COMPLIANCE INFO_1985-2000 - Laserfiche WebLink

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STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR CH TANK SYSTEM MARK ONLY j 1 NEW PERMIT ❑ 3 RENEWAL PERMIT 5 CHANGE OF INFORMATION 7 PERMANENTLY CLO 0 ON SITE ONE REM ❑ 2 INTERIM PERMIT a 4 AMENDED PERMIT ❑ B TEMPORARY TANK CLOSURE ❑ 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS- SPECIFY IF UNKNOWN �Gj fife A. OWNER'S TANK 1.0.s 7 I 3. MANUFACTURED BY: C. DATE INSTALLED(MOiOAY/YEAR) I 0. TANK CAPACITY IN GALLONS: i ILTANKCONTENTS IFA-1 IS MARKED,COMPLETE ITEM C. CJ MOTOR VEHICLE FUEL ❑ a OIL ❑ IaREGULAR 3 DIESEL � A 3. C U EO S GASAHQL -- 6 AVIATION GAS I❑ 2 PETROLEUM ❑ 80 EMPTY 1 PAOOUC7 C UNLEADED 5 JET FUEL 7 METHANOL C 3 CHEMICAL PRODUCT ❑ 95 UNKNOWN 2 WASTE ❑ 2 LEADED u gg OTHER (DESCRIBE W ITEM 0. BELOW) 0. IF(A.1)IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S.s: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A.3.ANO C.AND ALL-HAT.IPP+IES IN BOX D AND E A. TYPE OF ❑ 1 DOUBLE WALL ❑ 3 SINGLE WALL WITH EXTERIOR LINER ❑ 95 UNKNOWN SYSTEM =—=-l-r-SINGLE WALL ❑ d SECONDARY CONTAINMENT (VAULTEO TANK) ❑ 99 OTHER B. TANK ❑ 1 BARE STEEL ❑ 2 STAINLESS STEEL CEL ❑ 3 FIBERGLASS ❑ e STEEL CLAD W/FIBERGLASS REINFCACEO PLASTIC MATERIAL ❑ 5 CONCRETE 6 POLYVINYL CHLORIDE ❑ 7 ALUMINUM ❑ 9 100% METHANOL COMPAn8LE WtFRP (Primary Tank) ( 9 BRONZE 10 GALVANIZED STEEL1-7 iWOWN F71 99 OTHER 1 RU88ER UNED ❑ 2 ALKYO LINING ❑ 3 EPDXY LINING ❑ a PHENOLIC LINING C.INTERIOR —1 SSS LINING N ❑ o UNLINED r,—'-TS 99 OTHER UNKNOWN LINING 5 LJ ❑ LS LINING MATERIAL COMPATIBLE WITH 1007E METHANOL? YES_ NO 0.CORROSION ❑ I POLYETHYLENE WRAP ❑ 2 COATING ❑ 3 VINYL WRAP ❑ L FIBERGLASS REINFORCED PLASTIC PROTECTION ❑ 5 CATHODIC PROTECTION ❑ 91 NONE t 9 17 99 OTHER E.SPILL AND OVERFILL SPIV-CONTAINMENT INSTALLED(YEAR) OVERFILL PREVENTION EQUIPMENT INSTALLED(YEAR) IV.PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND.30TH IF APPLICABLE A. SYSTEM TYPE A;