only) 438 <br /> IL TANK CONTENTS <br /> TANK USE 439 PETROLEUM TYPE 440 <br /> ®1. MOTOR VEHICLE FUEL [Ila. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL <br /> (a mancecl compo°Pebdean Type) ®1b. PREMIUM UNLEADED ❑3. DIESEL ❑6. AVIATION FUEL <br /> ❑2. NON-FUEL PETROLEUM ❑le. MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER <br /> ❑3. CHEMICAL PRODUCT COMMON NAME (fan Haramms Moanals Mvanuxy page) 441 CAS#(from Harallous Moonals klwntay page) 442 <br /> ❑4. HAZARDOUS WASTE UNLEADED FUEL 800-61-9 <br /> (kWuaec Used Oil) <br /> ❑95.UNKNOWN <br /> IB. TANK CONSTRUCTION <br /> TYPE OF TANK 0 1. SINGLE WALL 0 3.SINGLE WALL WITH L3 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 <br /> (Check aro Nem only) EXTERIOR MEMBRANE LINER ❑95. UNKNOWN <br /> ®2. DOUBLE WALL ❑4. SINGLE WALLIN VAULT ❑99. OTHER <br /> TANK MATERIAL-i mery ter k CM 1. BARE STEEL 0 3. FIBERGLASS/PLASTIC E3 5. CONCRETE 0 95. UNKNOWN 444 <br /> Ich"one Neal only) [12. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE W/ ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) 10D%METHANOL <br /> TANK MATERIAL-semeary Yia 0 1. BARE STEEL E3 3. FIBERGLASS/PLASTIC 0 5. CONCRETE 95. UNKNOWN 445 <br /> (Check an Nem only) ❑2. STAINLESS STEEL ®4.STEEL CLAD WIFIBERGLASS [18. FRP COMPATIBLE ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) W/100%METHANOL <br /> D 5. CONCRETE ❑10.COATED STEEL <br /> TANK INTERIOR LINING D 1.RUBBER LINED ❑3.EPDXY LINING ❑5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 <br /> OR COATING D 2 ALKYD LINING ❑4 PHENOLIC LINING ®6 UNLINED ❑99 OTHER <br /> (Check one Nam only) (Fa local use only) <br /> OTHER CORROSION ❑1 MANUFACTURED CATHODIC❑3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 446 DATE INSTALLED 449 <br /> PROTECTION F APPLCABLE, PROTECTION ❑4IMPRESSED CURRENT D 99 OTHER <br /> / (Check aro liken only) Q 2 SACRIFICIAL ANODE (Fa local use only) <br /> SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(local use only) 451 OVERFILL PROTECTION EQUIPMENTNEAR INSTALLED 452 <br /> (Check ell ®1 SPILL CONTAINMENT <br /> that apply) 19N ®1 ALARM UNK ❑3 FILL TUBE SHAT OFF VALVE <br /> ®2 DROP TUBE 1990 ®2 BALL FLOAT LINK D 4 EXEMPT <br /> Cl 3 STRIKER PLATE 1 <br /> IV.TANK LEAK DETECTION(A denalpow of the ffaYt ling program ones be eubffkW M the low agency.) <br /> IF SINGLE WALL TANK(Check eg not appy) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 464 <br /> (Check aro Nam only) <br /> ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) ❑1 VISUAL(SINGLE WALL IN VAULT ONLY) <br /> ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ®2 CONTINUOUS INTERSTITIAL MONITORING <br /> ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING <br /> ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING <br /> +(SIR) BIENNIAL TANK TESTING 09 OTHER <br /> IV.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YR/MO/DAV) 455 ESTIMATED QUANTITY OF SUBSTANCE 455 TANK FILLED WITH INERT MATERIAL? 457 <br /> REMAINING <br /> gallons [I Yes ❑ No <br /> UPCF(12/99 revised) Formerly SWRCB Form B <br />