COMPLIANCE INFO_2004-2006 - Laserfiche WebLink

Home Browse Search

amn PROGRAM CONSOLIDATED FOR TANKS UNDERGROUND STORAGE TANKS - TANK PAGE I A1351 (Two pages per tank) w Page 1 of 2(new tank) TYPE OF ACTION 1.NEW PERMIT ❑ 4 AMENDED PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY TANK CLOSURE 430. (Check one item only) ❑ 3.RENEWAL PERMIT New 8,000 Gal.Diesel Tank 7.PERMANENTLY CLOSED ON SITE (Specify reason) (Specilyreason) ❑ 8.TANK REMOVED BUSINESS NAME(same w FAciLrry NAmE or DBA-Doing Business 3. 1 FACILITY ID: Pacific Bell LOCATION V=IIN SITE(Optional) TA o5r5,6-qLA 431. ................. ......... ................................... ........................................... ............ ........ ........ .................................. .......... . ...... ...>::;;,:;;::..... ........ ..... .. ................... .... ............ ........... ........... ..... ........ ....... ............... ............................ ... ........ .............................. .......... ... ............ ........ ............. ............. .................... .............. . ............ <:;;: <:>:<::»:;:;:;<s:;<:>::;:.....;:.. .... ............... ................................................. .............. ........ ..................... ..... .. ..... . ............ .................................................... ... . . . .. ....... .............................................. ......... ............................... . ........ Uagmqy -.4b,41" -10 th"M ............... WOW A .*% i 640.w."' 0'. ST �4 ow" ft t. ..... ....... *- r .��-:............................... Au TANK ID# 432. TANK MANUFACTURER 433. COMPARTMENTALIZED TANK [I Yes Z No 434. 1103 Modem Welding If"Yes,"complete one page for each compartmad. DATE INSTALLED 435- TANK CAPACITY IN GALLONS 436- NUMBER OF COMPARTMENTS (YEAR/MO) 437. New(probably 2001 8,000 1 ADDITIONAL DESCRIPTION(For low use only) 438. ..................................................... ......... ............ ......... ......... .. ............. ........ . . ........... . ........... .. ...... ................ .................... .......................................... ............... ..... .. ..... ......... ...... ................ .......... . .. ..... .............. ............. ................. .. ......... -�i ............... ................................... . ........... .................. .. ..... ........ . . .. . . ........ TANK USE 439- PETROLEUM TYPE 440. t@ 1. MOTOR VEHICLE FUEL 0 Ia. REGULAR UNLEADED 0 2. LEADED 0 5. JET FUEL (If checked,complete Petroleum Type) ❑lb. PREMIUM UNLEADED IR 3. DIESEL [:16. AVIATION GAS ❑ 2. NON-FUEL PETROLEUM ❑lc. jMGRADEUNLEADED [34. GASOHOL 0 99.OTHER: ❑ 3. CHEMICAL PRODUCT COMMON NAME (from Hanrdous Materials Inventory page) 441. CAS#(from Hazardous Materials inventory page) 442. 0 4 HAZARDOUS WASTE (Includes Used Oil) 0 95.UNKNOWN .............................. ....... ....... ......--........... ...... .......... ............ ....................... ...................... X ......... .. ..... ...a. . . ....... ............................................................ ........................I......... ....... .................. AAM ........... .............. .... .... ...................... ......... ...... ........ ..................... .......................... ... ...... ...............------- I. .... ........ ........ .. ........... .............. ................ .......... . ........... ............ '..X.:.. ........:... �, ....................... :..., -1.1-......:...-..:,......................:.:.:......�..� .................................... ... ........... W .......- -................... .... .....%......... ........................ :,'' -- ....................... TYPE OF TANK 1. SINGLE WALL. 3. SINGLE WALL WITH EXTERIOR: 0 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443. (Check one item only) MEMBRANE LINER [195. UNKNOWN 2. DOUBLE WALL 0 4. SINGLE WALL IN A VAULT Q 99. OTHER TANK MATERIAL-primary tank MI. BARE STEEL 3. FIBERGLASS/PLASTIC 0 5. CONCRETE 95.UNKNOWN 444. (Check one item only) ❑2. STAINLESS STEEL 0 4. STEEL CLAD W/FIBERGLASS 0 8. FRP COMPATIBLE 0 99.OTHER: REINFORCED PLASTIC(FRP) W1100%METHANOL TANK MATERIAL-secondary tank [11. BARE STEEL El 3. FIBERGLASS/PLASTIC 8. FRP COMPTIBLE W1100%METHANOL ❑95.UNKNOWN 445. (Check one item only) C3 2. STAINLESS STEEL 0 4. STEEL CLAD WIFIBERGLASS ❑9. FRP NON-CORRODABLE JACKET ❑99.OTHER REINFORCED PLASTIC(FRP) ❑10. COATED STEEL 0 5. CONCRETE TANK INTERIOR LINING 1.RUBBER LINED 0 3.EPDXY LINING 0 5.GLASS LINING 0 95.UNKNOWN 446. DATE INSTALLED 447. OR COATING ❑2.ALKYD LINING 0 4 PHENOLIC LINING N 6 UNLINED 0 99.OTHER - 1988 (Check one item only) OTHER CORROSION ❑1.MANUFACTURED CATHODIC N 3.FIBERGLASS REINFORCED PLASTIC 0 95.UNKNOWN 448. DATE INSTALLED 449. PROTECTION PROTECTION [14.RAPRESSED CURRENT ❑99.OTHER 1988 (If Applicable) ❑2.SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450. TYPE 451. OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452. (Check all that apply) 1.SPILL CONTAINMENT 2001(unconfirmed) 0 1.ALARM (2001) 3.FILL TUBE SHUT OFF VALVE(2001) 2.DROP TUBE ___.2001(unconfirmed) 0 2.BALL FLOAT(2001) ❑4.EXEMPT 3.STRIKER PLATE 2001(unconfirmed) .................... ..................................................... ..... .............................. .............................. ...................................... ............................ ..........-............................... ........ ... ......... . ...... ..................................................................... ........... ...... .....................- ** - * ............. .......... ........ ........................ ........................................ ............... .......... .... .... .......... ..............%...............'........,.............. ..... .............. .................... . ..... ..... ......................................................... ..... ..... ....... ........... ........ .............................................. .............................w........... . ... . ...... .. ................ i.al, i ......................... IF SINGLE WALL TANK 453- IF DOUBLE WALL TANK OR TANK WITH BLADDER 454. (Checkall that apply) (Check one item only) 0 1. VISUAL(EXPOSED PORTION ONLY) 0 5.MANUAL TANK GAUGING WrG) 0 1.VISUAL(SINGLE WALL IN VAULT ONLY) 0 2. AUTOMATIC TANK GAUGING(ATG) [3 6.VADOSE ZONE 0 2.CONTINUOUS INTERSTITIAL MONITORING 0 3. CONTINUOUS ATG 0 7.GROUNDWATER 0 3.MANUAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION [18.TANK TESTING (SIR)+BIENNIAL TANK TESTING 0 99. OTHER ................................... ................................ ....... ..... ..................... ................-......................... .......... .. . . ... ........... ....... ..... .*..,. - ... a.. ........ I FEW&AN T. S -PLACE*"*�"" '*'�"��"""" .:..� ......................... .....:. -.. . ..TAW ............................. ............... URKIN ........... .............................. .. ... .................................................................... .. ................ ........... ...... ............................................................ .. . ... .. ..... ..... ............-............ .....................................................................I.................,...,.,...........,..........��....�� ..�....�........,......................-.............-...- ............I...... ...... ................ .. ............... ................ ... .................... .... ...... ESTIMATED DATE LAST USED(YR/MO/DAY) 455- ESTIMATED QUANTITY OF SUBSTANCE REMAINING 457 TANK FILLED WITH INERT MATERIAL? 457. Currently active gallons ❑Yes [I No -71,2qlof UPCF hwfwrc-b(1/99)-1/4 http://www.unidocs.org Rev.02/16/00