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<br /> nIFIE:D PROGRAM CONSOLIDATED FORM TANK: TAWOn76
<br /> PR#: PRM1161
<br /> UNDERGROUND STORAGE TANKS -TANK PAGE 1 FAC*t FAOOO=6
<br /> (two Pages per tank)
<br /> Page 4 of 7
<br /> TYPE.OF A(:n'10N ,Ntw SLTE PERMIT ❑4 Ammm nx-vir' ❑5 CHANCII OF INNFOKMATION ❑6 TF.MPORAPY SITE CLOSURE
<br /> (�IvnJeimlyilcm on)Y) ,,,..:,_„.....,_...._„.._........_. . ...:'s� •ern-•--".•---__ ... ....„r
<br /> x„.:., g =_:__...... _., m:_:''• ❑7 PLRMANI"TI.Y(:l.OSED UN SITE
<br /> w.:.fOLictaS mRer:>zarJo
<br /> 3 RFNf WAt.PF.RMI'Y ❑tt „
<br /> :::....•we_.... ;, .,,.,m,... ..:..,.; .TAVK RkyUVED Oto
<br /> 1USiNF%SNAME(su,tt45FACILITY NAME.09A-Doi.%R-i-A.) FACrLTfYID: PR a: I
<br /> CHEVRON USA INC:#93232* FAUUU372G PR0231 16t T 1-7
<br /> Ll)C.:n'i'1CiN w6'fI1[N SITE wpuwwo 8000 LOWER SACRAMENTO kl),,0'OCCTON 431
<br /> PHONE.
<br /> T:'TANK DESCRIPTION('A scaled plot plan wim me loeauott nr the t35T::yssrm including buildings and lataltitaft shall be submitted to the local atmnry.)
<br /> TAMCiD# Tank#: ti 4,,2 '[TAMCMANUFACTURER 43) COMPARTMENTA1.1/1A)TANK ❑Yes ❑No 434
<br /> TA0508376 XERXES If"Ye".eompku one popebrach aimpa ment
<br /> DATE INSTALI.FD(YEAR Vj 0) 4Ts 'TANK CAPACITY IN UAI,LONS 436 NUMBLIk OF COMPARTMENTS-"' 437
<br /> 2/15/1999 10,000
<br /> A MUONALDESCRIPTION(Farfo i mty) 439
<br /> U,TANK CONTENTS
<br /> .'TANK USE "4.W ' PUTROLLUM TYPL
<br /> ®
<br /> I.MOTOR VL1ttn.F FUEL ❑ La.RF.GUI.AR UN1.F.ADF.D44�
<br /> ❑ 2-LEADED Q S.JB'f FUEL
<br /> (1(markcd<wnpleupeaok,m,Type) ® Ib.PREMIUM UNLEADED ❑3.DIF.SEI.
<br /> ❑6.AYIATTON FL1F.I.
<br /> ❑2.NON-FUL•I.PETROt.Et1M ❑ Lc.MIDCRADF UNLEADED 4.GASOHOL (,99.OY-PIER
<br /> ❑3.CHEMICAL PRODUCT COMMON NAME(Ran Haaumeas Materi&6 Imnl.y pxgc) ,tat C.:Ati (nrnn Hasurde a Man,;ai.I rentery page) _ 44
<br /> ❑
<br /> 4,HAZARDOUS wAs'rr', )
<br /> (WU&wtd oil
<br /> ❑95.1JNKNOWN
<br /> " III.TA,\'K CONSTRUCTION
<br /> TYPt OF TANK ❑ 1.SINGLE WALL -
<br /> ❑ 3.SEN GLE WALL WITH ❑ 5.S1N4t.t;WALL W7'['H INTERNAL BLADDER SYSTEM 443
<br /> (3--k..it...-I) EXTERIOR MFMDRANL LINER ®95•UNKNOWN
<br /> ®2.DOUBLE WALL ❑4.SINGLE WALL IN VAULT D 9!),OTHER
<br /> rANKMATERIAL-primary tank Q 1.BARE STEEL ( FIBERULASS I PLASTIC ❑ 5.CONCRFTF ®9,!1.UNKNOWN 444
<br /> (C'1mk aK;tauwdy) ❑2.STAINI.FSS STP.EI. ❑STEEL CLAD W/FIRERGL.ASS ❑ 8,FRP COMPTIBLE W/loo%MfT1IANOl.
