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IFIED PROGRAM CONSOLIDATED FOS � � LT ANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 u pages per tank) now of 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 only) (Specifyreason-forlocaluseonly) ❑ 8 TANK REMOVED 430 BUSINESS NAME(Same as FACILITY NAME or,DBA-Doing Business As) 3 FACILITY ID: 1 Tesoro#67077 LOCATION WITHIN SITE(Optional) 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. agency.) SANK ID# 432 TANK MANUFACTURER a33 COMPARTMENTALIZED TANK ❑Yes ® No 434 if 1 T401(R'20z07 STIP III complete one page for each compartment. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 1990 -April 10,152 ADDITIONAL DESCRIPTION(For coal use only) 4W _ .. III.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ®1. MOTOR VEHICLE FUEL ❑ta. REGULAR UNLEADED ❑2. LEADED ❑5. JET FUEL (If marked complete Petroleum Type) ®1b. PREMIUM UNLEADED ❑3. DIESEL [16. AVIATION FUEL ❑2. NON-FUEL PETROLEUM ❑1c. MIDGRADE UNLEADED ❑4. GASOHOL [199.OTHER ❑3. CHEMICAL PRODUCT COMMON NAME (from HazarNous Materials Inventory page) 441 CAS#(from Hazardous Matenals Inventory page) 442 ❑4. HAZARDOUS WASTE 8006-61-9 (Includes Used Oil) ❑95.UNKNOWN III. TANK CONSTRUCTION - TYPE OF TANK ❑ 1. SINGLE WALL ❑3.SINGLE WALL WITH ❑5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) EXTERIOR MEMBRANE LINER ❑95. 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 (Cheri one item only) ❑2. STAINLESS STEEL [14. STEEL CLAD W/FIBERGLASS [18. FRP COMPATIBLE W/ [199.OTHER REINFORCED PLASTIC(FRP) 100%METHANOL TANK MATERIAL-sacomarytaN, ❑1. BARE STEEL [13. FIBERGLASS/PLASTIC [15. CONCRETE ❑95. UNKNOWN 445 (Check one item only) [:12. STAINLESS STEEL E9 4.STEEL CLAD W/FIBERGLASS ❑B. FRP COMPATIBLE [199.OTHER REINFORCED PLASTIC(FRP) W/100%METHANOL [IS. 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 Iodal use omy) OTHERCORROSON ❑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 only) ❑2 SACRIFICIAL ANODE (For coal use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Chect,allthat apply) ®i SPILL CONTAINMENT 1990 ®1 ALARM ❑3 FILL TUBE SHUT OFF VALVE ®2 DROP TUBE 1990 ®2 BALL FLOAT ❑4 EXEMPT ®3 STRIKER PLATE 1990 N.TANK LEAK DETECTION(A descnobon of the monitonng program shall be submtted to the local agency.) IF SINGLE WALL TANK(Check all that apply) 453 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 0 9 OTHER N.TANK CLOSURE INFORMATION J 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 [I Yes ❑ No UPCF (1/99 revised) Formerly SWRCB Form B