COMPLIANCE INFO_1995-2006 - Laserfiche WebLink

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FIED PROGRAM CONSOLIDATED FO TANKS UNDERGROUND STORAGET - TANK PAGE 1 (two pages per tank) Page_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) (Specify reason-for local use only) ❑ 8 TANK REMOVED 430 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) FACILITY ID: 1 3 , NELLA Oil Company 427 LOCATION WITHIN SITE,Optional) 431 Underground Storage Tanks south of building 1.TANKDESCRIPTION (A scaled plot planc with the location of the UST system including buildings an&landmarks shall be submitted to the;local agency.). TANK ID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑Yes Z No 434 42702 unknown If"Yes".complete one page for each compartment. DATE INSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 unknown 10000 1 ADDITIONAL DESCRIPTION(For local use only) 438 II.TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® 1. MOTOR VEHICLE FUEL ❑ 1a. REGULAR UNLEADED ❑2 LEADED ❑5 JET FUEL (If marked complete Petroleum Type) Z lb. PREMIUM UNLEADED ❑3. DIESEL ❑6. AVIATION FUEL [:12. NON-FUEL PETROLEUM ❑1c. MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER ❑3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS#(from Hazardous Materials Inventory page) 442 ❑4. HAZARDOUS WASTE Premium Unleaded Gasoline 92 Octane 86290-81-5 (Includes Used Oil) [:195 UNKNOWN 11L. TANK CONSTRUCTION TYPE OF TANK Ell. SINGLE WALL [:13.SINGLE WALL WITH ❑5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only; EXTERIOR MEMBRANE LINER ❑95. UNKNOWN Z 2. DOUBLE WALL ❑4. SIGNLE WALL IN VAULT ❑99. OTHER TANK MATERIAL-primary tank ❑ 1 BARE STEEL ❑3. FIBERGLASS,,PLASTIC ❑5. CONCRETE ❑95. UNKNOWN 444 I ;Check one iter,cci% ❑2 STAINLESS STEEL Z 4 STEEL CLAD W/FIBERGLASS [18. FRP COMPATIBLE W/ ❑99 OTHER REINFORCED PLASTIC(FRP) 100%METHANOL TANK MATERIAL-secondary tank ❑1 BARE STEEL ❑3. FIBERGLASS/PLASTIC Q 5. CONCRETE ❑95 UNKNOWN 445 (Check one item only) Q 2, STAINLESS STEEL Z 4 STEEL CLAD W/FIBERGLASS ❑8. FRP COMPATIBLE ❑99 OTHER REINFORCED PLASTIC(FRP) W/100%METHANOL ❑5. CONCRETE [110.COATED STEEL TANK INTERIOR LINING ❑ 1 RUBBER LINED ❑3.EPDXY LINING [15.GLASS LINING ❑95.UNKNOWN 446 DATE INSTALLED 447 OR COATING ❑2 ALKYD LINING ❑4 PHENOLIC LINING Z 6 UNLINED Q 99 OTHER (Check one item only) (For local use only) OTHER CORROSION ❑1 MANUFACTURED CATHODIC Z 3 FIBERGLASS REINFORCED PLASTIC ❑95 UNKNOWN 446 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION ❑4 IMPRESSED CURRENT ❑99 OTHER (Check one item only) ❑2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE(local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check all 2 1 SPILL CONTAINMENT that apply) Yes El1 ALARM ®3 FILL TUBE SHUT OFF VALVE ®2 DROP TUBE yes ❑2 BALL FLOAT ❑4 EXEMPT ®3 STRIKER PLATE Yes ' hu.TANK LEAK,DIETECTtON(A descnption of the monitoring program shall be submitted to the)J al.agency) f o_ IF SINGLE WALL TANK(Checkall that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item only) Q 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 IZ 2 CONTINUOUS INTERSTITIAL MONITORING ❑3 CONTINUOUS ATG [:17 GROUNDWATER ❑3 MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑8 TANK TESTING +(SIR) BIENNIAL TANK TESTING ❑99 OTHER V.TANK CLOSURE INFORMATION?PERMANENT CLOSURE IN PLACE 455 ES N,i9-ED QUANTITY OF SUBSTANCE co 457 ESTiNia cT�S�L 'YR ,O:GAYJ REMAINING TANK FILLED WITH INERT MATERIAL? � gallons ❑ Yes ❑ No