<br /> REINFORCED PLASTIC(FRP) ❑99.OTNRR
<br /> TANK MATERIAE..secondary tank ❑ 1.BARL STEEL JK 3.FIBERGLASS/PLASTIC ❑ S.CC>NCKk I-E ❑95.UNKNOWN 'tat
<br /> (CncckonciCmoaly) ❑2.STAINLESSSTEEL ❑4.STEEL CLAD W/FIBERG LASS ❑ 8.FRPCOMPTIRI,F,W/L(W9'o,VVA' ANOL
<br /> REINFORCED PLASTIC(PRP) 10.COATED$TtiF1. ❑99.OTHER
<br /> (�5.CONCR,ETF,
<br /> 'DANK INTERIOR I.ININO q A47
<br /> OR COATING ❑ I.RUBBER LINEA ❑ 3•EPDXY LINTNG ❑ 5.GLASS LINING ❑95.UNKNOWN 446 Un'rE INy rn[.t-L o
<br /> (C7sedc ate tsrn onl» ❑ 2 ALKYD LINING ❑4 PHENULIC•LINING 6 UNLINED 1� 'CTI HER
<br /> (1'or local ase only)
<br /> OTHER CORROSION ❑ 1 MANUFAC rUKINU C-ATHOPIC (:E_ t- ndg
<br /> PROTECTION IF APPLICABLE PROTECTION © FLtit?Ltt:1 nSS RFLNrUKCED PLA) tC: ❑95 UNKNOWN UnTL•NSTALLF:D
<br /> (Check one item") ❑4 immssEv,CURRENT ❑99QTNF.R
<br /> ❑2 5AC'K1F'lC:1pl.ANOf)F, {For local tae only)
<br /> SPL(.I,AND OVF,RFILf, YEAR)NSTALLL645Q 3'YYl(1aattaconly) 45t OVF.RFLI.t.PROTFCTiONUQUIPMENTrYEAR INSTALLED 453
<br /> (rl .nn.t�lgaY) ISPILLC.ONTAN,MENT 1,949A0 ❑ IALARM 4FILLTIMRSHIITOFF VAO
<br /> 2 DROP TURA _ _ ❑2 BALL s 4 EXEMPT
<br /> ❑ 3 STALKER PLATT FI.OAT
<br /> _ IV.TANK I,k;A K U E'IEMION(A twII lsurm arlkc mmilmiag pws-OW,gcyttymitlCA to the local a-nCy.) r IF SINGLE.WALL.TANK(t Is k.n U.I.apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454
<br /> 0 1 VISUAL(EXPOSED POKTION ONLY) ❑5 MANI,)AI.TANK GAt101NG(MT(,,) (C.ha.cc
<br /> ❑2 AUTOMATICTANK GAUGING(ATG) ❑6 VADOSE7_ONF ❑ 1 VISUAL(SINGLE WALL IN VAULT ONLY)
<br /> ❑3 CONTINUOUS ATG ❑ 7 GROUNDWATER ®2 CONTNLIOUS NTF.RSTIT(N,MONITOR(NO
<br /> ❑4 STATISTICAL NVENTORY RCC.ONCILIATION ❑ 3 TANK'1'EsTING ❑3 MANUAL MONITORNG
<br /> (SII l;tt`NLAL'fANK'1'}?STNC p,)9 OTHER
<br /> V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
<br /> Vi]MATED DATE LAST USED(VRIMO/DAY) l55 L-ST IMATED QUANTITY OF SUBSTANCE REMAINING a>o TANK FILLED WITH INERT MATERIAL? 157
<br /> ❑ Yrs n No
<br /> UPCF('12199 revise(f)
<br /> Sd WH07:0I 2002 90 -Up f Z8S0-bSG-G0Z : "ON XtUA NONA3HO S t AD I N : WONJ
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