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'FIED PROGRAM CONSOLIDATED FOP ' CL) gr,(�ANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 6 �lwo pages per tank) Page_c! TYPE OF ACTION ❑ 1 NEW SITE PERMIT ❑ 4 AMENDED PERMIT ® 5 CHANGE OF INFORMATION ❑ 6 TEMPORARY SITE CLOSURE (Check one item only) ❑ 7 PERMANENTLY CLOSED ON SITE ❑ 3 RENEWAL PERMIT (Specify reason-for local use mly) (Speatyreason-forlocaluseonly) ❑ 8 TANK REMOVED 430 BUSINESS NAME(Sam as FACILITY NAME or DBA-Doing Business As) FACILITY ID: 1 Tesoro#67077 3 LOCATION WITHIN SITE(Opdona) 431 I.TANK DESCRIPTION (A scaled plot plan With the location of the UST system including buildings and landmarks shall be submitted to the local a en .) .... 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes ® No 434 TANK ID# r q o ✓tea(tij STIP If"Yes',complete me page for each mmparlmem. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 1990-April 10,152 ADDITIONAL DESCRIPTION(For local use only) 438 -11.TANK CONTENTS TANK USE 639 PETROLEUM TYPE 440 ®1. MOTOR VEHICLE FUEL N la. REGULAR UNLEADED [12. LEADED ❑5. JET FUEL (If intent canoes Petroleum Type) [I lb. PREMIUM UNLEADED 03. DIESEL 06. AVIATION FUEL ❑2. NON-FUEL PETROLEUM ❑1c. MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER_ 03. CHEMICAL PRODUCT COMMON NAME (from Hazanous Materials Inventory page) 041 CAS#(from Haaardms Materials Inventory page) /02 ❑4. HAZARDOUS WASTE 8006-61-9 (Includes Used Oil ❑95.UNKNOWN Ill. TANK CONSTRUCTION TYPE OF TANK ❑1. SINGLE WALL [13 SINGLE WALL WITH [15. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check oneitem only) EXTERIOR MEMBRANE LINER 095. UNKNOWN ®2. DOUBLE WALL [14. SIGNLE WALL IN VAULT ❑99. OTHER_ TANK MATERIAL-primary tank ®1. BARE STEEL [13. FIBERGLASS/PLASTIC [15. CONCRETE [195. UNKNOWN 444 (Check one item only) ❑2. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS ❑S. FRP COMPATIBLE W/ ❑99.OTHER REINFORCED PLASTIC(FRP) 100%METHANOL TANK MATERIAL-secondarytank ❑1. BARE STEEL ❑3. FIBERGLASS/PLASTIC ❑5. CONCRETE ❑95. UNKNOWN 445 (Check one item only) ❑2. STAINLESS STEEL ®4.STEEL CLAD W/FIBERGLASS [18. FRP COMPATIBLE ❑99.OTHER REINFORCED PLASTIC(FRP) W1100%METHANOL ❑S. CONCRETE ❑10.COATED STEEL TANK INTERIOR LINING ❑1.RUBBER LINED ❑3.EPDXY LINING ❑5.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING ®6 UNLINED ❑99 OTHER (Check one item only) (For local use only) OTHER CORROSION ❑1 MANUFACTURED CATHODIC❑3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION ❑4 IMPRESSED CURRENT ❑99 OTHER (Check one item mly) ❑2 SACRIFICIAL ANODE (Forloraluseoney) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(Inial use mly) 451 OVERFILL PROTECTION EOUIPMENT:YEAR INSTALLED 452 (Check all 1811SPILL CONTAINMENT Met appy) 1990 ®1 ALARM ❑3 FILL TUBE SHUT OFF VALVE ®2 DROP TUBE 1990 ®2 BALL FLOAT ❑4 EXEMPT ®3 STRIKER PLATE 1990 IV.TANK LEAK DETECTION(A descrlpeon of the monitoring program shall be submlded to the local agency.) IF SINGLE WALL TANK(Check all that apply) 053 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item only) ❑1 VISUAL(EXPOSED PORTION ONLY) ❑5 MANUAL TANK GAUGING(MTG) ❑1 VISUAL(SINGLE WALL IN VAULT ONLY) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ®2 CONTINUOUS INTERSTITIAL MONITORING ❑3 CONTINUOUS ATG ❑7 GROUNDWATER ❑3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING +(SIR) BIENNIAL TANK TESTING ❑99 OTHER IV.TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST"USED(YR/MO/DAV) 455 ESTIMATED QUANTITY OF SUBSTANCE 456 TANK FILLED WITH INERT MATERIAL? 457 REMAINING gallons ❑Yes ❑ No UPCF(1/99 revised) Formerly SWRCB Form B